A client returns to the nursing unit after laporoscopic surgery. The nurse prepares to take the client's vital signs at several intervals, including:(Select all that apply) Standard Text: Select all that apply
1. Every 15 minutes for first hour
2. Every 30 minutes for second and third hours
3. Every hour for fourth through seventh hours
4. Every 30 minutes for three hours
5. Every four hours from return from surgery
1,2,3
Rationale: The nurse takes vital signs every 15 minutes for 1 hour after surgery, if vital signs remain stable
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A woman arrives for evaluation of her symptoms, which include a missed period, adnexal fullness, tenderness, and dark red vaginal bleeding
On examination the nurse notices an ecchymotic blueness around the woman's umbilicus and recognizes this assessment finding as: a. Normal integumentary changes associated with pregnancy. b. Turner's sign associated with appendicitis. c. Cullen's sign associated with a ruptured ectopic pregnancy. d. Chadwick's sign associated with early pregnancy.
To test for Homans' sign, the nurse would:
1. dorsiflex the client's foot while the knee is flexed at 90 degrees. 2. plantarflex the client's foot while the hip is slightly flexed. 3. plantarflex the client's foot while the knee is extended. 4. dorsiflex the client's foot while the knee is slightly bent.
A client who has an elevation in serum cholesterol continues to eat red meat and fried foods. Which stage of change is this client experiencing?
a. Determination b. Action c. Precontemplation d. Contemplation
A nurse is required to prepare a client for a radiology test involving the use of dye. What
preparatory steps should the nurse take? A) Wear lead shields to protect vital organs B) Observe the client for signs of anaphylaxis C) Use masks to protect self D) Ask if the client is allergic to iodine