The most appropriate intervention by the nurse to decrease the pain of an abdominal incision while coughing would be to:
a. Support the surgical site with a pillow
b. Position patient in a side-lying position
c. Medicate with prescribed narcotic before coughing
d. Ask the patient to cross arms over the chest to increase force of cough
ANS: A
To ease the pressure on the incision, the nurse helps the patient support the surgical site with a pillow, rolled bath blanket, or the heel of the hand.
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The nurse is reviewing nursing documentation related to the care of a client who had an amniocentesis. Which nursing note reflects appropriate client care?
1. Prior to discharge, the client demonstrated vaginal spotting. 2. An Rh-positive client received RhoGAM after the amniocentesis. 3. The client was monitored for 30 minutes after completion of the test. 4. The client reported that she takes insulin before each meal and at bedtime.
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What will be an ideal response?
The clinic nurse is caring for a patient who has just been diagnosed with chronic obstructive pulmonary disease (COPD). The patient asks the nurse what they could have done to minimize the risk of contracting this disease
What would be the nurse's best answer? A) "The most important risk factor for COPD is inadequate nutrition." B) "The most important risk factor for COPD is regular exercise." C) "The most important risk factor for COPD is exposure to dust and pollen." D) "The most important risk factor for COPD is cigarette smoking."
Elderly hospital patients need special care in some respects. What is one thing a nurse can do to ensure that they leave the hospital in good condition and can return to a normal life?
A) Keep the patients in bed as much as possible to help them rest. B) Keep the room temperature between 65°F and 70°F. C) Wash hands between patients and use other infection control practices. D) Use a urinary catheter on a patient who has stress incontinence.