A nurse develops a plan of care for an obstetric patient receiving tocolytic medications. Which outcome would be the most appropriate to include?
a. Milk production will be adequate.
b. The patient will state that her comfort level is satisfactory.
c. Delivery will be postponed at least 24 hours.
d. Breasts will be soft with no evidence of engorgement.
c
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The patient tells the nurse, "I'm so nervous. I want to be knocked out for the surgery so that I don't know what is going on
" When the nurse communicates with the surgeon and anesthetist, she tells them that the patient desires which type of anesthesia? a. Conscious sedation b. General anesthesia c. Local anesthesia d. Regional anesthesia
A client with a history of deep venous thrombosis (DVT) is seen in the clinic. Since the client is planning a long airplane flight, the nurse instructs the client to:
A) restrict intake of fluids during the flight. B) perform isometric exercises of the lower extremities every 2 hours. C) do deep-breathing exercises every hour while awake. D) keep the lower extremities elevated as much as possible during the flight.
A contrast medium study is being scheduled. Which statement by the patient during the assessment warrants further investigation by the nurse?
a. "I'm allergic to shellfish.". b. "I have small veins in my left arm.". c. "I'm really worried about the test results.". d. "I need to urinate in the middle of the night.".
On the fourth postoperative day, the client has a sudden coughing episode and tells the nurse that "something popped" in the abdominal incision. Upon inspection, the nurse finds that evisceration has occurred. What nursing action should be taken
1. Notify the client's surgeon. 2. Cover the area with a large saline-soaked dressing. 3. Position the client in bed with knees bent. 4. Pack the wound with nonadherent gauze.