A 51-year-old woman had an incisional cholecystectomy 6 hours ago. The nurse will place the highest priority on assisting the patient to
a. choose low-fat foods from the menu.
b. perform leg exercises hourly while awake.
c. ambulate the evening of the operative day.
d. turn, cough, and deep breathe every 2 hours.
d. turn, cough, and deep breathe every 2 hours.
Postoperative nursing care after a cholecystectomy focuses on prevention of respiratory complications because the surgical incision is high in the abdomen and impairs coughing and deep breathing. The other nursing actions are also important to implement but are not as high a priority as ensuring adequate ventilation.
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You are providing end-of-life care for a patient with metastatic bone cancer. You note that your patient has been receiving analgesic for her pain and is now having difficulty swallowing the medication. What should you do?
A) Request the physician to order sublingual medication. B) Crush the medication. C) Administer the patient's medication with the meal tray. D) Administer the medication rectally.
The nurse provides teaching for a patient who has a ventricular dysrhythmia who is prescribed acebutolol (Spectral) 200 mg twice daily. Which statement by the patient indicates understanding of the teaching?
a. "Diuretics may decrease the effectiveness of this drug." b. "Dizziness, nausea, and vomiting indicate a severe reaction." c. "I should eat fruits and vegetables to increase potassium intake." d. "I should not stop taking this drug abruptly to avoid palpitations."
A client with a right above-the-knee amputation tells the nurse their right foot hurts. Which type of pain should the nurse understand the client may be experiencing?
A. Intractable pain. B. Phantom pain. C. Cutaneous pain. D. Radiating pain.
A 15-year-old adolescent has run away from home six times. After the adolescent was arrested for prostitution, the parents told the court, "We can't manage our teenager." The adolescent is physically abusive to the mother and defiant with the father
The adolescent's problem is most consistent with criteria for: a. Attention deficit hyperactivity disorder ADHD. b. Childhood depression. c. Conduct disorder CD. d. autism spectrum disorder ASD