Intraoperatively, the circulating nurse observes a member of the surgical team breach aseptic technique. As a result of this incident the postoperative patient can be at risk for which of the following?
a. Paralytic ileus
b. Malignant hyperthermia
c. Development of infection
d. Alteration in pulmonary hygiene
C
The circulating nurse assists the anesthesia provider with endotracheal intubation, calculating blood loss and urinary output, and administering blood. This nurse monitors sterile technique of surgical team members and a safe OR environment. A nurse also assists the surgeon and scrub nurse by operating nonsterile equipment, providing additional instruments and supplies, maintaining accurate and complete documentation, and tracking sponge, needle, and instrument counts. Paralytic ileus is a loss of function of the intestine, which causes abdominal distention. Anesthetic agents slow gastrointestinal functioning. Malignant hyperthermia results from administration of certain anesthetic agents. Alteration in pulmonary hygiene occurs when the postoperative patient does not cough and deep breathe.
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The nurse recognizes that caring for patients and families is challenging due to which of the following factors? (Select all that apply.)
A. Advances in medical care B. Decreased cultural diversity C. Decreased patient expectations D. Increased technology development E. Potential legal considerations
Which nursing goal is a priority when caring for a client newly diagnosed with vertigo?
A) Patient will maintain therapeutic medication schedule. B) Patient will remain safe while ambulating in the home. C) Patient will have a caretaker with him or her in the home. D) Patient will closes eyes as needed to reduce symptoms.
The nurse is caring for an older adult with a chronic disease. Which is reflective of a tertiary intervention to help slow down the progression of the client's illness?
1. Assess the client's mobility 2. Integrate physical therapy 3. Discuss injury-prevention measures within the home 4. Obtain a referral for occupational therapy
Determine how the nurse's role is different from that of the LPN in assessment of the patient
a. Collects data during the health history and physical exam b. Contributes to the development of the care plan c. Assist in updating the care plan d. Uses findings from the assessment to create a care plan