A patient is diagnosed with rupture of an aortic aneurysm and surgery is imminent. What interventions would the nurse anticipate prior to surgery?
1. Starting intravenous lines for fluid resuscitation
2. Administration of blood
3. Administration of IV narcotic for pain
4. Preparation for endotracheal intubation
5. Administration of anticoagulants to prevent clots in the prosthesis
1, 2, 3, 4
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The nurse reads a client's chart and sees that the health care provider assessed mucosal erythroplasia. What should the nurse understand that this means for the client?
a. Early sign of oral cancer b. Fungal mouth infection c. Inflammation of the gums d. Obvious oral tumor
The RN working on an orthopedic unit has a postoperative client with a hip replacement who is not transferring well from bed to chair and has fallen behind on the mobility training program. Which is the nurse?s priority action?
1. Page the surgeon. 2. Contact the family to discuss pre-op mobility problems. 3. Instruct physical therapy to increase treatments to QID. 4. Inform the case manager of variance in critical pathway.
A pregnant woman works as a secretary at a large corporation. She states that she wants to take a leave of absence from work for pregnancy but is afraid she will lose seniority standing because of this. You would advise her that
A) medically, it is not wise for any woman to work past the seventh month of pregnancy. B) legally, her employer cannot penalize her this way. C) ethically, she has no right to ask for special favors. D) personally, she is selfish to think of herself ahead of the baby this way.
In caring for a client who has an esophageal tamponade, the nurse would be alerted that the tamponade is inadequate with the assessment of
a. diarrhea. b. increased abdominal girth. c. increasing jaundice. d. rising ammonia level.