Michele is a nursing student who is working on a postsurgical unit
She will be assisting patients with personal hygiene and plans to provide a back rub to each of her patients because research demonstrates that it enhances patient comfort and relaxation. On which of the following patients is effleurage contraindicated? A. 56-year-old patient with colon resection
B. 45-year-old patient with cardiac bypass
C. 67-year-old patient with appendectomy
D. 24-year-old patient with abdominal hysterectomy
B
Because effleurage causes an immediate rise in blood pressure and heart rate in patients who have had coronary artery bypass surgery, this therapy is not recommended for those patients during the first 48 hours after surgery.
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The nurse admits a 62-year-old man who reports, "I always feel like I need to void, but it takes so long for me to get my flow started, and then I only go a few drops." The nurse suspects:
1. Bladder infection. 2. Benign prostatic hypertrophy. 3. Renal failure. 4. Prostatitis.
The nurse is caring for a postoperative patient who is very sleepy following general anesthesia and administration of pain medication. The nurse notes that the patient is making snoring sounds and his pulse oximetry has dropped to 88%
What is the best action of the nurse? a. Insert an oral airway and administer oxygen. b. Call for anesthesia to immediately reintubate the patient. c. Remove the pillow from behind the patient's head. d. Elevate the head of the patient's bed.
The nurse is having a conversation with an older adult with Parkinson disease. What speech patterns would this patient most likely exhibit during conversation with the nurse?
Select all that apply. 1. a low-pitched monotone voice 2. bubbly, spirited discussion 3. jumbled words that do not make sense 4. angry, loud talk 5. slurring and poor articulation of words
The patient experiencing infertility is to complete three months of documenting her basal body temperatures. Which statement by the patient indicates a need for additional teaching?
1. "I should check my temperature with this special thermometer before I get out of bed each day." 2. "I will track my temperatures and the consistency of my cervical mucus for the next three months." 3. "If I am ovulating, my temperature will be a smooth, even line on the graph that does not go up or down." 4. "The point of checking my basal body temperature is to determine whether I am ovulating regularly."