The patient has returned following a thyroidectomy. How should the patient be positioned to promote comfort?
A) Side-lying (lateral) with one pillow placed under the head
B) Head of the bed elevated 30 degrees and no pillows placed under the head
C) Semi-Fowler's with the head supported on two pillows
D) Flat, with a small roll supporting the neck
Ans: C
Feedback: Semi-Fowler's position with the head elevated and supported by pillows is believed to provide the most comfort and least tension on the suture line.
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Which finding indicates successful completion of an individual's grieving process?
a. For 2 years after her husband's death, a widow has kept her husband's belongings in their usual places. b. After 15 months, a widower realistically remembers both the pleasures and disappointments of his relationship with his wife. c. Three years after her husband's death, a widow talks about her husband as if he is alive and weeps when others mention his name. d. Eighteen months after a spouse's death, a person says, "I have never cried or had feelings of loss, even though we were very close.".
A review of laboratory results reveals a 30% decrease in platelet count from baseline in a patient receiving intermittent intravenous heparin therapy. What nursing action is indicated?
1. Have the laboratory rerun this test. 2. Skip one dose of heparin and have a PT/PTT drawn. 3. Discuss these findings with the health care provider. 4. Dilute the next heparin dose in normal saline and administer over at least 5 minutes.
The nurse assesses the gestational age of a newborn and informs the parents that the newborn is premature. All of the following assessment findings are congruent with prematurity except:
1. Cry is weak and feeble. 2. Clitoris and labia minora are prominent. 3. Strong sucking reflex. 4. Lanugo is plentiful.
Gastric juices mainly consist of ________.
A. HCl and pepsin B. sodium bicarbonate and gastrin C. sodium bicarbonate and pepsin D. HCl and gastrin