A patient who had a hysterectomy yesterday has not been allowed food or drink by mouth (NPO). The physician has now ordered the patient's diet to be clear liquids. What should the nurse assess prior to providing this patient with clear liquids?
a. Feelings of hunger
b. Bowel sounds
c. Positive Homans sign
d. Gag reflex
B
The absence of bowel sounds would contraindicate a diet of clear liquids.
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What does the acronym P-F-A stand for?
a. Purpose-Format-Assessment c. Project-Financial-Analysis b. Purpose-Focus-Approach d. Program-Functional-Analysis
The nurse would suggest to the family of a client who is in the moderate stages of AD and is being cared for in the home to (Select all that apply)
a. assess orientation hourly by hiring a sitter if necessary. b. disable the stove but find ways for the client to participate in meal preparation. c. have the client wear an identification badge. d. move knickknacks to the middle of tables. e. secure the environment with a fence so the client cannot leave the home.
An infant is admitted to the hospital with a diagnosis of failure to thrive. The nurse will likely make which of the following observations about the infant and family?
a. The infant has lost weight as a result of diarrhea b. The infant was found to be below the 5th percentile in growth c. The baby responds positively to cuddling d. A positive mother-child relationship is noted
An infant is tachypneic, retracting, and tachycardic with a temp of 39.0 C and a pulse oximetry of 92 percent. You place the infant on 1L nasal cannula oxygen and raise the head of the bed
What intervention would the nurse expect the physician to order next? 1. MRI 2. CT 3. Bronchoscopy 4. Chest x-ray