A client has an open cholecystectomy with bile duct exploration. Following surgery, the client has a T-tube. To evaluate the effectiveness of the T-tube, the nurse should:
a) Unclamp the T-tube and empty the contents every day.
b) Irrigate the tube with 20 ml of normal saline every 4 hours.
c) Monitor the multiple incision sites for bile drainage.
d) Assess the color and amount of drainage every shift.
Answer: d) Assess the color and amount of drainage every shift.
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Examples of positive self talk include: Standard Text: Select all that apply
1. "I will never be able to do this without help." 2. "I can repeat the steps of this procedure until I get them right." 3. "This project is so big." 4. "This big project can be broken into smaller pieces." 5. "My workload is too heavy."
A nurse manager has been appointed leader of a large task force charged with a complex assignment. What strategies should the manager use?
1. Limit full task force meetings to an initial meeting, a middle meeting, and a final meeting. 2. Lead one of the subgroups established at the first full task force meeting. 3. Develop a work plan with interim deadlines. 4. Set deadlines that are at least 1 week earlier than necessary to give subgroups time to be late.
The nurse will monitor a patient for signs and symptoms of hyperkalemia if the patient is taking which of these diuretics?
a. Hydrochlorothiazide (HydroDIURIL) b. Furosemide (Lasix) c. Acetazolamide (Diamox) d. Spironolactone (Aldactone)
The nurse is providing anticipatory guidance instructions to the parents of a newborn. Which of these instructions should the nurse give as diseaseprevention strategies?
1. Routine metabolic screening 2. Vision screening 3. Sports safety 4. SIDS risk reduction