A patient had a colon resection for removal of a cancerous tumor
Postoperatively, on the surgical floor which of the following activities would the nurse perform for the purpose of decreasing the risk of postoperative complications? Select all that apply.
a. Assist the patient to turn, breathe deeply, and cough every 2 hours.
b. Teach the patient about the type of tumor removed.
c. Assess the drainage from the surgical site.
d. Monitor vital signs on a regular basis.
A, C, D
The nurse assists the patient to turn, breathe deeply, and cough every 2 hours to decrease the risk of postoperative atelectasis or pneumonia. The nurse assesses the wound drainage to monitor for signs of bleeding, infection, or wound complications. Vital signs are monitored to detect the potential for infection or hemorrhage, not to prevent them. The nurse may teach the patient about cancerous tumors; however, this intervention will not decrease the risk of postoperative complications.
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An 80-year-old patient has been prescribed an anticholinergic agent for treatment of Parkinson-related symptoms. What patient education should be provided?
A) "Avoid high environmental temperatures." B) "Anticholinergics increase mental alertness." C) "It is safe to take Sudafed for a cold." D) "You may experience urinary incontinence."
A nurse has noticed that an older adult's hearing aid frequently produces a shrill, high-pitched noise. What possible solution should the nurse suggest to this problem with feedback?
A) Encourage the client to make sure the hearing aid is fully inserted in the ear canal. B) Encourage the client to change the batteries in the hearing aids frequently. C) Encourage the client to ensure that cerumen does not accumulate in his ears. D) Encourage the client to clean his hearing aids frequently.
When assessing a client with dilated cardiomyopathy, the nurse understands that the most common clinical manifestation is___________ due to______________
1. Dyspnea; bronchial compression 2. Cyanosis; decreased oxygenation 3. Peripheral edema; decreased renal perfusion 4. Confusion; decreased cerebral perfusion
Which of the following are common factors of conflict encountered in nursing? (Select all that apply.)
a. Ambiguous boundaries around work re-sponsibilities b. Unclear communication to family mem-bers about visiting hours c. Nursing assistant placing personal achievement above everything d. Chief of medicine demanding that the nurse/patient ratio be increased e. Consideration of 26-week termination of pregnancy by a physician because of mother's health f. Vacation schedules posted with new staff members having to work at least one day during all holidays