A patient is recovering from transphenoidal surgery for partial resection of a pituitary adenoma. The nurse should instruct the patient to avoid doing which action(s)?
1. Blowing the nose or sneezing
2. Deep breathing
3. Drinking more than 2 liters of fluid a day
4. Sitting up in bed higher than 30 degrees
1
Rationale 1: These activities may cause the patch to dislodge, which could result in a cerebrospinal fluid leak (CSF) and increase the risk of infection.
Rationale 2: Deep breathing is a post-operative activity that all post-operative patients should perform to prevent atelectasis.
Rationale 3: Drinking 2 liters of fluid per day is a post-op activity that helps the body metabolize anesthesia, maintains hydration, and liquefies pulmonary secretions.
Rationale 4: The head of the beds needs to be elevated at least 30 degrees or higher to reduce post-op edema. This also allows for better lung expansion to prevent atelectasis.
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The nurse is preparing a client to be discharged from the acute care facility. The appropriate healthcare professional to initiate the discharge process is:
1. The nurse. 2. The social worker. 3. The physician. 4. The nurse manager.
A nurse manager on the high-risk OB unit wants to improve the experience of women admitted for lengthy stays. What action by the manager is best?
A. Designate a specific chaplain to visit women every day. B. Develop a program to help women attain developmental tasks. C. Initiate primary nursing to provide consistency in caregiving. D. Provide open visitation and special events for siblings.
When the school health nurse identifies vision or hearing problems in children while conducting vision and hearing screening programs, he or she realizes that the nurse's role ends with:
a. problem identification c. follow-up care b. notifying caregivers d. documentation