A client who is immobilized after an orthopedic surgery is at risk for the pooling of his or her secretions. Which of the following nursing actions will help minimize the risk?
A) Encourage the client to sneeze hard.
B) Turn the client at least every 2 hours.
C) Administer analgesics as prescribed.
D) Elevate the affected extremity and use cold applications.
B
You might also like to view...
A student nurse is working with a preceptor to administer an enema to the patient. Which action by the student prompts intervention and redirection by the preceptor?
a. Water-soluble lubricant is applied to the end of the enema tubing. b. The enema tubing is primed with solution that has been warmed. c. The patient is positioned comfortably in the right side-lying Sims position. d. The patient's bedpan is put at the bedside in preparation for use.
Which blood alcohol level (BAL) is associated with coma?
A) 200 mg/dL B) 300 mg/dL C) 400 mg/dL D) 500 mg/dL
A 47-year-old woman with osteoarthritis and hypertension is diagnosed with breast cancer. She tells the nurse that her mother also suffered from osteoarthritis and hypertension, and she developed breast cancer at the age of 51 years
What would the nurse explain this could be a result of? A) An X-linked inheritance B) An autosomal recessive inheritance C) An autosomal dominant inheritance D) A multifactorial inheritance
Which documentation indicates that the treatment plan for a patient diagnosed with acute mania has been effective?
a. "Converses with few interruptions; clothing matches; participates in activities." b. "Irritable, suggestible, distractible; napped for 10 minutes in afternoon." c. "Attention span short; writing copious notes; intrudes in conversations." d. "Heavy makeup; seductive toward staff; pressured speech."