The patient was involved in a motor vehicle accident. The patient has a fractured right hip and is on bed rest. Because of the prolonged immobility the nurse is concerned about complications such as which of the following? (Select all that apply.)
a. Decreased nutrients/fluids
b. Increased disuse osteoporosis
c. Increased gastrointestinal motility
d. Decreased lung expansion
e. Decreased pooling of lung secretions
A, B, D
Physiological outcomes from immobility include: decreased nutrients/fluids, decreased lung expansion, increased (not decreased) pooling of lung secretions, and increased disuse osteoporosis. Decreased (not increased) gastrointestinal motility occurs.
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A patient diagnosed with tuberculosis is prescribed ethambutol (EMB). Prior to initiating this medication, what should the nurse instruct the patient?
1. Avoid this medication if allergic to eggs. 2. Have a baseline visual exam. 3. Have an influenza (flu) vaccination. 4. Have a baseline ECG (electrocardiogram).
The nurse is caring for a woman with heavy bleeding immediately after delivery. The placenta was examined and found to be complete
Fundal massage allows the uterus to become firm, but within minutes, the uterus becomes boggy again, and the bleeding is heavy. The nurse anticipates what priority intervention to reduce bleeding? A) blood transfusion and fluid bolus B) surgical dilatation and curettage C) magnesium sulfate administration D) IV Pitocin or IM Methergine
A person calls the crisis hotline and says, "Nobody can help me now. I just want to say goodbye to somebody before I do it.". The best response to this statement would be:
a. "I can help you. Will you let me try?" b. "You're still alive, so you can still get help.". c. "You sound very discouraged. What are you planning to do?" d. "I'll arrange transportation so you can come here and tell me about the problem.".
A visual diagram of a decision, alternatives, risk factors, and possible outcomes is a
a. decision tree. c. PERT chart. b. Gantt chart. d. Venn diagram.