The nurse observes a loop of bowel protruding from the surgical incision. The nurse's initial intervention should be to:
a. call the RN.
b. cover the bowel with a sterile saline dressing.
c. turn the patient to the side of the evisceration.
d. raise the patient up to a high Fowler's position.
B
Although the RN must be notified, covering the loop of bowel takes priority. The patient may be raised to a semi-Fowler's position to relieve strain on the suture line.
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A group of nurses is complaining about working conditions in their hospital and in nursing in general. What strategy could these nurses use to improve the situation?
A) Articulate a vision of the future to the administration and policymakers. B) Continue to complain in the hopes that the administration will do something. C) Refuse to serve on planning committees since conditions are so bad. D) Seek employment elsewhere to avoid current conditions.
The nurse is caring for a patient in cardiogenic shock who is being treated with an intraaortic balloon pump (IABP). The family inquires about the primary reason for the device. What is the best statement by the nurse to explain the IABP?
a. "The action of the machine will improve blood supply to the damaged heart." b. "The machine will beat for the damaged heart with every beat until it heals." c. "The machine will help cleanse the blood of impurities that might damage the heart." d. "The machine will remain in place until the patient is ready for a heart transplant."
The components required for bacterial protein synthesis are:
1. mRNA, tRNA, and 80S ribosomes. 2. mRNA, tRNA, and 70S ribosome. 3. DNA, mRNA, cell wall, and nucleoid. 4. mRNA, tRNA, plasma membrane, and pili.
The nurse is completing her plan of care for a patient with congestive heart failure. In performing a direct-care nursing intervention the nurse will:
a. Collaborate with the physician for further medication orders b. Instruct the patient about low sodium and low fat diets c. Refer the patient to the cardiac rehabilitation program for a home-care exercise program d. Consult with physical therapist for cardiac rehabilitation exercises