The nurse is removing the client's staples from an abdominal incision when the client sneezes and the incision splits open, exposing the intestines. Which of the following actions should the nurse take next?
a) Press the emergency alarm to call the resuscitation team.
b) Have all visitors and family leave the room.
c) Cover the abdominal organs with sterile dressings moistened with sterile normal saline.
d) Call the surgeon to come to the client's room immediately.
Answer: c) Cover the abdominal organs with sterile dressings moistened with sterile normal saline
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Because of the risk of postural hypotension, the client on clozapine (Clozaril) should be taught which of the following?
1. To wear sunscreen if going outdoors 2. To rise slowly from a lying position 3. To check for involuntary movements of the mouth 4. To have weekly blood work
Which is an appropriate nursing diagnosis for a postpartal mother with lacerations from a forceps delivery?
1. Alteration in body image related to scar formation 2. High risk for infection related to lochia and decreased perineal and birth canal integrity 3. Alteration in nutrition: more than body requirements related to increased appetite 4. Self-care deficit related to poor opportunity for independence
Write the metric measure using official abbreviations and notation rules: fifty micrograms __________
Fill in the blank(s) with correct word
The nurse is reviewing laboratory results for a client taking dantrolene sodium (Dantrium). The nurse should notify the physician if which of the following is noted on the laboratory report sheet?
1. Creatinine level, 0.6 mg/dL 2. Platelet count, 290,000/mm3 3. Blood urea nitrogen (BUN) level, 9 mg/dL 4. Lactic dehydrogenase (LDH) level, 600 units/L