The nurse is caring for a postoperative patient on the medical-surgical floor. To prevent venous stasis and the formation of thrombus after general anesthesia, the nurse encourages
a. Coughing.
b. Diaphragmatic breathing.
c. Incentive spirometry.
d. Leg exercises.
D
After general anesthesia, circulation slows, and when the rate of blood slows, a greater tendency for clot formation is noted. Immobilization results in decreased muscular contractions in the lower extremities; these promote venous stasis. Coughing, diaphragmatic breathing, and incentive spirometry are utilized to decrease atelectasis.
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The nurse is concerned that Mrs. D continues to lose weight. This problem started several years ago after she was hospitalized with Crohn's disease. Since then she had one additional exacerbation of the problem
Although she generally feels well, she has lost several pounds a month in the past 6 months. The nurse is concerned that she may not be getting all of the required calories and nutrients for a balanced diet and is at risk for malnutrition. One reason for this may be: 1. Poor nutritional intake can continue even when the disease is not active due to ongoing avoidance of foods that can cause symptoms associated with a disease to flare up. 2. Patients do not understand the physiological basis for inflammatory bowel disease and may avoid foods that could contribute to healing and good health. 3. A low-fat, low-carbohydrate diet along with an increase in exercise is the standard treatment for Crohn's disease so clients naturally lose weight. 4. Migration of bacteria from the gut to other locations in the body increase metabolism and accounts for weight loss with Crohn's disease.
The most rapid growth period in a person's life is during which of the following periods?
a. infancy c. latency b. early childhood d. adolescence
A psychiatric diagnosis that often complicates bulimia is:
a. anxiety b. depression c. mania d. psychosis
The nurse is identifying recommendations to help an older patient with sleeping needs. What should the nurse recognize as a sleeping pattern in the older adult?
a. Sleep needs decrease. b. Rest time is decreased. c. Rest patterns are unchanged. d. Sleep needs remain unchanged.