For an upper gastrointestinal endoscopy, a nurse should:
a. remove the patient's dentures.
b. suction the patient every 5 minutes.
c. place the patient in high-Fowler's position.
d. provide fluids immediately after the test is finished.
A
Remove the patient's dentures and other dental appliances to prevent dislodgement of dental structures during the intubation phase. Position the tip of the cannula in the patient's mouth for easy access to drain oral secretions; suction as needed. Help the patient to maintain left lateral Sims' position. Instruct the patient not to eat or drink after the procedure until the gag reflex returns, which is usually about 2 hours after the procedure.
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A highly suspicious patient who has delusions of persecution about being poisoned has refused all hospital meals for 3 days. Which of the following interventions would be most appropriate under these circumstances?
a. Feed the patient via tube, involuntarily via court order if needed. b. Offer to taste each food item on the tray yourself while he watches. c. Allow the patient to contact a local restaurant to deliver his meals. d. Allow him supervised access to use food vending machines in the hospital lobby.
Orem states that every person has some capacity for addressing the day-to-day care needed to function and develop. This is known as which of the following?
a. Self-care deficit b. Self-care ability c. Self-care abundance d. Self-care disability
The nurse caring for a patient admitted for burns over his torso and upper arms has clothing adhered to the skin. Which nursing action is indicated?
1. Leave the clothing in place and flush the areas with cooled water. 2. Flush the clothing with hydrogen peroxide to clean the skin underneath. 3. Cover the areas with gauze. 4. Apply a topical antiseptic over the clothing areas.
An overweight patient is diagnosed with obstructive sleep apnea (OSA). What teaching material should the nurse consider first for this patient?
A. Weight management B. Neurostimulator C. Positive airway pressure D. Oral device