A client has returned to the nursing unit after a sliding hernia repair. Which action by the nurse is most important in preventing complications?

a. Range of motion to the lower extremities
b. Elevating the head of the bed to 30 de-grees
c. Monitoring input and output
d. Assessing for bowel sounds


B
Prevention of respiratory complications is the primary focus of postoperative care. The high in-cision makes taking deep breaths extremely painful for this client. By elevating the head of the bed to at least 30 degrees, the nurse promotes lung expansion in the client. The other activities are important too but do not take priority over preventing respiratory complications.

Nursing

You might also like to view...

The nurse is preparing to evaluate the outcomes of a client's care. Which statement best describes what the nurse is going to do during this process?

a. Critically think to analyze and make judgments b. Collect either subjective or objective data c. Elicit answers to questions d. Compare client outcomes with client skills

Nursing

Today's nurse understands that legal recognition for nurses was imperative to

a. allow nurses to expand beyond the hospital setting. b. lobby for better wages and working conditions. c. protect the public from untrained nurses. d. provide hospitals with accreditation requirements.

Nursing

How can stress in a nurse's job be described?

A) It has exponentially increased over the years given the complex nature and contemporary demands for quality care. B) The stress of a nurse's job is just as responsive to a variety of interventions as is stress of any other individual experiencing stress. C) Contemporary stress is different in nature but equal in amount when compared to historical reports of stress in early nurses. D) Stress is stress; the problem with stress in nursing is that nurses are less likely to care for themselves than other individuals with stress.

Nursing

A home health care nurse has observed that a client 80 years of age, who has multiple chronic health problems, takes a total of 19 medications on either a scheduled or PRN (as needed) basis

How should the nurse address this client's risk of harm from polypharmacy? A) Ensure that the client's care is coordinated and encourage the primary care provider to review her medication regimen. B) Recommend holistic and herbal remedies to replace some of the medications. C) Contact the client's local pharmacy to discuss possible changes to her medication regimen. D) Encourage the client to reduce her medication load by withholding some medications when she is asymptomatic.

Nursing