The PACU nurse is caring for a semiconscious patient immediately following abdominal surgery. The nurse correctly places the patient in which position?
a. Supine
b. Semi-Fowler
c. Lateral
d. Trendelenburg
C
Aspiration is a high-risk complication during this phase of recovery and can best be prevented by placing the unconscious or semiconscious patient on the side with head turned to the side.
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The woman in labor is complaining of severe back pain. What action should the nurse suggest to the birth partner?
A. Apply counterpressure B. Give a hand massage C. Perform effleurage D. Provide therapeutic touch
The nurse admits an older man who had abdominal surgery. Admission vital signs are heart rate (pulse) (P), 73 beats per minute (bpm); respiration rate (R), 20 breaths per minute; blood pressure (BP), 136/84 mm Hg
He is receiving intravenous (IV) fluids but has not requested pain medication since surgery. Seven hours later, his vital signs are P, 98 bpm; R, 26 breaths per minute; and BP, 164/90 mm Hg; and he denies pain. Which intervention should the nurse im-plement? a. Administer an opioid medication by IV route. b. Check the surgical dressing for bleeding. c. Report the vital signs to the health care provider. d. Ask if he has about discomfort at the sur-gical site or any other location.
The nurse is conducting a nutritional assessment for a toddler client who is diagnosed with failure to thrive (FTT). Which parameters will the nurse include in the assessment process for this toddler and family?
1. Height 2. Weight 3. Hemoglobin and hematocrit 4. Twenty four hour food diary 5. Maternal dietary intake during pregnancy
In the Mexican culture, when a client experiences a folk illness, the client may:
a. Prefer to seek care with a folk healer. b. Return to Mexico for care. c. Rely on Western medicine to cure the ailment. d. Become isolated and not seek care.