The nurse is caring for a patient who is going to have cardiac surgery. The nurse assesses the patient for disorders that could complicate or affect the postoperative course. What disorders could affect the postoperative course? (Mark all that apply.)
A) Hypoglycemia
B) Hypertension
C) Diabetes
D) Preexisting disabilities
E) Fibromyalgia
Ans: B, C, D
Feedback: The nurse assesses the patient for disorders that could complicate or affect the postoperative course, such as diabetes, hypertension, and preexisting disabilities. Hypoglycemia and fibromyalgia would not affect the postoperative course.
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A child is to receive 10 units of a medication. The dose of 10 units is contained in 1 mL. Dilute to 30 mL and infuse in 30 minutes with a 20-mL flush to follow. The administration set is a microdrip. Calculate the milliliters/hour (mL/hr). _____
a. 100 b. 20 c. 60 d. 10
The client has been ordered treatment with Wycillin. The nurse notes that the solution is milky in color. What is the highest priority action on the part of the nurse?
a. Call the pharmacist and report the milky color. b. Add normal saline to dilute the medication. c. Call the physician and report the milky appearance. d. Administer the medication as ordered by the physician.
Which nursing behavior will enhance the establishment of a trusting relationship with a client diagnosed with schizophrenia?
A. Establishing personal contact with family members. B. Being reliable, honest, and consistent during interactions. C. Sharing limited personal information. D. Sitting close to the client to establish rapport.
A client with obsessive–compulsive disorder describes all doorknobs as being contaminated with a variety of viruses. He cleans each knob three times with paper towels before use. Such behavior allows the client to do what?
A) Punish himself for past infractions B) Receive needed attention from others C) Temporarily reduce anxiety D) Adequately contain his guilt feelings