The nurse is providing care for a patient who is recovering in the postanesthesia care unit (PACU). Given that the patient is restricted to the supine position, which intervention provides the patient with adequate chest expansion?
a. Keeping the bed flat during recovery
b. Positioning the patient's hands over his chest
c. Flexing the neck and turning the head to the side
d. Extending the neck and turning the head to the side
D
If the patient is restricted to a supine position, elevate the head of the bed approximately 10 to 15 degrees, extend the neck, and turn the head to the side. Never position the patient with his hands over his chest (reduces chest expansion).
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A patient with cirrhosis is experiencing hypertension, edema, and shortness of breath. What should the nurse identify as the patient's priority problem?
1. insufficient fluid level 2. problem with tissue perfusion 3. too much bodily fluid 4. problem with integumentary status
When political parties take opposing positions on an issue, the different opinions and subsequent decisions are said to be:
a. invalid. c. political. b. partisan. d. unethical.
The nurse is assessing a patient who is unable to supply a self-report of pain. Which of the following should the nurse do to further assess the client's pain?
1. Use a proxy pain rating from the family or caregiver. 2. Document the client's pain using a numeric rating scale. 3. Document that the client cannot scale his pain. 4. Use the McGill pain questionnaire to assess the pain.
A patient is admitted to the hospital and will begin taking levothyroxine (Synthroid). The nurse learns that the patient also takes warfarin (Coumadin). The nurse will notify the provider to discuss _____ the _____ dose
a. reducing; levothyroxine b. reducing; warfarin c. increasing; levothyroxine d. increasing; warfarin