The nurse is conducting preoperative teaching with a client who will be undergoing pelvic surgery. What teaching is essential for this client? (Select all that apply.)
a. "Wearing elastic stockings and using pneumatic compression devices are essen-tial after surgery."
b. "Extended bedrest will help you heal after this type of surgery."
c. "Coughing and deep breathing will help to decrease postoperative complications."
d. "Turning and moving your legs after sur-gery will help prevent clots from forming."
e. "You will need to have your abdomen shaved before surgery."
f. "You cannot wear your hearing aid into the surgical suite."
A, C, D
A pneumatic compression device and elastic stockings will help prevent clots after pelvic surgery. Coughing and deep breathing will help to decrease postoperative respiratory complications. Turning and moving legs after surgery will also help prevent clots. Hearing aids can be worn into the surgical suite because this will help communication before surgery. Extended bedrest is not helpful, and shaving would not be necessary.
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A client presents to the primary care clinic and is disheveled in appearance, with stained, dirty clothing, body odor, and uncombed hair. Based on this observation, which topics should the nurse assess during the history and physical exam?
Select all that apply. 1. Occupation. 2. Depression. 3. Smoking history. 4. Self-concept. 5. Immunization status.
A patient at 24 week' gestation reports to the clinic nurse that she is tired all the time. What is the nurse's best response?
a. "Everyone has chronic anemia at this time in pregnancy." b. "I'll make sure your health care provider is informed of your concern." c. "Your urine is clean of protein and sugar. You are doing well at this time." d. "Make sure you are drinking enough fluid to keep up with the demands of your body."
A client with borderline personality disorder tells a nurse, "I'm afraid to get on a train because we'll probably get into a wreck." Which response by the nurse would be most appropriate?
A) "Have you had a bad experience riding a train?" B) "What are the chances of that actually happening?" C) "Now, you know that won't happen." D) "Have you thought about going by automobile?"
The nurse is caring for a patient who developed a pulmonary embolism after surgery. Which goal statement is the highest priority for the nurse to include in the patient's care plan for the diagnosis Impaired gas exchange r/t impaired pulmonary blood flow from embolus?
a. The patient will maintain pulse oximetry values of at least 95% on room air.
b. The patient will verbalize understanding of ordered anticoagulants.
c. The patient will report chest pain of no greater than 3 on a 1-10 scale.
d. The patient will ambulate 50 feet in the hallway without shortness of breath.