On the fourth postoperative day, the client has a sudden coughing episode and tells the nurse that "something popped" in the abdominal incision. Upon inspection, the nurse finds that evisceration has occurred
What nursing action should be taken first? A)
Notify the client's surgeon.
B)
Position the client in bed with knees bent.
C)
Cover the area with a large saline-soaked dressing.
D)
Pack the wound with nonadherent gauze.
C
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A woman diagnosed with endometriosis reports "painful intercourse." What is the appropriate medical term for the nurse to document when describing this symptom?
a. Dyspnea b. Dysmenorrhea c. Dyspareunia d. Dysrhythmia
Place the steps of evidence-based practice in the correct order
1. Evaluate the evidence. 2. Identify the clinical question. 3. Apply the evidence. 4. Evaluate the outcome. 5. Find the evidence to answer the question.
_________________ is the way a person adapts to a stressor psychologically, physically, and behaviorally
ANS:
The nurse, caring for a client diagnosed with dehydration, should do which of the following to assess for the restoration of fluid volume?
1. Monitor blood pressure. 2. Observe changes in skin turgor. 3. Check weight daily. 4. Assess oral mucous membranes.