Malcolm is a student nurse who has been assigned to Mr. LaMar as part of his surgery clinical rotation. Mr. LaMar is a 67-year-old patient who is undergoing thoracic surgery to remove a tu-mor
As part of the preoperative teaching, Malcolm discusses the importance of coughing. Which of the following statements is true regarding why post-operative coughing is important? Select all that apply. A. "Coughing assists in removing retained mucus in the airways."
B. "It won't hurt to cough with adequate pain control."
C. "You can splint your incision when coughing to minimize pain."
D. "Deep breathing and coughing will remove anesthesia gases from your lungs."
A, C, D
Coughing assists in removing retained mucus in the airways. A deep, productive cough is more beneficial than merely clearing the throat. The patient needs to anticipate postoperative discom-fort and understand the importance of coughing, even when it is difficult. Teach the patient to splint an abdominal or thoracic incision to minimize pain during coughing. Pain control is essen-tial for effective deep breathing and coughing; educate the patient to ask for pain medications as needed. Deep breathing also helps to clear any anesthetic gases from the airways.
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The nurse is evaluating the following goal: Client will select low-fat foods from a list by the end of the month. The client, who has different beliefs about food, has not been able to achieve this goal. Which action by the nurse is appropriate?
A) Extend the time frame and give the client a longer period to achieve the goal. B) Select a different goal. C) Make sure that the client understands the importance of the goal. D) Modify the plan of care to be consistent with the client's beliefs regarding food.
Which of the following authorized the development of a national, near real-time information network to coordinate federal and state response to public health emergencies?
1. Health Insurance Portability and Accountability Act 2. Pandemic and All-Hazards Preparedness Act 3. Sarbanes-Oxley Act 4. Federal Information Privacy and Security Act
A nurse who worked with Mr. Green, a client who has Generalized Anxiety Disorder (GAD), when he was an inpatient on the psychiatric unit happens to see him in the waiting room of the hospital's outpatient psychiatric clinic
The client motions the nurse over to tell the nurse how things had been going since he was discharged. The nurse would know the treatment they provided Mr. Green was effective when Mr. Green comments: A) "I am still experiencing quite a bit of stress at home and at work; things are different at home than they were in the hospital." B) "When my mother-in-law comes over now, I go out to my workshop and work on one of my projects." C) "I'm still drinking coffee; I can't quit after drinking it all these years." D) "I've learned having a beer after I get home from work helps me relax."
An elderly client postoperative hip replacement is experiencing signs of hyponatremia. The nurse checks the client's electrolyte levels. Which of the following serum sodium levels confirms this diagnosis?
A) 150 mEq/L B) 145 mEq/L C) 135 mEq/L D) 130 mEq/L