While providing care for a postsurgical patient who has not received spinal anesthesia, the nurse recognizes that which position is required to maintain a patent airway in the recovery phase?
a. On his side with head facing down and neck slightly extended
b. On his side with head facing down and neck slightly flexed
c. On his back with hands over the chest
d. On his side with head facing up and neck slightly extended
A
Position the patient on his side with head facing down and neck slightly extended. Extension prevents occlusion of the airway at the pharynx. A downward position of the head moves the tongue forward, and mucus or vomitus can drain out of the mouth, preventing aspiration. Never position the patient with hands over the chest (reduces chest expansion).
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At 4:45 p.m., a nurse assesses a client with diabetes mellitus who is recovering from an abdominal hysterectomy 2 days ago. The nurse notes that the client is confused and diaphoretic. The nurse reviews the assessment data provided in the chart below:
Capillary Blood Glucose Testing (AC/HS) Dietary Intake At 0630: 95 At 1130: 70 At 1630: 47 Breakfast: 10% eaten - client states she is not hungry Lunch: 5% eaten - client is nauseous; vomits once After reviewing the client's assessment data, which action is appropriate at this time? a. Assess the client's oxygen saturation level and administer oxygen. b. Reorient the client and apply a cool washcloth to the client's forehead. c. Administer dextrose 50% intravenously and reassess the client. d. Provide a glass of orange juice and encourage the client to eat dinner.
The telephone rings at the nurses' station of an inpatient psychiatric facility. The caller asks to speak with Ms. Honey. Which nursing response protects the patient's rights and confidentiality?
A. "I cannot confirm or deny that Ms. Honey was admitted here." B. "Ms. Honey is in group therapy at present." C. "Hold on, I'll go see if she is in her room." D. "Are you a family member? Ms. Honey can only receive calls from family members."
An individual experiences sadness and melancholia in September continuing through November. Which of the following factors should a nurse identify as most likely to contribute to the etiology of these symptoms? (Select all that apply.)
1. Gender differences in social opportunities that occur with age 2. Drastic temperature and barometric pressure changes 3. A seasonal increase in social interactions 4. Variations in serotonergic functioning 5. Inaccessibility of resources for dealing with life stressors
The nurse has provided discharge education for a client prescribed an anticoagulant. Which statement made by the client indicates an understanding of the information?
A. "I should wear a medical alert bracelet that says I'm on an anticoagulant." B. "I need to eat more protein while I am taking this medication." C. "I can take enteric-coated aspirin but not plain aspirin for my arthritis." D. "I must limit my intake of vitamin C while I'm on warfarin (Coumadin)."