J.B. has several important postoperative needs. Identify two serious complications for which
he is most at risk.
What will be an ideal response?
• In the immediate postoperative period, J.B. is at risk for bleeding or hemorrhaging in the operative
site and compromised airway because of edema.
• Other complications include infection, aspiration, fistula formation, nutritional compromise,
tracheal stenosis, carotid artery rupture, and communication difficulties.
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The chief nursing officer reviews the policy about "progressive discipline process." The progressive discipline process includes which of the following? The manager:
a. Is a counselor and friend to the employee. b. Should reprimand and suspend the em-ployee as a last resort. c. Should rehire the employee after a rea-sonable length of time. d. Should terminate the employee if the problem persists.
A patient is diagnosed with an acute myocardial infarction and ruptured papillary muscle. Which action is the highest priority for the nurse to complete?
1. Obtain an electrocardiogram. 2. Measure the patient's cardiac output. 3. Assess the patient's neurological status. 4. Assess respiratory status.
A client who has had gastric surgery that affected the effectiveness of his alimentary system will be fed via a gastrostomy tube upon his discharge to home. The nurse recognizes that the primary reason for this means of nutrition is that it is:
1. Less likely to produce side effects than parenteral nutrition. 2. Less invasive than a jejunostomy tube. 3. More cost effective than nasogastric feeding. 4. More supportive of the specialized diet the client will require.
Which safety precaution is most important for the nurse to teach an older adult who is prescribed chlorpromazine (Thorazine)?
a. "Avoid going barefoot, even in the house." b. "Change positions slowly when rising to stand." c. "Drink plenty of water to avoid having to strain during a bowel movement." d. "Use a thermometer to check the temperature of your bath or shower water to avoid a scald injury."