The nurse is caring for a patient recovering in the PACU. The patient awakens confused and disoriented. What action should the nurse take first?
a. Take the patient's vital signs.
b. Encourage the patient to return to sleep.
c. Reorient and reassure the patient.
d. Document that the patient is awake and disoriented.
C
The patient should be reoriented and assured when awaking from anesthesia.
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The nurse is asked to shave a patient that is taking Coumadin. What is the most appropriate action?
a. Refuse to shave the patient because he is on an anticoagulant. b. Shave as usual with a safety razor. c. Offer to wax rather than shave the patient. d. Use an electric razor.
When providing preoperative teaching, the nurse should instruct on the use of deep breathing, coughing, and the use of incentive spirometry. The rationale for these interventions is:
A) To promote wound healing B) To promote optimal lung expansion C) To enhance peripheral circulation D) To increase gas formation
During a procedure to remove impacted cerumen, the nurse should be assessing the patient for which of the following most critical complications?
A) Excessive bleeding from the ear B) Pain related to instillation of warm fluids to soften the cerumen C) Symptomatic bradycardia from vagal nerve innervation D) Respiratory distress related to fluid entering bronchiole tubes
A nurse asks a patient about things that he has done at home to relieve the arthritis pain in his shoulders. Which of the following is this nurse most likely using?
1. Applied research 2. Critical thinking 3. Basic research 4. Discharge planning