A patient who is one day postoperative is complaining of nausea and refusing to eat. Upon auscultation of the abdomen, the nurse finds that the patient's bowel sounds are hypoactive. This is most likely due to
1. Peritonitis.
2. A bowel obstruction.
3. Anesthesia.
4. Paralytic ileus.
ANS: 3
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The nurse is alerted to a client's telemetry monitor. After assessing the following ECG, what is the nurse's priority intervention?
a. Start a large-bore IV. b. Administer atropine. c. Prepare for intubation. d. Perform defibrillation.
A nurse counsels a patient diagnosed with body dysmorphic disorder. Which nursing diagnosis would be a priority for the plan of care?
a. Anxiety b. Risk for suicide c. Disturbed body image d. Ineffective role performance
Binders that hold dressings in place in the anal and genital areas are called
a. abdominal binders. c. T-binders. b. scultetus binders. d. vest binders
A child is undergoing rapid sequence intubation and is receiving atropine. The nurse understands that this agent is used to:
A) lessen the vagal effects of intubation. B) reduce intracranial pressure. C) induce amnesia. D) provide short-term paralysis.