The nurse is caring for a patient who will undergo a coronary artery bypass graft procedure. What level of care will the patient require immediately post procedure?
a. Acute care—medical-surgical unit
b. Acute care—intensive care unit
c. Ambulatory surgery
d. Ambulatory surgery—extended stay
B
Patients undergoing extensive surgery and requiring anesthesia of longer duration recover more slowly. If a patient is undergoing major surgery such as a procedure on the heart, a stay in the hospital and specifically in the intensive care unit is required to monitor for potential risks to well-being. This patient would require more care than can be provided on a medical-surgical unit. It is not appropriate for this type of patient to go home after the procedure or to stay in an extended stay area of an ambulatory surgery area because of the complexity and associated risks.
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During an assessment, the nurse is collecting information on a patient's medication history. Why should the nurse assess the patient's use of over-the-counter (OTC) drugs? (Select all that apply.)
a. To determine the cost the patient spends on medications monthly b. OTC drugs may make existing medical problems worse c. To assess for potential unsafe interactions with prescribed medications d. Patients often neglect to tell their providers about OTC products e. To assess if the patient and his or her spouse has any common medications
A patient has acute congestive heart failure. A nursing intervention to decrease the workload of the heart would be to:
1. place the patient in a supine position. 2. encourage group activities to promote rest. 3. have the patient cough and deep breathe every 2 hours. 4. encourage large meals for extra needed calories.
Which test result would the nurse least likely expect to find in a child diagnosed with Wilms tumor?
A) Complete blood count (CBC) within normal limits B) Urinalysis positive for blood C) Mass on kidney D) Elevated homovanillic acid (HVA) with 24-hour urine collection
All goals in the restorative program are functional.
Answer the following statement true (T) or false (F)