What nursing intervention is aimed at preventing serious complications in the client with a sliding hernia surgical repair?
A. Range-of-motion exercises to the lower extremities
B. Elevation of the head of the bed to 30 degrees
C. Monitoring of input and output
D. Assessment of bowel sounds
B
The prevention of respiratory complications is the primary focus of postoperative care. The high incision makes taking deep breaths extremely painful for this client. By elevating the head of the bed to at least 30 degrees, the nurse promotes lung expansion in the client.
You might also like to view...
A nurse is teaching a client who experiences migraine headaches and is prescribed a beta blocker. Which statement should the nurse include in this client's teaching?
a. "Take this drug only when you have prodromal symptoms indicating the onset of a migraine headache." b. "Take this drug as ordered, even when feeling well, to prevent vascular changes associated with migraine headaches." c. "This drug will relieve the pain during the aura phase soon after a headache has started." d. "This medication will have no effect on your heart rate or blood pressure because you are taking it for migraines."
Which has historically been the most the most successful client care delivery system in intensive care units?
1. Team nursing 2. Total patient care 3. Functional nursing 4. Modular nursing
A college student has quit attending classes, isolates self because of hearing voices, and yells accusations at fellow students. Based on this information, which nursing diagnosis should the nurse prioritize?
A. Altered thought processes R/T hearing voices AEB increased anxiety B. Risk for other-directed violence R/T yelling accusations C. Social isolation R/T paranoia AEB absence from classes D. Risk for self-directed violence R/T depressed mood
Which of the following is the average adult blood pressure?
A. 120/80 B. 130/80 C. 140/80 D. 110/80