A nursing diagnosis of: Knowledge, deficient, related to relationship of infection to nutritional needs is critical because:
a. The body requires more protein intake to fight infection.
b. The body does not absorb nutrients effectively postoperatively.
c. The body does not require more calories postoperatively.
d. The body requires more parenteral nutrients postoperatively.
A
In addition to the relationship of infection and nutrition, the nurse may need to teach preoperative and postoperative procedures if the patient requires percutaneous or open surgical drainage.
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Why should you post a "no smoking" sign on the door of a room where a client is receiving oxygen therapy?
A. Cigarette smoke would further compromise or irritate the respiratory status of a client receiving oxygen therapy. B. Clients with respiratory problems are too dyspneic to move quickly in an emer-gency situation such as a fire. C. Oxygen is a combustible gas and may explode in the presence of an open flame. D. Combustion is enhanced by the presence of oxygen.
A patient who is prescribed niacin (Niacor) reports experiencing flushing and hot flashes. What is your best action?
a. Hold the drug and notify the prescriber. b. Give the niacin at least 1 hour before meals. c. Reassure the patient that this is an expected side effect. d. Administer the ordered NSAID 30 minutes before the niacin.
A patient with thrombocytopenia is demonstrating tissue hypoxia and stasis of blood flow. The nursing diagnosis that would be appropriate for both of these patient problems would be
1. fatigue. 2. altered tissue perfusion. 3. activity intolerance. 4. risk for injury.
A client on the medical/surgical unit complains of sudden chest pains. Which is the first action the nurse will implement?
A. Call the health care provider. B. Administer pain medication. C. Reassess a new set of vital signs. D. Turn client from supine to lateral.