A client who has undergone Nissen fundoplication for GERD is ready for discharge home. What instructions should be included in the discharge teaching for this client?
A. "You will no longer need any medication."
B. "Avoid spicy foods because they can irritate the suture line."
C. "You should take antireflux medications only when you eat a large meal."
D. "You will need to continue to watch your diet and take your medication."
D
There is a high percentage of recurrence of reflux after this type of surgery, so clients are en-couraged to continue antireflux regimens of medication and diet control.
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An 81-year-old female patient has just been admitted to the hospital following a stroke
The patient's daughter is upset that nurses are trying to carry out discharge planning early in the admission, characterizing their efforts as evidence that they "just want to get her out the door as soon as possible.". How can a nurse best respond to the daughter's concern? A) "Actually, it's been found that patients who leave the hospital as soon as possible recover better and more quickly than those who stay hospitalized longer.". B) "Our goal is not to rush your mother's discharge but rather to have as many supports in place as possible when it does come time for her to go home.". C) "Unfortunately, one of the realities of hospital care today is that patients do get discharged earlier than they did in years past.". D) "Discharge can often happen with little notice, so we are trying to get as much organized early in her admission as we can.".
Which of the following might a researcher include in a review of the literature concerning acupuncture and conscious sedation for major surgical procedures? (Select all that apply.)
a. A research article from the Journal of Acupuncture comparing the use of acupuncture with general anesthesia b. Bryson's Human Physiology textbook c. A research synthesis on alternatives to general anesthesia compiled by the Agency for Health Policy and Research d. An article in National Enquirer on the dangers of major surgery e. A master's thesis on the use of acupuncture during closed reduction of radial-ulnar fractures f. A Wikipedia article on how acupuncture works g. A monograph written by a physician in a third world country who used acupuncture to control pain during surgical procedures
Code condition to the highest degree of certainty for that encounter/visit, such as symptoms, signs, abnormal test results. or other reason for visit
What will be an ideal response?
The nurse is caring for a patient with amyotrophic lateral sclerosis (ALS). What should the nurse identify as being the primary focus of care for this patient?
A. Pain management and active range-of-motion (ROM) exercises B. Providing gastrostomy feedings as soon as possible so as to build up muscle mass when motor functions return C. Giving immunosuppressants D. Respiratory support as the muscles of breathing fail, and managing secretions due to the inability to swallow and communication