In addition to the musculoskeletal effects of immobility, the nurse explains that the cardiovascular system undergoes other changes during prolonged bedrest, such as: Standard Text: Select all that apply
1. Venous stasis.
2. Tachycardia.
3. Emboli.
4. Atelectasis.
5. Anorexia.
1,2,3
Rationale: Venous stasis and vasodilation occur due to the inability of atrophied muscles to assist in pumping blood back to the heart.
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The nurse explains that the "four Ps" of the birth process are __________, __________, __________, and __________
ANS:
A 58-year-old patient's electrocardiogram (ECG) and presentation are suggestive of a myocardial infarction (MI), and treatment has been promptly initiated
The nurse who is part of the patient's care team should anticipate and facilitate which of the following interventions? Select all that apply. A) Providing the patient with supplementary oxygen B) Administering morphine by IV C) Administering oral warfarin (Coumadin) D) Administering a bolus of 0.9% NaCl E) Teaching the patient deep breathing and coughing techniques
Nursing care of a client for the first 48 hours after surgery includes all of the following interventions. Which action would enable the client to better participate in the other activities?
a. Assist the client to sit up and ambulate as soon and as often as possible. b. Encourage coughing and deep breathing every 2 hours. c. Monitor use of the incentive spirometry every waking hour. d. Provide adequate pain-relief measures.
The charge nurse is assigning rooms for new admissions. Which patient would be the most appropriate roommate for a patient who has acute rejection of an organ transplant?
a. A patient who has viral pneumonia b. A patient with second-degree burns c. A patient who is recovering from an anaphylactic reaction to a bee sting d. A patient with graft-versus-host disease after a recent bone marrow transplant