A patient who had a hysterectomy yesterday has been NPO. The physician has now ordered the patient's diet to be clear liquids. Before administering the diet, the nurse should check for:
1. feelings of hunger.
2. bowel sounds.
3. positive Homans' sign.
4. gag reflex.
2
Absence of bowel sounds would contraindicate a diet.
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You are the emergency-department nurse caring for an 85-year-old patient with epistaxis. After unsuccessfully tying to stop the bleeding by direct pressure, nasal packing is inserted. You know that this puts the patient at increased risk for what?
A) Tonsillitis B) Pharyngitis C) Epiglotitis D) Rhinosinusitis
An older patient is at home after being diagnosed with fluid volume overload. What should the home care nurse instruct this patient to do?
1. Wear support hose. 2. Keep legs in a dependent position. 3. Avoid wearing shoes while in the home. 4. Try to sleep without extra pillows.
The nurse should prepare to administer which of the following drugs to the patient with suspected opioid overdose?
A. Glucose B. Caffeine C. Naloxone D. Tramadol
The major rationale for careful ongoing assessment of a client with adjustment disorder is:
1. Symptoms abate within 6 months and the client must receive a timely discharge 2. The disorder may be a precursor to a more serious mental health problem 3. Practitioners become less discerning as they become more familiar with the client 4. Clients with adjustment disorders have a high suicide rate