A patient who has had a left pneumonectomy to remove a lung cancer is returned to the unit from surgery. The nurse should position the patient in a _____ position
a. high Fowler's
b. semi-Fowler's
c. right side-lying
d. left side-lying
D
Postoperative positioning after a pneumonectomy is on the operated side to prevent the threat of tension pneumothorax with mediastinal shift and leakage from the amputated bronchial stump. The physician's order should always be checked before turning the patient or raising the head of the bed.
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A patient with a total hip replacement is progressing well and expects to be discharged tomorrow. On returning to bed after ambulating, he complains of a new onset of pain at the surgical site. What is the nurse's best action?
A) Administer pain medication as ordered. B) Assess the surgical site and the affected extremity. C) Reassure the patient that pain is a direct result of increased activity. D) Assess the patient for signs and symptoms of systemic infection.
In the geriatric population, the primary reason cancer is diagnosed in its later stage is:
1. Health care benefit coverage is often inadequate 2. Symptoms are often masked by the effects of aging 3. Clients are reluctant to seek help for the early symptoms 4. Symptoms are often attributed to the aging process
Under what condition could a person employed full-time at the current minimum wage afford housing?
A. By combining earnings with another adult who is employed part-time B. Only if the apartment is a one-room efficiency C. Only if the apartment is located in a low-income housing area D. If the person pays over 50% of their net income to obtain housing
A patient takes a high-dose glucocorticoid drug. Which nursing diagnosis should be added to the plan of care?
1. Risk for disturbed sensory perception, auditory 2. Risk for infection 3. Risk for fluid volume deficit 4. Risk for ineffective airway clearance