Which action is most important for the nurse to take prior to ambulating the postsurgical patient for the first time?
a. Raise the head of the bed.
b. Dangle the patient's legs over side of bed.
c. Offer the patient some fluids.
d. Apply a gait belt to the patient.
A
The initial intervention prior to the first ambulation is to raise the head of the bed to gradually change the patient's posture. The nurse should then sit the patient on the side of the bed and al-low the legs to dangle over the side with the feet on the floor of a footstool. After a few minutes, the nurse should slowly assist the patient to stand and then assist the patient to walk. The nurse should use a gait belt and request additional assistance if the patient is very weak.
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The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD) and is now performing discharge teaching with this patient. What should the nurse include in the teaching about breathing techniques?
A) Make inhalation longer than exhalation. B) Exhale through a wide open mouth. C) Use diaphragmatic breathing. D) Use chest breathing.
During a health history, a patient whose wife died unexpectedly 6 months ago in a motor vehicle accident admits that he drinks at least six bourbon and waters every night before going to bed. Which type of grief does this best illustrate?
a. Delayed b. Chronic c. Disenfranchised d. Masked
The client receives amitriptyline (Elavil). What is a priority teaching point at discharge?
1. Do not rapidly stand up or change positions. 2. Begin a low-carbohydrate diet. 3. Avoid green, leafy vegetables. 4. Do not take aspirin with this drug.
A notice of privacy practices should include a statement explaining that individuals may complain to the Secretary of the Department of Health and Human Services if they believe that their privacy rights have been violated.
Indicate whether the statement is true or false