What should preoperative teaching for a patient scheduled for a transsphenoidal hypophysecto-my include that the patient should do postoperatively?
a. Avoid sneezing.
b. Drink through a straw.
c. Cough forcefully.
d. Wash mouth out with peroxide.
A
The patient should be taught to avoid sneezing, coughing, drinking through a straw, and using a stringent mouthwash that might dislodge the graft.
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Analysis has shown that a client's right atrial pressure is 30 mm Hg. What is the most likely conclusion that the client's care team will draw from this piece of data?
A) The result is likely normal and gravity dependent given the lack of valves in thoracic and central veins. B) The pressure is insufficient to provide adequate stroke volume and cardiac output. C) The pressure is excessive given that the right atrium should be at atmospheric pressure. D) Pressure pulsations are likely to be undetectable given the low atrial pressure.
The client remarks "My husband and I get along just fine. We usually agree on everything.". As the
client speaks her foot is moving continuously and she twirls a button on her blouse. What assessment can the nurse make? The client's communication is a. clear. b. explicit. c. inadequate. d. mixed.
When nurses receive a patient assignment and accept reports on these patients, they are committed to providing care to those assigned to them. This is based on the ethical principle of
a. beneficence. b. fidelity. c. justice. d. veracity.
A woman who is Rh-negative is pregnant with her first child, and her husband is Rh positive. During her 12-week prenatal visit, she tells the nurse that she has been told that this is dangerous. What should the nurse tell her?
a. That no treatment is necessary b. That an exchange transfusion will be necessary at birth c. That no treatment is available until the infant is born d. That administration of Rh immunoglobulin is indicated at 26 to 28 weeks of gestation