Postoperative, the nurse will need to assess the drainage in a client's ostomy bag. A first sign that peristalsis has returned is the presence of which of the following in the bag?
a. mucus c. stool
b. gas d. blood
B
Initially, the only drainage in the ostomy may be a small amount of blood mucus as a result of surgical manipulation of the colon. Then gas will fill the bag indicating the beginning of peristaltic return. It is important the nurse empty the bag of flatus to maintain adherence of the appliance to the skin. Within a few days, stool will be present in the bag indicating resumption of normal intestinal activity.
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Prior to receiving lumbar epidural anesthesia, the nurse would anticipate placing the laboring client in which of the following positions?
1. On her right side in the center of the bed with her back curved 2. Lying prone with a pillow under her chest 3. On her left side with the bottom leg straight and the top leg slightly flexed 4. Sitting on the edge of the bed with her back slightly curved and her feet on a stool
How should managers prioritize?
A) Doing trivial items first to get them out of the way B) Putting some items in the "don't do" category C) Avoiding overwhelming tasks D) Delegating the most important things to someone else
The laboring primiparous client is at 7 cm, with the vertex at a +1 station. Her birth plan indicates that she and her partner took Lamaze prenatal classes, and they have planned on having a natural, unmedicated birth
Her contractions are every three minutes, and last 60 seconds. She has used relaxation and breathing techniques very successfully in her labor until the last 15 minutes. Now during contractions she is writhing on the bed, and screaming. Her labor partner is rubbing the client's back and speaking to her quietly. Which nursing diagnosis should the nurse incorporate into the plan of care for this client? A. Health seeking behaviors related to increased pain level B. Acute pain related to contractions and the birth process C. Compromised family coping related to birth process D. Deficient knowledge related to lack of information about relaxation
Which receptors are located in the smooth muscles of airways?
a. Central chemoreceptors b. Stretch receptors c. Peripheral chemoreceptors d. J-receptors