A client has undergone an esophagogastrostomy for cancer of the esophagus. Which action should the nurse take to support the respiratory care of this client?
A. Assess the client's breath sounds every 4 hours.
B. Perform chest physiotherapy every 6 hours.
C. Maintain the client in a supine position.
D. Administer analgesia regularly.
D
Respiratory care is the highest postoperative priority. Incisional support and adequate analgesia are crucial for effective coughing and deep breathing. As long as vital signs are stable, the nurse administers analgesia regularly to assist the client in performing deep breathing, turning, and coughing routines.
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An adolescent patient is taking combination retroviral therapy for HIV infection. He is not responding as expected. Which action by the nurse is most appropriate?
A. Asking why he does not take the medications B. Assessing the patient for noncompliance C. Consulting a pediatric social worker D. Starting a simpler drug regimen for the HIV
Which of the following is an example of objective, rational thinking rather than subjective, irrational thinking about nursing assistants whom the LPN/LVN charge nurse supervises?
a. "I want nursing assistants to be on time for report." b. "Neat appearance means good clinical skills." c. "Nursing assistants who are late intend to take advantage of co-workers." d. "Beware of nursing assistants who smile a lot. They're manipulative."
The nurse is preparing to remove ticks from a client's scalp. Which actions should the nurse perform to safely remove these pathogens from the client?
1. Grasp the tick with blunt tweezers. 2. Apply heat to the tick with a match. 3. Wash the area with antibacterial soap. 4. Pull the tick away in a perpendicular movement. 5. Apply petroleum jelly to the surface of the tick.
Which are cancers that cluster strongly in families?
a. Breast b. Colon c. Ovarian d. Lung e. Brain