A patient, diagnosed with obesity, is recovering from abdominal surgery. Which of the following issues can occur with this patient's wound healing?
1. wound dehiscence
2. accelerated contraction
3. enhanced collagen formation
4. dehydration
1
Rationale: The obese patient experiences an increased incidence of dehiscence, herniation, and infection. Adipose tissue is difficult to suture, which makes the obese patient at risk to develop a wound dehiscence. The obese patient will not have accelerated wound contraction or enhanced collagen formation. Dehydration is not associated with obesity.
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A patient with acute respiratory distress syndrome (ARDS) is placed in the prone position. When prone positioning is used, which information obtained by the nurse indicates that the positioning is effective?
a. The patient's PaO2 is 89 mm Hg, and the SaO2 is 91%. b. Endotracheal suctioning results in clear mucous return. c. Sputum and blood cultures show no growth after 48 hours. d. The skin on the patient's back is intact and without redness.
To effectively manage a client's hallucinations, which therapeutic nursing interventions are most appropriate? Select all that apply
A) Reinforcing the perceptual distortions until the client develops new defenses B) Providing an unstructured environment and assigning the client to a private room C) Supporting the client and reducing anxiety-producing or stimulating situations D) Distracting the client's attention by providing a competing stimulus that is stronger than the hallucination
A nurse who uses data such as minutes from a community meeting is using:
1. Secondary analysis 2. Informant interviews 3. A survey 4. A windshield survey
A nurse leads a psychoeducational group for depressed patients. The nurse plans to implement an exercise regime for each patient. The rationale to use when presenting this plan to the treatment team is that exercise:
a. has an antidepressant effect comparable to selective serotonin reuptake inhibitors. b. prevents damage from overstimulation of the sympathetic nervous system. c. detoxifies the body by removing metabolic wastes and other toxins. d. improves mood stability for patients with bipolar disorders.