Which of the following nursing care interventions is required when caring for a client recovering from spinal anesthesia?
A) Turn the client from side to side at least every 2 hours.
B) Assist the client to a sitting position at the side of the bed.
C) Instruct the client to remain flat for 6 to 12 hours.
D) Monitor vital signs every 2 hours.
C
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A nurse cares for a client with end-stage heart failure who is awaiting a transplant. The client appears depressed and states, "I know a transplant is my last chance, but I don't want to become a vegetable." How should the nurse respond?
a. "Would you like to speak with a priest or chaplain?" b. "I will arrange for a psychiatrist to speak with you." c. "Do you want to come off the transplant list?" d. "Would you like information about advance directives?"
A nurse skillful in the writing process knows that this talent may benefit the client because a well-written behavioral contract:
1. Teaches the client about past mistakes to lead to a successful outcome. 2. Provides everything needed for a cure. 3. Teaches the client to embrace the future helps overcome past misdeeds. 4. Can promote successful outcomes.
A community health nurse is educating pregnant clients about the prenatal causes and risk factors associated with the development of attention-deficit/hyperactivity disorder (ADHD)
Which statement will the nurse include in the educational session? A) "ADHD has not been linked to prenatal exposure or disease." B) "ADHD has been linked to a specific gene, and genetic testing may help to diagnose this." C) "ADHD has been linked to prenatal exposure to cigarette smoke." D) "ADHD has been linked to childhood exposure to folate."
The nurse is assessing a client admitted to the postanesthesia care unit (PACU) after abdominal surgery. The client's respiratory rate is 8 breaths/min and breath sounds are decreased in the bases. What is the nurse's priority action?
a. Prepare to administer naloxone (Narcan). b. Assess oxygen saturation and level of consciousness. c. Call a code or the Rapid Response Team. d. Turn the client and perform chest physio-therapy.