At what point in the surgical recovery process does the nurse need to ambulate the hospitalized patient for the first time?
a. At discharge from the postanesthesia care unit (PACU)
b. After discharge to home and before com-plete recovery
c. Between induction for surgery and arrival in the PACU
d. After discharge from the PACU and be-fore discharge to home
D
Unless the patient is being discharged from ambulatory surgery, the nurse needs to ambulates the patient for the first time on the surgical unit after discharge from the PACU and before dis-charge to home because postoperative ambulation is critically important to prevent postoperative complications. Unless the patient is discharged to home, he or she remains on bed rest until after the transfer to a surgical unit for extended postoperative care. The patient is likely to be groggy from anesthesia and affected by pain medication, making ambulation dangerous. The nurse owes a duty to the patient to ambulate before discharge to home. Surgery occurs between induction and arrival in the PACU.
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The nurse is assessing a client's current progress in the nurse–client relationship. Which of the following behaviors would indicate to the nurse that the client is beginning the termination phase of the nurse–client relationship?
1. The client verbalizes willingness to change ineffective coping patterns and self-defeating behaviors. 2. The client expresses awareness of potential causes of dysfunctional behavioral patterns. 3. The client uses effective problem-solving strategies on a daily basis. 4. The client requests clarification of the roles and responsibilities in relationship work.
A nurse is instructing a colleague on how an antimicrobial produces a therapeutic effect. Which of the following should be included in the nurse's teaching?
A) The first drugs used to treat infections date back to the 17th century. B) Fluoroquinolones interfere with the growth and development of the bacteria cell wall. C) Selective toxicity determines the appropriate drug dosage needed. D) Penicillin interferes with synthesis of the bacteria cell wall.
A patient has been diagnosed with an increase in afterload and a CVP reading of 7 mmHg. What should the nurse include in this patient's plan of care?
1. Provide plasma. 2. Provide intravenous fluids. 3. Provide diuretic therapy as prescribed. 4. Encourage an increase in fluids by mouth.
Which tells you what your employer expects?
a. Your job description b. The state nurse practice act c. OBRA d. Code of ethics