The nurse is removing the client's staples from an abdominal when the client cough continuously and the incision splits open exposing the intestines. Which of the following is the immediate nursing action of the nurse?
A) Call the surgeon to come to the client's room immediately
B) Have all visitors and family member leave the room
C) Press the emergency alarm to call the resuscitation team
D) Cover the abdominal organs with sterile dressing moistened with sterile normal saline.
Answer: D) Cover the abdominal organs with sterile dressing moistened with sterile normal saline.
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A nurse assessing a fetal heart monitor notes minimal baseline variability not associated with a fetal sleep cycle. There is no change after fetal scalp stimulation. What action by the nurse is most important?
A. Administer a bolus of IV fluids. B. Administer oxygen at 8-10 L/min per mask. C. Offer support to the patient and her partner. D. Prepare to assist with internal fetal monitoring.
The nurse researcher has identified that it will be very difficult to control how busy the nursing unit is on days that study data are to be collected and decides not to try to control for this variable
What kind of variable does this situation describe? 1. Independent. 2. Extraneous. 3. Dependent. 4. Empirical.
An older client receives a pneumococcal vaccine immunization. This is an example of
A) artificial acquired active immunity. B) natural passive immunity. C) acquired passive immunity. D) natural acquired immunity.
A nurse, who works in an outpatient mental health facility, understands that imbalances of serotonin and/or dopamine levels are linked to eating disorders. Which behavior problem is most likely to be associated with the fear of becoming fat?
A) Panic disorder B) Agoraphobia C) Obsessive-compulsive disorder D) Conversion disorder