You remove his abdominal dressing and immediately see a few loops of intestine. You have
another staff member page the physician. What care will you render before the physician's
arrival?
What will be an ideal response?
Reassure the patient. Cover the intestines with sterile gauze or sterile towels moistened with warm,
sterile normal saline (NS). Do not attempt to replace the abdominal contents. Continue to keep
the wound moist. Place the bed in a low Fowler's position—about 15 – 45 degrees. Have him flex
the knees to reduce tension in the wound area. Assess VS frequently because shock might occur.
Place him NPO in anticipation of surgery and make sure he has a patent IV line. Notify the nursing
supervisor and the operating room staff. Document all events.
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How often should an individual have a dental exam?
a. depends upon age b. every 2 to 3 years until age 40, then yearly thereafter c. every 6 to 12 months throughout life d. depends upon the individual's overall health
Critical research differs from traditional qualitative research in which of the following?
A) Its goal to be transformative B) Its use of interviews as a data source C) Its use of reflexivity D) Its desire to gain an in-depth understanding of phenomena
The nurse is completing a physical examination on a client complaining of abdominal pain. Which of the following are facts obtained during the physical examination?
A) Symptoms B) Objective data C) Subjective data D) Complaints
The nurse is using the PES model to write a nursing diagnosis. Which nursing diagnoses demonstrate that the nurse used this model appropriately?
1. Ineffective coping related to depression as evidenced by suicide attempt 2. Noncompliance (DASH diet) related to denial of having disease 3. Risk for infection related to recent surgery 4. Nutrition less than adequate related to anxiety as evidenced by weight loss of ten pounds 5. Ineffective Breathing Pattern as evidenced by cyanotic lips