The nurse is caring for a patient immediately following a right-sided trabeculectomy. When positioning this patient, the nurse will encourage a _____ position
a. prone
b. right side lying
c. left side lying
d. Trendelenburg
ANS: C
Following right-sided trabeculectomy, the patient is usually positioned on the back or on the unoperated side. Prone position, right side lying, and Trendelenburg positions are not recommended after a trabeculectomy.
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What is the priority nursing intervention when caring for a client with severe acute respiratory syndrome (SARS)?
a. Maintaining Standard Precautions b. Administering antibiotics c. Assessing oxygenation d. Making sure the client stays hydrated
The nurse on a medical acute care unit is preparing for the admission of an 84-year-old patient with several diagnosed chronic illnesses. The nurse begins the plan of care for this patient based on the understanding that the older adult is likely to
a. develop hospital-induced delirium. b. require special attention related to sensory deficits. c. need a social services consult before dis-charge. d. present with a need for a high level of nursing care.
The nurse is working on a hospital committee tasked with reducing environmental distractions to sleep within the hospital. Which recommendations by the committee would be helpful? Select all that apply
1. Turn off all overhead lights on the unit and use nightlights and flashlights. 2. Establish a time at which radios and televisions should be turned off or down. 3. Discontinue use of the paging system after 2100. 4. Conduct nursing reports in the hallway. 5. Open curtains between beds in semiprivate rooms.
Practice guidelines are designed to:
a. Be inflexible. b. Be utilized in every circumstance. c. Provide a reference point for decision making. d. Be created by a professional organization to guide the practice of a profession.