Which intervention should be implemented for a paralytic ileus?
a. encourage ryan to eat a high-calorie, high-fiber diet
b. turn ryan every 2 hours in kinetic bed
c. obtain an order to insert a nasogastric tube and set the siphon drainage to a low, intermittent suction
d. continue to reassess ryan, but take no action at this time
Answer: c. obtain an order to insert a nasogastric tube and set the siphon drainage to a low, intermittent suction
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Historical, social, political, and economic trends and issues:
A) Have contributed to the complexity of today's health-care system B) Have had a limited impact on today's health-care delivery system C) Can be positively correlated with outcomes of care at the bedside D) Have been mitigated by the strong influence of professional organizations like the ANA and the AMA
Identify the situation in which a nurse would likely be charged with negligence
a. Slapping a client across the face for using foul language b. Leaving the side rails down on a bed of a confused client c. Using restraints on a client without a doc-tor's order d. Telling the local newspaper of a client's diagnosis
The emergency-room nurse receives a 3-year-old child who was hit by a car. The nurse's priority interventions are to which of the following? (Select all that apply.)
1. Perform a rapid head to toeassessment 2. Record the parents'insuranceinformation 3. Assess airway,breathing,andcirculation 4. Ask the parents about organdonation 5. Ask the parents if anyone witnessedthe accident
The nurse determines that a female patient understands how to perform breast self-examination when the patient states
A) "The best time to perform the exam is 1 week after my period." B) "I should use my whole hand to feel for lumps and only at the nipple." C) "I should palpate the breast in a random manner with my thumb." D) "Dimples around the nipple are normal and increase with age."