A client is being discharge after successful CABG surgery. Despite the positive prognosis, the nurse cautions the client and family that
a. a heart attack could happen at any time.
b. heart disease can always return.
c. postoperative depression is common.
d. the real results of the operation are not yet known.
C
Postoperative depression, fatigue, incisional discomfort, dyspnea, and anorexia are common. By the fourth or fifth week, clients are feeling much better, and by 1 year after the operation, 93% report improved quality of life.
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A nurse cares for a client with hyperpyrexia due to pyelonephritis. Which acid-base imbalance is most likely with this client?
A) Metabolic acidosis B) Metabolic alkalosis C) Respiratory alkalosis D) Respiratory acidosis
A patient who needs a radical neck dissection for oral cancer continues to delay the surgery. The nurse should consider that which issue may be influencing the patient's decision-making process?
1. potential for change in body image 2. future problem with communication 3. fear about not being able to eat 4. fear about being able to breathe
The patient prescribed sildenafil (Viagra) tells you that he has a painful erection that has lasted almost 7 hours. What is your best action?
a. Instruct the patient to think of a quiet, peaceful place so the erection will subside. b. Tell the patient to get up and take a cool shower until the erection subsides. c. Contact the pharmacy to send an antidote for this drug. d. Notify the prescriber about the length of time and the pain associated with the erection.
The nurse is aware that it is important to break the chain of infection. Which of the following is an example of a nursing intervention implemented to reduce a reservoir of infection for a client?
a. Covering the mouth and nose when sneezing b. Wearing disposable gloves c. Isolating the client's articles d. Changing soiled dressings