A nurse is caring for a patient who has just had a rigid fixation of a mandibular fracture. When planning the discharge teaching for this patient, what would the nurse be sure to include?
A) Increasing calcium intake to promote bone healing
B) Avoiding chewing food for the specified number of weeks after surgery
C) Techniques for managing parenteral nutrition in the home setting
D) Techniques for managing a gastrostomy
Ans: B
Feedback:
The patient who has had rigid fixation should be instructed not to chew food in the first 1 to 4 weeks after surgery. A liquid diet is recommended, and dietary counseling should be obtained to ensure optimal caloric and protein intake. Increased calcium intake will not have an appreciable effect on healing. Enteral and parenteral nutrition are rarely necessary.
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a. "Douching has been used as an effective means of birth control for years." b. "Commercially prepared douches will neutralize the female vaginal tract." c. "Douching should only be done when or-dered by a physician or nurse practition-er." d. "Douching protects the vaginal tract from microorganisms."
The Intensive Care Unit nurse is performing a cardiac assessment on a newly admitted 72-year-old client and notes the following findings: peripheral edema, jugular venous distention of 5 cm above the sternal angle when the client is at a 45
degree angle, and an enlarged liver. These findings are most consistent with which of the following disorders? 1. Pulmonary edema 2. Left-sided heart failure 3. Myocardial infarction 4. Right-sided heart failure
The nurse, assessing a patient with endocarditis, notes small red painful growths on the fingers and toe pads. The nurse documents these findings as:
A) Osler nodes. B) Janeway lesions. C) Roth spots. D) Ebstein anomaly.
The intensive care unit (ICU) nurse educator will determine that teaching about arterial pressure monitoring for a new staff nurse has been effective when the nurse
a. balances and calibrates the monitoring equipment every 2 hours. b. positions the zero-reference stopcock line level with the phlebostatic axis. c. ensures that the patient is supine with the head of the bed flat for all readings. d. rechecks the location of the phlebostatic axis when changing the patient's position.