The nurse teaches a patient about discharge instructions after a rhinoplasty. Which statement, if made by the patient, indicates that the teaching was successful?
a. "I can take 800 mg ibuprofen for pain control."
b. "I will safely remove and reapply nasal packing daily."
c. "My nose will look normal after 24 hours when the swelling goes away."
d. "I will keep my head elevated for 48 hours to minimize swelling and pain."
ANS: D
Maintaining the head in an elevated position will decrease the amount of nasal swelling. NSAIDs, such as ibuprofen, increase the risk for postoperative bleeding and should not be used postoperatively. The patient would not be taught to remove or reapply nasal packing, which is usually removed by the surgeon on the day after surgery. Although return to a preinjury appearance is the goal of the surgery, it is not always possible to achieve this result, especially in the first few weeks after surgery.
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The nurse notes that a patient's cardiac monitor shows that every other beat is earlier than expected, has no visible P wave, and has a QRS complex that is wide and bizarre in shape. How will the nurse document the rhythm?
a. Ventricular couplets b. Ventricular bigeminy c. Ventricular R-on-T phenomenon d. Multifocal premature ventricular contractions
You are the nurse working with parents and their newborns on a postpartum unit there the newborns room with the mother. The parents of one of the babies learns that their newborn has mental retardation
You notice these parents going through the stage of denial and then demonstrating anxiety. You realize that this anxiety: a. must be reduced as soon as possible and you need to calm the family immediately b. serves a purpose in alerting the family that something is amiss and in generating needed energy to deal with the situation c. will keep the family from completing the stages of adjusting to the child having mental retardation d. is related to the loss of their dream of a perfect child and how other people will be disappointed in them
A teenager is admitted to the adolescent unit with a diagnosis of adjustment disorder with depression. Which information collected from the assessment interview will be given highest priority when planning the patient's care?
a. Patient frequently disregards curfew. b. Patient's parents were divorced 8 years ago. c. Patient states she finds no pleasure in living. d. Patient is failing most of her high school classes.
The nurse provides education to the parents of a 7-month-old infant regarding play. Which parental responses indicate accurate understanding of the information presented? Select all that apply
1. "I should offer my baby toys that are black and white." 2. "My baby will prefer stuffed animals during this stage of development." 3. "I should offer my baby a teething ring during this stage of development." 4. "My baby will want to interact with other people." 5. "I should offer my baby large blocks to stack while sitting on the floor."