The nurse is caring for two clients: one who had a cesarean birth four hours ago, and one who delivered vaginally four hours ago
Which of the following interventions would be appropriate for the nurse to implement for the mother who experienced a cesarean birth? (Select all that apply.) A. Administer analgesics as needed.
B. Encourage her to ambulate to the bathroom to void.
C. Encourage leg exercises every two hours.
D. Encourage client to cough and deep-breathe every eight hours.
E. Encourage the use of breathing, relaxation, and distraction.
E
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What classic sign would the nurse, auscultating the breath sounds of a child hospitalized for an acute asthma attack, expect to find?
a. Fine crackles b. Coarse rhonchi c. Expiratory wheezing d. Decreased breath sounds at lung bases
The nurse is caring for a female patient who has undergone a total hip replacement. The patient states she feels an increase in pain at the surgical site after being repositioned in bed
The most appropriate intervention the nurse should make first is: A) Assess for abnormal external rotation of the leg. B) Raise the head of the bed. C) Adjust the hip pillow. D) Assess for lengthening of the leg.
A client being treated for Alzheimer's disease is experiencing diaphoresis, tachycardia, "severe" vomiting, and hypotension. The nurse anticipates the client will need to be treated with:
a. IV atropine sulfate. b. an increase in the dose of Alzheimer medication. c. digoxin by mouth. d. ondansetron IV.
The nurse is conducting a general survey of a client during a physical examination. Which should the nurse identify as being a possible alteration of this client's status?
1. Easy respirations 2. The client is frowning 3. The client stands straight 4. The client's temperature is normal