Which of the following considerations should be included when planning the postoperative ambulatory activities for the older adult?
A) Respiratory depressive effects C) Convalescent period
B) Tolerance D) Detailed medication history
B
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A college senior comes to the mental health clinic with the chief complaint that "My face is so ugly I
can't go out in public.". Assessment reveals she has no actual disfigurement and is of average attractiveness. She tells the nurse that she goes to class wearing a scarf draped across her lower face but is concerned that she will be unable to interview for positions after graduation because of her ugly appearance. The client's symptoms are consistent with the clinical picture of a. dissociative identity disorder. b. body dysmorphic disorder. c. hypochondriasis. d. malingering.
The nurse is assessing an acutely ill patient. When prioritizing the patient's care, the nurse should recognize that the patient is at risk for hypovolemic shock when:
A) Fluid circulating in the blood vessels decreases. B) Cardiac output is increased. C) Blood pressure increases. D) Pulse is fast and bounding.
You are caring for a 32-year-old woman who has been sexually assaulted. What is the priority nursing intervention for this client?
1) Help her to communicate effectively with police about the attack. 2) Obtain permission from your client to test for pregnancy and STIs. 3) Refer your client to a sexual assault support group. 4) Promote and model empathy and support for her family members.
The RN asked a nursing assistant to monitor several postoperative patients. Which of the following instructions to the nursing assistant demonstrate appropriate delegation?
a. "Take vital signs every 2 hours, and report to me anything outside of the norms." b. "Assess pain using a 10-point scale, and record the score on the chart." c. "Record the urine output, and report to me if they have not voided within 4 hours." d. "Record the amount of drainage on the dressing on the bedside record."