Which nursing intervention should be completed immediately after the physician has performed a needle liver biopsy?
a. Assisting to ambulate for the bathroom
b. Keeping the patient on the right side for a minimum of 2 hours
c. Taking vital signs every 4 hours
d. Keeping the patient on the left side for a minimum of 4 hours
ANS: B
Keep the patient lying on the right side for minimum of 2 hours to splint the puncture site. It compresses the liver capsule against the chest wall to decrease the risk of hemorrhage or bile leak. Vital signs are taken every 15 minutes for 30 minutes, then every 30 minutes for 2 hours.
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What part of the research report names the study design?
a. Introduction b. Methods c. Results d. Discussion
During the assessment of a preschool-age child, the nurse notes that the child's tongue is tender and there are cracks in the corners of the child's mouth. Which vitamin deficiency does the nurse suspect this child is experiencing?
A) Vitamin A B) Vitamin B1 C) Vitamin C D) Vitamin D
A patient is constipated and trying to have a bowel movement. How does holding the breath and pushing down (the Valsalva maneuver) affect the pulse?
A) left ventricle pumps more forcefully; pulse is stronger B) stimulates the vagus nerve to increase the rate C) stimulates the vagus nerve to decrease the rate D) right ventricle is less efficient; pulse is thready
At the time of a home visit, the nurse notices that each parent and child in a family has his or her own personal online communication device. Each member of the family is in a different area of the home. Which nursing actions are appropriate?
Select all that apply. a. Report the finding to the official child protection social services agency. b. Educate all members of the family about risks associated with cyberbullying. c. Talk with the parents about parental controls on the children's communication devices. d. Encourage the family to schedule daily time together without communication devices. e. Obtain the family's network password and examine online sites family members have visited.