The nurse planning the postoperative instructions for the patient who will undergo a hypophy-sectomy. Which information is most important for the nurse to include? (select all that apply.)
a. A drip pad will be placed under your nose.
b. Avoid brushing your teeth.
c. Avoid raising your arms above your head.
d. Breathe through your mouth.
e. Avoid blowing your nose.
A, B, D, E
Removal of the pituitary gland is most often done microsurgically. The usual approach is trans-sphenoidal via the nose or at the junction of the gums and upper lip, and a nasal drip pad is placed. After surgery it is important that the patient not brush his teeth, cough, sneeze, blow his nose, or bend forward, as these may interfere with the healing process. The patient is allowed to raise his arms above his head.
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According to Maslow's Hierarchy of Needs, which nursing diagnosis should take priority over the others?
a. altered nutrition, less than body requirements related to difficulty swallowing b. risk for poisoning related to exposure to chemicals in the workplace c. ineffective individual coping related to uncertainty of course of disease and treatment d. deficient knowledge related to lack of interest in learning
For the client who cannot sit upright, the next best position to prevent aspiration during medication administration is:
A. Prone B. Supine C. Side-lying D. Dorsal recumbent
You are preparing the nursing care plan for a middle-aged patient admitted to the intensive care unit for an acute myocardial infarction (heart attack)
His symptoms include tachycardia, palpitations, anxiety, jugular vein distention, and fatigue. Which of the following nursing diagnoses is most appropriate? a. Decreased Cardiac Output b. Impaired Tissue Perfusion c. Impaired Cardiac Contractility d. Impaired Activity Tolerance
The most rapid growth and development occur in infancy
True False