The nurse positions the client in what position to decrease esophageal reflux?
1. Head of the bed elevated, left side-lying position
2. Head of the bed flat, right side-lying
3. Trendelenburg position, left side-lying
4. Head of the bed elevated, right side-lying
1
Rationale: Knowledge of GI anatomy reminds the nurse that the esophagus is located on the right side of the stomach, so positioning the client on the left side keeps stomach contents away from the cardiac sphincter, and elevating the head of the bed encourages gastric emptying.
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The nurse providing care for a patient post PTCA knows to monitor the patient closely. What does the nurse know to monitor for? (Mark all that apply.)
A) Abrupt closure of the coronary artery B) Venous insufficiency C) Bleeding at the insertion site D) Retroperitoneal bleeding E) Arterial occlusion
When administering a sympathomimetic drug to a client, the nurse would expect the client to exhibit:
a. bronchiole constriction. c. mydriasis. b. increased gastrointestinal motility. d. bradycardia.
Covert agreements between staff regarding implicit rules are unlikely to impact patient safety
Indicate whether this statement is true or false.
Which of the following individuals or groups influence how institutional goals are determined by the organization?
a. Staff nurses b. Patient care coordinators c. Vice president for nursing d. Board of directors