The nurse is assisting a postoperative patient in using an incentive spirometer. Which postoperative complications is this nurse attempting to avoid?
1. atelectasis
2. deep vein thrombosis
3. hemorrhage
4. pulmonary embolism
Correct Answer: 1
Promoting lung expansion and systemic oxygenation of tissues is a goal in preventing atelectasis. Nursing care includes assisting with incentive spirometry. Deep vein thrombosis, hemorrhage, and pulmonary embolism are not related to incentive spirometer use.
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A mother is concerned because her 6-year-old son stutters. She wants to know if she did anything during her pregnancy to cause this. Which of the following would be the best response? The nurse should:
1. Assess for impaired thermoregulation during the postnatal period. 2. Assess for a family history of the disorder. 3. Verbalize the implied by asking, "Are you saying you feel responsible for his problem?" 4. Ask if the mother had preeclampsia during labor.
Which of the following would be considered consensual sex rather than rape?
a. S's husband forces vaginal sex when he comes home intoxicated from a party. S objects. b. J, aged 22 years, has a date with her boyfriend, aged 24 years, during which he pleads with her to have oral sex. She capitulates, then regrets the action. c. K is beaten, robbed, and forced to have anal intercourse by his assailant, who threatens to kill him if he shouts. d. N's dentist gives her intravenous anesthesia for a dental procedure, then has intercourse with her while she is unconscious.
A woman who is 4 weeks pregnant is worried that a medication she took until 3 weeks ago may cause birth defects. The nurse will tell her that
a. drugs taken in the first week of pregnancy can cause CNS defects. b. medications have increased teratogenicity during the first week of pregnancy. c. she should have an ultrasound immediately. d. teratogenic effects are rare in the first 2 weeks of pregnancy.
During an assessment, the nurse determines that a client has risk factors for the development of osteoporosis. Which of the following are considered risk factors for this disorder? (Select all that apply.)
1. Balanced diet 2. Corticosteroid therapy 3. Low body weight 4. Smoker 5. Impaired vision 6. Alcohol intake is one drink per month