The nurse is reviewing the plan of care for a patient following a tympanoplasty. Which intervention should the nurse implement in the immediate postoperative period?
a. Keep the patient flat in bed.
b. Encourage deep breathing and coughing.
c. Reposition the patient quickly to reduce nausea and vomiting.
d. Position the patient's head with the af-fected ear touching the mattress.
A
Postoperative care involves keeping the patient quiet and flat in bed for at least 12 hours. Coughing and sneezing should be avoided, or if unavoidable, should be accomplished with the mouth open to decrease pressure in the ear. Position changes should be accomplished slowly. The head is turned so that the affected ear is uppermost.
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A nurse reads on a woman's chart that she has a past history of Asherman syndrome. What does the nurse conclude about this patient?
A. Has had an abortion B. Has had multiple miscarriages C. Has never been pregnant D. Has a uterine abnormality
The nurse is reviewing a client's medical record while planning care. Which data from the medical record is an example of objective data?
1. "I hurt my head." 2. "I am 6 years old and I'm here because I fell." 3. "Six-year-old Hispanic female sitting on examination table holding a towel to her forehead." 4. "Client states that she fell at the playground."
A client comes to the emergency department with periorbital ecchymosis of the right eye. Which is the nurse's priority action?
a. Apply an ice pack to the affected eye. b. Patch the eye to prevent eye movement. c. Assess the client's vision in both eyes. d. Irrigate the affected eye with normal sa-line.
Establishing the validity of the tools used to measure the extent of goal achievement is an important step in continuous quality improvement. Which type of validity is theory oriented?
a. Content validity b. Construct validity c. Concurrent validity d. Face validity