Which nursing intervention is inappropriate in the immediate postprocedure care of a patient who has had a fiberoptic bronchoscopy?
a. Place the patient in a semi-Fowler posi-tion.
b. Offer fluids to assess swallowing ability.
c. Assess for diminished breath sounds.
d. Assess for stridor.
B
Patients are placed on nothing by mouth diet until the gag reflex returns.
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A pregnant patient in labor is having contractions 2 minutes apart but rarely over 50 mmHg in strength; the resting tone is high, 20 to 25 mmHg. The patient asks what can be done to make contractions more effective
What should the nurse respond to the patient? A) Rest because contractions are hypertonic. B) Receive oxytocin to strengthen contractions. C) Hypotonic contractions of this kind will strengthen by themselves. D) Walking around will make the contractions more regular.
A culturally sensitive nurse can use which of the following techniques when communicating with colleagues of different cultures?
a. Use only written communication channels. b. Minimize the use of jargon specific to the nurse's culture. c. State "I'm trying to get through to you, don't you understand.". d. Continue to listen even when the nurse doesn't understand the message.
A patient who has begun taking nifedipine (Procardia) to treat variant angina has had a recurrent blood pressure of 90/60 mm Hg or less. The nurse will anticipate that the provider will
a. add digoxin to the drug regimen. b. change to a beta blocker. c. order serum liver enzymes. d. switch to diltiazem (Cardizem).
A client is taking an anxiolytic agent secondary to grief-related anxiety. The client questions the nurse about abruptly discontinuing these agents
The nurse's response is based on the knowledge that, when discontinuing these medications: a. the dosage must be tapered to avoid withdrawal. b. the client must be evaluated for hyperglycemia. c. hangover syndrome must be planned for. d. blood levels must be monitored.