The nurse is caring for a patient after an open abdominal aortic aneurysm repair. The nurse requests an abdominal binder and carefully applies the binder
What is the best explanation for the nurse to use when teaching the patient the reason for the binder? a. The binder creates pressure over the abdomen.
b. The binder supports the abdomen.
c. The binder reduces edema at the surgical site.
d. The binder secures the dressing in place.
B
The patient has a large abdominal incision. This incision will need support, and an abdominal binder will support this wound, especially during movement, as well as during deep breathing and coughing. A binder can be used to create pressure over a body part, for example, over an artery after it has been punctured. A binder can be used to prevent edema, for example, in an extremity but is not used to reduce edema at a surgical site. A binder can be used to secure dressings such as elastic webbing applied around a leg after vein stripping.
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A nurse is meeting with a young woman who has recently lost her mother and her job and has moved with her husband to a new city
She is complaining of acute anxiety and depression. What does the nurse knows that would be helpful to this patient? A) Adaptation often fails during stressful events and results in homeostasis. B) Stress is a part of our lives, and, eventually, this young woman will adapt. C) Acute anxiety and depression are seldom associated with stress. D) Sometimes too many stressors disrupt homeostasis, and, if adaptation fails, the result is disease.
A client who has myasthenia gravis is receiving atropine for a cholinergic crisis. Which intervention does the nurse implement for this client?
a. Suction the client to remove secretions. b. Turn and reposition the client every 2 hours. c. Measure urinary output every 30 minutes. d. Administer prescribed anticholinergic drugs as needed.
The nurse is caring for patients on a cardiac unit. Which patient should the nurse assess first?
1. patient with hypertrophic cardiomyopathy who is reporting dyspnea 2. patient who had a cardiac catheterization and will be ambulating for the first time 3. patient receiving antibiotics for bacterial endocarditis who is reporting anxiety and chest pain 4. patient recovering from coronary artery bypass grafting (CABG) surgery with a temperature of 101°F.
A public health nurse would like to incorporate evidence-based practice into the clinical practice at the health department. According to Melnyk and Fineout-Overholt et al., the first step in this process is:
a. Integrating the evidence with clinical expertise b. Cultivating a spirit of inquiry c. Asking clinical questions d. Searching for the best evidence