Discuss the relationship between surgery, BS, and refeeding. Include in your discussion the effects of hypoalbuminemia and the appropriate tube feeding for this condition
Surgery is a shock to the body and causes peristalsis to either be greatly diminished or totally stopped. When BS can be heard and N/G drainage has diminished, clear liquids are usually started to further stimulate the GI tract to return to normal function. Refeeding by the GI tract usually would not start until BS were strong. I say usually because some tube feedings are promoted as having the ability to be started in the absence of BS.
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Which of the following is a fairly recent surprise regarding infectious diseases in the United States?
a. Cervical cancer and coronary artery disease may be caused by infectious agents. b. Epidemics such as the H1N1 flu continue to occur. c. Mortality caused by infectious diseases continues to rise. d. Some infectious diseases remain endemic in our society.
The nurse is delegating the performance of passive range of motion to the unlicensed assistive personnel (UAP). For which client would it not be appropriate to delegate this task to the UAP?
1. Client who has been a quadriplegic for 3 years 2. Unconscious client following excision of a brain tumor 2 days ago 3. Client in rehabilitation center recovering from a CVA 4. Client in a chronic vegetative state following a motor vehicle crash
A nurse manager is discussing with unit staff the repeated lack of staff compliance in document-ing exercise activity for post–cardiac surgery clients
The unit's licensed practical/vocational nurses are responsible for ensuring that clients carry out the prescribed exercise regimen and that the activity is documented. Using Drucker's five basic functions of a manager, identify appropri-ate functions for the nurse manager to use when addressing this situation (select all that apply): a. Divide the necessary activities into ma-nageable tasks, so clients adhere to the exercise regimen. b. Establish objectives and goals for each area and decide who is accountable for them. c. Allow clients to organize the activities. d. Engage in activities that motivate the team, and communicate effectively with the responsible staff members. e. Analyze, appraise, and interpret the per-formance of responsible staff, and com-municate these findings to staff manage-ment. f. Allow clients to establish objectives and goals.
When performing a clinical breast examination, which would the nurse do first?
A) Palpate the axillary area. B) Compress the nipple for a discharge. C) Palpate the breasts. D) Inspect the breasts.