Immediately after general anesthesia, one of the nursing interventions is to elevate the head of the bed. What is the best nursing rationale for this procedure?
A) Provides patient comfort
B) Reassures the family
C) Hastens anesthesia recovery
D) Contributes to gas exchange
D
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When performing a peripheral vascular assessment on a patient, the nurse is unable to palpate the ulnar pulses. The patient's skin is warm and capillary refill time is normal. Next, the nurse should:
a. Check for the presence of claudication. b. Refer the individual for further evaluation. c. Consider this finding as normal, and proceed with the peripheral vascular evaluation. d. Ask the patient if he or she has experienced any unusual cramping or tingling in the arm.
A nurse is preparing a client with pancreatitis to be discharged to home. The nurse is instructing the client on decreasing pancreatic stimulation. One method to decrease pancreatic secretion is to:
1. Avoid the smell of food. 2. Increase household noise and stimulation. 3. Minimize exposure to light. 4. Stay in an upright position.
A nurse has received an abnormal result on a critical test for an assigned patient. The nurse has been trying to reach the resident for 20 minutes but has been unsuccessful
What should be done to ensure the best care for the patient? (Select all that apply.) a. Page the resident once and document this in the chart; he will make rounds soon. b. Page the attending physician. c. Continue to provide care for the patient and document all actions in the medical record. d. Wait until the resident makes rounds to review the test results with him. e. Begin treating the patient for the test re-sult because the nurse knows what the resident will likely order.
A nurse has delegated the administration of a tap water enema to the assistive personnel. The assistive personnel demonstrates understanding of the procedure when she states which of the following? Select all that apply
A. "I will lower the enema when the patient complains of cramping." B. "I will speed the enema administration when the patient complains of cramping." C. "I will withdraw the tube when the patient complains of cramping." D. "I will clamp the tubing when the patient complains of cramping."