A patient who had open surgical repair for an AAA was just extubated. What does the nurse do in caring for this patient for the next 24 hours?
a. Assess respiratory rate and depth every hour.
b. Turn and suction the patient every 2 hours.
c. Discourage coughing and deep-breathing.
d. Assist the patient to a bedside chair.
Answer: d. Assist the patient to a bedside chair.
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A client exhibiting which of the following antipsychotic side effects would require the nurse's immediate intervention?
1. Neuroleptic malignant syndrome 2. Drowsiness 3. Parkinsonism 4. Impotence
The recommended dosage of Dilantin suspension is 5 mg/kg/day in two to three divided doses. The recommended total daily dose for a child weighing 70 lb would be _______________
a. 80 mg b. 53 mg c. 159 mg d. 350 mg
A 26-year-old woman is scheduled for a first-trimester abortion in the morning. A laminaria tent is inserted as part of the vacuum aspiration procedure. The nurse explains to the woman that laminaria is used to:
1. stimulate the uterus to contract. 2. prevent postabortion infection. 3. reduce pain by numbing the cervix. 4. dilate the cervix for easier insertion of the aspirator.
The nurse assists the provider during the insertion of a central venous catheter. Which is the most effective intervention for the nurse to prevent client infection?
1. Adhere to the principles of surgical asepsis. 2. Close the door of the sterile procedure room. 3. Sterilize working surfaces for the procedure. 4. Restrict foot traffic into sterile procedure room.