The PACU nurse assesses that a postoperative client has a return of peristalsis because of which of the following?
a. Client states he is hungry and asks for food.
b. Client no longer has nausea.
c. Nurse auscultates bowel sounds in all four quadrants.
d. Bladder is distended.
ANS: C
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A very skilled baccalaureate-prepared clinical nurse was asked to assume a case manager role. Which of the following will be most difficult for the nurse new to this role?
a. Having the ability to be a leader and work autonomously b. Obtaining knowledge of community resources c. Gaining knowledge of reimbursement structures and financial strategies d. Getting practice at evaluating patient outcomes
A nurse is preparing to administer ribavirin via inhalation to a client. Which of the following would the nurse need to keep in mind? Select all that apply
A) Administration is via a nebulizer. B) Solution should be discarded and replaced every 24 hours. C) Respiratory status can be worsened by the drug. D) Extrapyramidal effects can occur upon administration of the drug. E) Women of childbearing age should not inhale the drug.
The nurse is caring for a 16-year-old adolescent who just delivered a baby
The new mother, while filling in the birth certificate, tells the nurse that she plans to leave the "father's name" section blank because he doesn't want anything to do with the baby. The nurse's best response would be: A) "You have the right to leave that section blank, but it will make it more difficult if you should ever decide to attempt to obtain financial support from him in the future." B) "I don't blame you. I would do the same thing in your situation." C) "You must fill in the name, or the form will not be accepted." D) "You really should fill in the name of the father."
When preparing for a maxillary resection, the nurse should provide the client and family with which instruction?
1. "It is important to keep objects within reach and in the same place at all times.". 2. "Your speech will not be affected, so communication will not be a problem.". 3. "You will be given pain medication whenever you need it, so pain should not be a concern.". 4. "It will be at least 3 to 4 days after surgery before you will be allowed out of bed.".