The intraoperative nurse caring for a client having brain surgery to remove a tumor would be particularly careful about
a. inserting the IVs in the nondominant hand.
b. padding and assessing the skin under the head frame.
c. placing the client in straight alignment.
d. using a catheter bag with a urimeter.
B
The frames to help immobilize a client during intracranial surgery can cause pressure on the skin, edema of the face, and postoperative muscle soreness, especially in the neck. The nurse needs to take special precautions so as not to injure the client's face.
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A patient has just been diagnosed with acute glomerulonephritis. Which question should the nurse ask this client in attempting to establish a cause?
A) "Do you have a history of heart failure?" B) "Have you recently had kidney stones?" C) "Have you ever been diagnosed with diabetes?" D) "Have you had any type of infection within the last 2 weeks?"
A patient admitted to the psychiatric-mental health unit tells the nurse she is having trouble sleeping because of "all the commotion" in the hospital. The patient adds that she does not normally have problems with sleep
What is the best statement by the nurse? 1. "You should go on a brisk walk right before bed." 2. "You should turn on the TV to mask the noises on the unit." 3. "I'll talk to the doctor and ask him to order you a sleeping pill." 4. "I will get you some ear plugs so that you won't hear as much noise at night."
The nurse notes the pregnant client's blood pressure has dropped from 122/70 taken during her second month of pregnancy to 118/64 during her fifth month of pregnancy. Which of the following actions by the nurse is most appropriate?
1. Assess for signs of hemorrhage. 2. Document the blood pressure as a normal finding . 3. Consult the healthcare provider. 4. Tell the client to come in the next day so the nurse can recheck her blood pressure.
Sarah is an 18-year-old female who comes to the ED with burning on urination, lower abdominal pain, and urethral discharge that is clear and sparse. She also complains of eye irritation
a. Discuss the possible STI she might have along with possible treatment. b. What microorganism is involved? c. What could explain her eye irritation/infection? d. What teaching tips would be recommended?