A client, being transferred from the operating room after major heart surgery, is intubated. When would the nurse expect the client to be extubated?
a. In the operating room
b. In the PACU within the first 3 or 4 hours
c. The first postoperative day
d. Three or four days after surgery
ANS: C
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Which of the following information will not be included in the preop care documentation?
A. Safety measures. B. Solution and length of time for surgical scrub. C. Information provided about surgery to client. D. History of client's need for surgery.
A nurse manager has just completed a difficult assignment managing a group that was not cohesive
Which group should the nurse identify as likely having good cohesiveness? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Nurse who each have 7 to 8 years of experience 2. Nurses who work on different units throughout the hospital 3. Staff nurses who are interested in learning about the task of the group 4. Staff nurses who work with one another on a daily basis 5. Staff nurses who are all between 35 and 40 years of age
A nurse is explaining to a family member the pathophysiologic characteristic of vasogenic shock. What information should the nurse include?
a. The intravascular compartment fills beyond capacity, allowing fluid to leak out, compressing vital organs. b. The circulating volume causes excessive constriction of the vessels, causing blood pooling. c. Widely fluctuating blood pressures stimu-late vascular collapse, causing severe al-terations in peripheral perfusion. d. Although the circulating volume is intact, excessive vascular dilation causes drastic drops in the blood pressure.
The nurse is caring for an older adult who reports recent urinary incontinence. What is the nurse's understanding about urinary incontinence in the older adult?
A) It is not a normal outcome of aging. B) It is the expected result of muscle atrophy. C) It generally occurs at night only. D) It most commonly occurs with position changes.