A 54 year-old man is postoperative day 1 following neck dissection surgery. Which of the following nursing actions should the nurse prioritize in the care of this patient?
A) Teaching the patient about the signs and symptoms of major postoperative complications
B) Positioning the patient in a high Fowler's position to protect the airway
C) Ensuring that naloxone (Narcan) is available at the patient's bedside
D) Maintaining protective isolation for 24 to 36 hours after surgery
B
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A nurse is working with an elderly patient with Alzheimer's disease and congestive heart failure in the ICU
Which of the following methods of pain assessment would be essential to include in this situation, according to the American Geriatric Society? A) No assessment is appropriate; the patient should be started on a standardized protocol for analgesia for Alzheimer's patients B) The verbal zero to ten scale C) The word descriptor scale D) Assessment of behavior and family observations
An otherwise healthy 40-year-old woman who is brought into the emergency room (ER) with an overdose is declared brain dead and evaluated for organ donation
On her driver's license, the "Organ Donor" box is checked and there is a legal witness signature present. Identify the action to be taken next by the ER nurse. a. Prepare the body for transfer to the oper-ating room for organ removal. b. Order appropriate tests for tissue typing. c. Contact the organ procurement organiza-tion. d. Pack the body in ice to lower metabolism and prevent deterioration of the organs.
The nurse is teaching a prenatal education class about positions for sexual intercourse during later pregnancy. What position should the nurse teach as an appropriate position for intercourse during the third trimester?
A. Lithotomy B. Fowler's C. Supine D. Side-lying
You are caring for a terminally ill patient. Your first responsibility is to
A) help make the patient as comfortable as possible. B) determine if the patient is dead. C) assist in meeting the emotional needs of the patient. D) assist in meeting the emotional needs of the family.