After a week, R.O. continues to meet expected outcomes, with her wound healing well. Her discharge to
home is planned for the next day. you provide discharge teaching to R.O. and her parents.
Which of these statements would indicate that more teaching is required?
a. "We need to return if R.O. begins vomiting again or develops a fever."
b. "R.O. should wait 1 week before returning to her gymnastics program."
c. "We will keep the incision clean and call if we see redness or drainage."
d. "R.O. can advance her diet to the regular foods that she likes to eat."
b
This is an inappropriate statement. The patient should not return to strenuous activity until 6 weeks
after surgery or when cleared by the surgeon. The other statements are appropriate for discharge teaching.
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An infant born with spina bifida with a repaired myelomeningocele is brought the emergency department, where the parents report that the infant is very fussy and is feeding poorly. Which nursing action takes priority?
A. Assess the baby's fontanels for bulging. B. Attach a cardiac and respiratory monitor. C. Obtain and document the baby's vital signs. D. Try feeding the baby with sucrose water.
The nursing staff quality improvement committee recommends a new practice change be implemented based on outcome analysis. Which response by their manager would be most effective in fostering the empowerment of the nurses?
1. "We'll take this to all the hospital committees and see if they approve it." 2. "This is a great ideaâ€"let's share your success with the other units." 3. "You have done a nice job. I'll revise this and then we can write a policy on it." 4. "I don't think the physicians will want to continue you this, but it was a good effort."
The nurse is assessing a client admitted to the hospital for congestive heart failure and notes 1+ pitting edema of the left arm, as well as bilateral 1+ pitting edema in the client's ankles
The client's history indicates that the client has had a myocardial infarction and a left mastectomy. The nurse would suspect which of the following causes for the edema in the left arm? 1. Impaired lymphatic drainage 2. Noncompliance with medication regimen 3. Right-sided heart failure 4. Excessive intake of sodium
The nurse auscultating heart sounds notes that a client has an opening snap and a low-pitched, rumbling murmur over the apex. This assessment would indicate
a. aortic stenosis. b. mitral stenosis. c. pulmonic prolapse. d. tricuspid regurgitation.