On the second postoperative day, a 63-year-old patient who has had an abdominal hysterectomy complains of gas pains and abdominal distention. She has not had a bowel movement since surgery
Which nursing intervention will best stimulate peristalsis and relieve distention? a. Offering carbonated beverages
b. Encouraging ambulation at least four times per day
c. Administering a 1,000-mL soapsuds enema
d. Applying an abdominal binder
B
Early ambulation is very helpful to return the bowel to normal function.
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The nurse is doing a preoperative assessment of an 87-year-old man who is slated to have a right lung lobe resection to treat lung cancer. What underlying principle should guide the nurse's preoperative assessment of an elderly patient?
A) Elderly patients have a smaller lung capacity than younger patients. B) Elderly patients require higher medication doses than younger patients. C) Elderly patients have less physiologic reserve than younger patients. D) Elderly patients have more sophisticated coping skills than younger patients.
A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. Which of the following would the nurse do next?
A) Check the fetal heart rate. B) Perform a vaginal exam. C) Notify the physician immediately. D) Change the linen saver pad.
The nurse is visiting a patient at home after he was discharged from the hospital following a heart attack
She listens to the patient's concerns about being an invalid for the rest of his life because of his bad heart, but he is afraid of having "open heart" surgery. The nurse explains the different surgical procedures that are available to the patient, as well as other options such as cardiac rehabilitation. After several such visits, the patient states that he believes that cardiac rehabilitation therapy would be best for him, and asks the nurse how he can get in. The nurse calls the patient's physician and sets up a referral for cardiac rehabilitation. This action most closely fits which of the following theories? a. Peplau's theory b. Henderson's theory c. Nightingale's theory d. Orem's self-care deficit theory
Which of the following statements about the community health nurse's selection and practice of each role is true?
A) Within a given time, a community health nurse may practice multiple roles. B) The knowledge that vulnerable populations need someone to guide them through the complexities of the health care system and the nurse can serve as an advocate for them C) The researcher role for community health nurses involves only the use of quantitative statistics. D) The leadership role consists solely of managing staff.