In caring for a patient who has an abdominal binder, it is expected that the nurse will do which of the following? (Select all that apply.)
a. Remove the binder and assess the skin and wound every 8 hours.
b. Evaluate the patient's ability to breathe deeply and cough effectively every 4 hours.
c. Evaluate the patient's pulmonary function every 8 hours.
d. Remove the binder at least daily.
A, B
Remove the binder and surgical dressing to assess the skin and wound characteristics every 8 hours to determine that the binder has not resulted in complications (e.g., rubbing or abrasion of skin, disruption of wound). Evaluate the patient's ability to ventilate properly, including deep breathing and coughing, every 4 hours to help identify any impaired ventilation. A properly applied binder will have no impact on pulmonary function.
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A nurse who is obtaining a bachelor's degree in nursing is formulating a project regarding nurse's job satisfaction
The nurse is aware that research has shown job satisfaction is related to which factors in the working environment? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Appropriate staffing 2. Involvement in organizational decision making 3. Ability to work overtime 4. Being recognized for a job well done 5. Good relationships among staff
The nurse is completing an assessment on a client following a cardiac catheterization procedure. During the initial assessment, the nurse easily palpates the client's right dorsalis pedis and posterior tibial pulses
The pulses on the client's left leg are strong and easily palpable. During the next assessment, the nurse is unable to palpate or find these pulses on the right side with a Doppler. Which of the following would be the most appropriate action for the nurse at this time? 1. Notify the healthcare provider immediately. 2. Assess for the client's right popliteal pulse. 3. Take the client's blood pressure. 4. Place the client in Trendelenburg position.
The spouse of a dying client states that she is concerned that her husband is choking to death. What is the nurse's best response?
a. "Do not worry. The choking sound is normal during the dying process." b. "I will administer more morphine to keep your husband comfortable." c. "I can ask the respiratory therapist to suc-tion secretions out through his nose." d. "I will have another nurse assist me to turn your husband on his side."
The person proposed as the leader of a research team is referred to as the project monitor
A) True B) False