The patient presents in the ER with an evisceration following a knife attack. The best nursing intervention related to the exposed bowel is to:
1. gently replace the bowel into the abdominal cavity.
2. place a sterile wrapped sandbag on the abdomen to prevent further evisceration.
3. place the patient in a high Fowler's position to allow the bowel to drop back into the abdominal cavity.
4. cover the bowel with a moist saline dressing.
4
The nurse protects the tissue from further injury and drying out by the application of a sterile saline dressing.
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0.004 L = _____ mL
a. 400 b. 40 c. 4 d. 0.04
Chemoreceptors in the carotid and aortic bodies sense pressure differences in:
a. nitrogen. b. oxygen. c. carbon dioxide. d. hydrogen.
A single, pregnant teenager in a parenting class discloses her ambivalence toward the pregnancy and the subsequent guilt that these thoughts generate
A mother of three admits to having felt that way herself. Which of Yalom's curative group factors does this illustrate? A. Imparting of information B. Instillation of hope C. Altruism D. Universality
A nurse is caring for a patient with a kidney infection. Output is tallied at the end of the shift, and the nurse notes that the patient has voided 240 mL in the past 8 hours. Next, the nurse should
1. Notify the physician. 2. Document the amount as normal output. 3. Take the patient's temperature. 4. Evaluate the patient's blood pressure.