The nurse provides instructions about postoperative exercises to the patient who is scheduled for a laparotomy. What does the nurse include in patient teaching?
a. Flex and extend the knees several times every few hours.
b. Cough and deep breathe at least once every day.
c. Repeat range-of-motion exercises twice.
d. Reposition in bed every 4 hours.
A
The nurse instructs the patient to exercise each extremity several times to promote blood flow and venous return to prevent deep vein thrombosis formation. Once-daily coughing and deep breathing are inadequate. Performing each exercise twice is inadequate. The patient needs to re-position at least every 2 hours to prevent inadequate tissue perfusion caused by pressure.
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When assessing the pupillary light reflex, the nurse should use which technique?
a. Shine a penlight from directly in front of the patient, and inspect for pupillary constriction. b. Ask the patient to follow the penlight in eight directions, and observe for bilateral pupil constriction. c. Shine a light across the pupil from the side, and observe for direct and consensual pupillary constriction. d. Ask the patient to focus on a distant object. Then ask the patient to follow the penlight to approximately 7 cm from the nose.
The patient is diagnosed with hepatitis. In caring for this patient, the nurse should:
a. administer antiinflammatory medications. b. provide rest, nutrition, and antiemetics if needed. c. provide antianxiety medications freely to decrease agitation. d. instruct the patient to take over-the-counter antiinflammatory medications at home.
A practicing Hindu patient is dying, but has orders for a full diet; however, the patient will accept only soups. The nurse should order which of the following from the diet kitchen?
1. Beef broth with bits of tomatoes and potatoes 2. Puréed tomatoes, carrots, celery, and potatoes in a vegetable stock 3. Chicken stock with rice noodles and celery 4. Finely chopped roast beef and mashed rice with vegetable broth gravy
A client who has a history of angina is scheduled for a hernia repair tomorrow. Which of these nursing interventions is MOST likely to prevent postoperative complications for this client?
a. forcing fluids by mouth b. careful monitoring of intravenous (IV) infusions c. resuming food intake as soon as possible d. maintaining a high Fowler's position