The nurse is caring for a postsurgical patient whose surgical procedure lasted 3 hours. Which complication should the nurse anticipate?
a. Thrombophlebitis
b. Muscle spasms
c. Joint pain
d. Hyperthermia
C
Long-term immobility places the patient at risk for pressure damage to skin and underlying tis-sues. Joint complaints are common after a long surgery. Thrombophlebitis, muscle spasms, and hyperthermia are complications that are not expected to occur.
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A patient presents to the gynecology office complaining of symptoms of stress incontinence
A plan of care is developed that incorporates behavioral therapy as the approach to assist this patient in the management of stress incontinence. What role will the nurse have in implementing the behavioral therapy approach? A) Provide medication teaching related to pseudoephedrine sulfate. B) Teach the patient to perform pelvic floor muscle exercises. C) Prepare the patient for an anterior vaginal repair procedure. D) Provide information on the semipermanent procedure, periurethral bulking.
The American Nurses Association recommends adherence to defined principles when delegating care tasks to unlicensed assistive personnel. According to these principles, who is responsible and accountable for nursing practice?
A) The registered nurse B) The American Nurses Association C) The nurse manager D) The unit's medical director
The nurse is considering a risk diagnosis for a client. A risk diagnosis can be applied when:
a. there is a recognized vulnerability to exhibit a problem, but the response has not manifested itself. b. the state of being healthy may be enhanced by nursing interventions with the individual. c. signs and symptoms are identified that define an existing problem. d. the client indicates a desire to increase well-being.
The Vaccine Injury Compensation Act requires that a written record of vaccines be maintained of all the following information, except:
a. injection site of vaccination. c. lot number. b. manufacturer. d. expiration date of the vaccine.