Following abdominal surgery, the PACU nurse demonstrates the best nursing care by placing the semi-conscious patient in _____ position
a. the supine
b. semi-Fowler's
c. the lateral
d. Trendelenburg's
C
Aspiration is a high-risk complication during this phase of recovery and can best be prevented by placing the unconscious patient on the side with head turned to the side.
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The nurse knows that initial verification of a nasogastric placement is important. Which method is considered the only reliable method to determine enteral tube placement?
a. Auscultation of air bolus b. Measurement of pH of the aspirate c. Radiographic image d. Aspirate contents to visually inspect appearance
The nurse is preparing to administer methylphenidate to the child admitted to the pediatric unit after breaking a leg when jumping off the garage roof at home. Where will the nurse find the medication?
A) In the patient's drawer B) In the refrigerator C) At the patient's bedside D) In the controlled substance cabinet
A 52-year-old client asks the nurse how she is to remember when to schedule her clinical breast examination. Which response by the nurse is most correct?
A) "The office staff can schedule your clinical breast examination twice a year." B) "The diagnostic center will send you a reminder card to complete the annual examination." C) "The clinical breast evaluation will be completed with annual gynecologic examination." D) "You can complete the examination at home and report if you found anything abnormal."
Nursing care of the client after thrombolytic therapy centers around the assessment of the most common complication, which is:
1. Bleeding. 2. Reperfusion chest pain. 3. Lethargy. 4. Heart block.