Postoperative instructions must be modified for a patient with an intraocular lens implant. The nurse modifies postoperative care from that given most general surgery patients as fol-lows:
1. Early ambulation is not necessary.
2. The dressing should be removed immediately on return to the surgical unit.
3. Do not have this patient cough.
4. The patient should not be allowed to have visitors.
3
There are a few instances in which coughing is contraindicated. They include surgeries for hernias, cataracts, and brain surgery.
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A nurse is working with a patient determined to have low health literacy and has taught the patient vital self-care measures for a chronic illness. How will the nurse best determine if the patient has understood the information? (Select all that apply.)
A. Ask for a return demonstration of the skills taught. B. Assess if the patient will take brochures written for this illness. C. Encourage the patient to explain how the information fits into his or her daily life. D. Give the patient a written quiz at the end of the teaching session. E. Have the patient repeat the information in her or his own words.
The nurse assesses the patient receiving phentolamine (Regitine) and suspects what finding is an adverse effect of the medication?
A) Hypertension B) Wheezing C) Tachycardia D) Depressed respirations
What is the significance of crowning?
a. Birth is imminent. b. Labor must be induced within 12 to 24 hours. c. The placenta has separated from the wall of the uterus. d. The recovery stage of labor begins.
The nurse is caring for a client with suspected upper GI bleeding. The nurse inserts a nasogastric (NG) tube for gastric lavage and checks placement of the tube in the stomach. When fluid is aspirated from the tube, the pH is found to be 6
Which is the priority action of the nurse? a. Obtain an order for a stat chest x-ray. b. Auscultate over the lung fields bilaterally. c. Assess whether the tube is coiled in the client's throat. d. Auscultate over the epigastric area while instilling air.