The nurse provides recommendations for the plan of care for a patient scheduled to undergo a cholecystectomy
Why should the nurse include preoperative teaching of deep breathing exercises to prevent postoperative complications for this patient? (Select all that apply.)
a. Incisional pain promotes decreased lung expansion.
b. Anesthesia increases retention of respiratory secretions.
c. Anesthesia decreases production of respiratory secretions.
d. Location of incision contributes to decreased lung expansion.
e. Immobility after surgery promotes retention of respiratory secretions.
ANS: B, D, E
Lung expansion is needed to prevent complications such as pneumonia. During anesthesia, the patient is not taking deep breaths, so secretions are not being mobilized. The high incisional location near the diaphragm will decrease the patient's willingness to take deep breaths, especially if painful. Immobility from anesthesia and recovery promotes the retention of respiratory secretions. A. Incisional pain does not promote decreased lung expansion. C. Anesthesia does not decrease the production of respiratory secretions.
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The prescription for a 4-month-old is penicillin G 150,000 units intramuscularly bid. The drug is supplied as a unit dose of 600,000 units in a 5-mL vial. How many milliliters (mL) should the nurse provide?
a. 1.25 b. 1.4 c. 1.6 d. 1.8
An older female adult client is diagnosed with a chronic illness. Which principle should the nurse apply when answering her questions?
a. The most prevalent form of disease in the United States is acute illness. b. Usually, chronic disease has a negligible impact on the family. c. Chronic illness is unending, and coping can be influenced by the perception of uncertainty. d. Older adults cope successfully with chronic disease by learning about the disease.
The pediatric nurse understands that the definitive diagnosis of cardiomyopathy is confirmed by a(n):
A) sonogram. B) Holter monitor. C) echocardiogram. D) electrocardiogram.
An adult patient is assessed as having an apical pulse of 140 . How would the nurse document this finding?
A) bradycardia B) tachycardia C) dysrhythmia D) normal pulse