After administration of preoperative medications, the nurse takes the precaution of
a. confirming that the client has voided.
b. monitoring vital signs every 15 minutes.
c. placing the client in bed with the rails up.
d. transporting the client immediately to the OR.
C
The nurse instructs the client not to get up without assistance because medications may cause drowsiness or dizziness.
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In the preoperative teaching plan for a client scheduled for total laryngectomy and radical neck resection, the nurse would give highest priority to the
a. client not being able to perform deep-breathing exercises. b. client not being able to speak normally again. c. endotracheal tube being in place for 2 to 3 days. d. insertion of a gastrostomy tube during surgery for feeding.
A client is keeping a basal body temperature chart due to infertility after 12 months of unprotected intercourse and no pregnancy. The time on the chart when there is optimal fertility is:
a. when the client's temperature is above 99 degrees b. when there is a slight decrease in the temperature for a 24 hour period c. when the client's temperature is stable in the first two weeks of the menstrual cycle d. when the client's temperature varies every other day
The nurse is analyzing an arterial blood gas of pH, 7.50; PCO2, 50; and HCO3, 29. What result should the nurse document for this blood gas?
a. Fully compensated metabolic alkalosis b. Partially compensated metabolic alkalosis c. Fully compensated respiratory alkalosis d. Partially compensated respiratory alkalosis
A nurse is reviewing the benefits and protective effects of breastfeeding with a new mother. Which of the following protective effects would the nurse include in the discussion?
A) Protection from typhoid B) Protection from edema C) Protection from cholera D) Protection from diarrhea