The client returns from surgery for a THA with a Hemovac in place. The nurse assesses the first 6 hours drainage as 350 ml. The most appropriate action by the nurse is to
a. change the client's position to supine.
b. drain the Hemovac and record the amount.
c. notify the physician of the amount of drainage.
d. report the excessive drainage to the oncoming nurse.
C
The expected amount of drainage is usually less than 200 ml in the first 8 hours. The measured drainage should be reported to the physician.
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The patient has a very large burn involving the deep dermis and is being cared for in a reverse isolation environment. The family is very annoyed by the need to don gowns and masks to visit the patient. What is the best rationale for this rule?
A) It is the policy of the unit and hospital. B) It protects the family from infection. C) The patient is at increased risk for life-threatening infection. D) It protects the family from odors.
The greatest risk for developing pulmonary embolism (PE) occurs
a. at the beginning of labor. b. during the transition period of labor. c. when the mother is pushing during a vaginal delivery. d. in the immediate postpartum period.
The nurse assesses the client's temporomandibular joint after the client's states chronic pain in this location. Which manifestations would the nurse anticipate as a result of this chronic pain?
Select all that apply. 1. The client has developed migraine headaches. 2. The client is unable to chew well and has lost weight since the pain began. 3. The client exhibits difficulty speaking clearly and enunciating words. 4. The client has developed hyperparathyroidism. 5. The client has developed torticollis.
Providing treatment and rehabilitation for people who have developed disease is part of:
1. primary preventive care. 2. secondary preventive care. 3. tertiary preventive care. 4. primordial preventive care.