The nurse is caring for a postoperative patient with an abdominal incision. A pillow is used during coughing to provide
a. Pain relief.
b. Splinting.
c. Distraction.
d. Anxiety reduction.
B
Surgical incisions cut through muscles, tissues, and nerve endings. Deep breathing and coughing exercises place additional stress on the suture line and cause discomfort. Splinting incisions with hands and a pillow provides firm support and reduces incisional pull. Providing a pillow during coughing does not provide distraction or reduce anxiety. Providing a pillow does not provide pain relief. Coughing can increase anxiety because it can cause pain.
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a. Assess for other manifestations of hypoxia. b. Change the sensor on the pulse oximeter. c. Obtain a new oximeter from central supply. d. Tell the client to take slow, deep breaths.
The postpartal client has been home for a week following a vaginal delivery with a first-degree tear. The nurse is preparing for a home visit. The nurse would need to assess for:
1. Dietary intake of fiber and fluids. 2. Dietary intake of folic acid and prenatal vitamins. 3. Return of the hemoglobin and hematocrit to baseline. 4. Return of protein and albumin to predelivery levels.
Which is the focus of palliative care for the client who is dying?
1. Managing symptoms 2. Gaining muscle strength 3. Increasing caloric intake 4. Raising activity tolerance
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The nurse's best response is: A. "Since you are in your first trimester of pregnancy, there is not likely to be a problem." B. "Would you like to see a counselor to talk about your options for the remainder of your pregnancy?" C. "You should come to the clinic in the next day or two for further evaluation." D. "You need to have a rubella vaccination immediately. Can you get a ride to the clinic today?"