A client has just undergone a Harrington procedure for severe scoliosis. What potential postoperative complication should the nurse be alert for in this client?
A. Increased risk for infection
B. Increased risk for wound dehiscence
C. Increased risk for thrombus formation
D. Increased risk for orthostatic hypotension
C
Clients who have a Harrington procedure are confined to bed for several days, increasing the risk of thrombus formation.
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Which nursing interventions are likely to help the patient to cope by addressing the mediators of stress? Select all that apply
a. "A divorce, while stressful, can be the beginning of a new, better phase of life.". b. "You said you used to jog; getting back to aerobic exercise could be helpful.". c. "Journaling gives one more awareness of how experiences have affected them.". d. "Perhaps a short-term loan from your father will make your layoff less stressful.". e. "Slowing your breathing by counting to three between breaths will calm you.". f. "I have found a support group for newly divorced persons in your neighborhood.".
Which would be included in teaching for patients with Raynaud's disease? (Select all that apply.)
a. Warm hands and feet with a heating pad b. Use mittens in cold weather c. Practice stress-reducing techniques d. Complete smoking cessation e. Use caution when cleaning the refrigerator or freezer
The immediate postoperative care of a person who had a total thyroidectomy will include: (Select all that apply.)
a. placing the patient in a prone position. b. supporting the head with sandbags. c. assessing for vital signs every hour. d. assessing ability to swallow. e. assessing for bleeding.
After report the nurse reviews a standardized care plan for an assigned client. Where should the nurse find the current active problems identified for the client?
1. Look at the problem list area on the Kardex 2. Read the notes written about specific problems 3. Ask the charge nurse where the problems are located 4. Identify the areas with check marks placed on the care plan