The client is 4 days postoperative from a bowel resection and has a large abdominal incision. When the nurse enters the client's room, he tells her that he felt the incision "pop" when he coughed just a moment ago
What is the nurse's best response? A. "It is good that you are coughing and deep breathing to prevent lung complica-tions."
B. "That is a normal feeling in the incision whenever you are moving."
C. "Be sure to splint the incision with a pillow or your hands when you cough."
D. "Lie down flat on the bed and let me examine your incision."
D
Although wound dehiscence is not a common complication after surgery, it is usually painless and felt as a "popping" or "splitting" sensation. Any client report of such a sensation should be immediately investigated to avoid evisceration.
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A client, admitted with irregular chest pain and shortness of breath, complains of fatigue with activity. The client's body mass index (BMI) is 30.5. Which is the priority nursing diagnosis for this client?
A) Ineffective Coping B) Fear C) Imbalanced Nutrition: More than Body Requirements. D) Fluid Volume Deficit
Which of the following conditions is a client likely to have, judging by anion gap, if investigations reveal these values: sodium 166 mEq/L, potassium 5.0 mEq/L, chloride 115 mEq/L, and bicarbonate 35 mEq/L?
A) Metabolic acidosis C) Metabolic alkalosis B) Respiratory alkalosis D) Respiratory acidosis
A patient inquires if his blood pressure is normal. What is the nurse's most accurate response regarding the definition of normal blood pressure?
a. Less than 144/90 mm Hg b. Less than 138/86 mm Hg c. Less than126/82 mm Hg d. Less than 120/80mm Hg
The nurse is providing care to a client who is taking several different medications, both prescribed and over-the-counter (OTC). The nurse is consulting with the charge nurse about possible interactions
Which statement by the nurse explains the increased potential for adverse drug–drug and drug–herbal interactions? 1. "The restrictions placed by the FDA are stricter." 2. "People are using more herbs, so the risk for interaction is greater." 3. "Drugs are being developed at a faster rate than their risk can be assessed." 4. "Managed care has made a greater number of drugs available to consumers."