The client who had a rhinoplasty is experiencing frequent swallowing followed by belching. What action should the nurse take?
A. Notify the surgeon.
B. Raise the head of the bed.
C. Assist the client with liquids.
D. Document the observation as the only action.
A
Repeated swallowing followed by belching after rhinoplasty is a sign of postnasal bleeding, and such a sign should be reported immediately to the surgeon.
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Before having a blood sugar test, a patient must avoid drugs that affect blood glucose level. In analyzing a patient's blood glucose level, the nurse should be aware of any drugs the patient is taking
Which of the following drugs may lower a patient's blood sugar level? A) Nicotinic acid B) Estrogen C) Diuretics D) Monoamine oxidase inhibitors
A nurse notes the previous 24-hour urine output was 950 mL, well below the normal of 1500 mL. What is an effective nursing order to remedy the impending dehydration?
a. Offer more fluids daily. b. Offer 8 oz of juice or water at 0800 (8 AM), 1200 (12 noon), 1600 (4 PM), and 2000 (8 PM). c. Request extra fluid on a diet tray from the kitchen. d. Place a large water pitcher at the bedside during each shift.
The nurse is performing the assessment of an elderly client recently diagnosed with arterial insufficiency due to atherosclerosis. Which of the following findings are consistent with this condition? Standard Text: Select all that apply
1. Bilateral pitting edema 3+ in ankles and feet 2. Carotid bruit present 3. Blood pressure 180/94 4. Peripheral pulses 1+/4+ in dorsalis pedis bilaterally 5. A pea-sized ulcer noted on the client's right great toe, no drainage, well-defined edges
A patient says, "There are so many kinds of bacteria. How does my body know which ones to kill and how to kill them?" What would be the nurse's most accurate response?
1. "The alkaline environment in the stomach kills any bacteria you might swallow on food or in drinks.". 2. "Chemicals on the skin kill many of the bacteria from the environment.". 3. "Special white blood cells called toll cells help your body identify disease-causing bacteria.". 4. "Your mucous membranes help to filter out and kill bacteria.".