The nurse is contributing to the intraoperative plan of care for a patient undergoing an appendectomy. Which statement would be an appropriate intraoperative outcome for this patient?
a. Verbalizes fears
b. Remains free from injury
c. Demonstrates leg exercises
d. States understanding of discharge instructions
ANS: B
Risk for perioperative-positioning injury related to positioning, chemicals, electrical equipment, and effect of being anesthetized is an intraoperative concern of the nurse and has an outcome of being free from injury. A. C. These are preoperative outcomes. D. This is a postoperative outcome.
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The nurse is adding the intake and output results for a client diagnosed with dehydration. The nurse notes a 24-hour intake of 1500 mL/day between oral fluids and intravenous solutions
The output total is calculated as 2800 mL/day from urine output, emesis, and Hemovac drainage. Which nursing action is best to maintain an acceptable fluid balance? A) Suggest a fluid restriction. B) Encourage oral fluids. C) Remove the Hemovac. D) Offer a prescribed antiemetic medication.
The nurse prepares to administer digoxin (Lanoxin) by IV bolus. Which is the most important parameter for the nurse to evaluate before administering the medication through an existing IV access device?
1. Client heart rate 2. Contraindications 3. Patency of the IV 4. Location of IV site
A public health nurse discusses with a client which services are appropriate to meet her needs. The public health function is as a(n):
a. Case manager b. Advocate c. Counselor d. Role model
A patient had a seizure that consisted of impaired consciousness and the appearance of a dreamlike state. How does the healthcare professional chart this episode?
a. Focal seizure b. Complex focal seizure c. Tonic-clonic seizure d. Atonic seizure