The nurse is preparing a client for surgery. Which of the following physical preparations instructions might be necessary to include for the client scheduled for colon surgery? Standard Text: Select all that apply
1. Avoiding coughing
2. Skin preparation
3. Avoiding food prior to surgery
4. Explaining the procedure
5. Informing the client of the location of the waiting room
2,3
Rationale: The client scheduled for colon surgery will need to cough and deep-breathe to maintain good oxygenation in the postoperative period.
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Four hours after the birth of a healthy neonate of an insulin-dependent (type 1) diabetic mother, the baby appears jittery and irritable and has a high-pitched cry. Which nursing action has top priority?
a. Notify the clinician stat. b. Test for the blood glucose level. c. Start an intravenous line with D5W. d. Document the event in the nurses' notes.
Books and periodicals are examples of
A. Communication networks. B. Heritage of literature. C. Nursing organizations. D. Nursing discipline.
The physician is about to remove a chest tube from a client. After the dressing is removed and the sutures have been cut, the nurse assisting the physician asks the client to:
1. Breathe in and out quickly. 2. Exhale immediately. 3. Take a deep breath. 4. Perform the Valsalva maneuver.
Among Irish Americans, ignoring bodily complaints:
A. Is not culturally accepted. B. Appears to be a culturally accepted and supported defense and coping mechanism. C. Is related to the even, nonemotional expression of Irish American culture. D. Is the result of Irish Americans not recognizing the implications of illness.