Before an incisional cholecystectomy is performed, the nurse instructs the client in the correct use of an incentive spirometer. Why is incentive spirometry essential after surgery in the upper abdominal area?
a) The client will be maintained on bed rest for several days.
b) Ambulation is restricted by the presence of drainage tubes.
c) The operative incision is near the diaphragm.
d) The presence of a nasogastric tube inhibits deep breathing.
Answer: c) The operative incision is near the diaphragm.
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Which of the following cholesterol values indicates a heightened risk for the development of CAD?
a. Total cholesterol level of 170 mg/dL c. Triglyceride level of 120 mg/dL b. HDL cholesterol level of 30 mg/dL d. LDL cholesterol level >190 mg/dL
A nurse is caring for a postoperative Asian American client after arthroplasty. The nurse plans to help the client ambulate, but is aware that the client may feel threatened due to physical closeness
What would be the most appropriate nursing action? A) Let the client ambulate slowly on his own when he is stable. B) Explain the purpose and need for assistance during ambulation. C) Instruct family members to ambulate the client. D) Ambulate the client without answering his questions.
Which clinical manifestation in a client with invasive cervical cancer alerts the nurse to the possibility of metastasis?
a. Amenorrhea b. Weight gain c. Breast tenderness d. Swelling of one leg
The nurse has just completed an interview and physical examination of a newly admitted client. What sources of information should this nurse use in formulating expected outcomes for the client?
A. Identified nursing diagnoses and collaborative problems B. The goals for the client as set by family members C. The medical history and laboratory test results D. Client goals as set by the nursing staff