A patient recovering from cardiac surgery complains of discomfort when turning and moving in bed. What should the nurse encourage the patient perform when making position changes?
a. Hold the breath
b. Splint with a pillow
c. Bend the knees to the chest
d. Lift the head off of the bed
ANS: B
To promote comfort with position changes, the nurse should encourage the patient to splint the chest incision with a pillow for all movement. This will stabilize the sternum and incision to increase comfort. A. C. D. Holding the breath, bending the knees, or lifting the head off of the bed will not increase the patient's comfort with movement.
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The mother of a two-year-old child becomes very anxious when the child has a temper tantrum in the medical office. The appropriate nursing response to the mother would be to say:
1. "Let's ignore this behavior. It will stop sooner." 2. "What do you usually do or say during a temper tantrum?" 3. "This is definitely a temper tantrum. I know exactly what you are feeling right now." 4. "Pick up and cuddle your child now, please."
A client who has undergone aortoiliac bypass graft surgery for peripheral arterial disease has developed compartment syndrome. What nursing intervention would be most appropriate for this client?
A. Carry out passive range-of-motion exercise on the affected limb to increase flex-ibility. B. Prepare the client for return to the operative suite for surgical correction. C. Medicate the client for pain and place the client in a knee-chest position. D. Loosen the dressing and elevate the extremity to the level of the heart.
The nurse practicing in a small community hospital has a client who does not seem to be responding well to nursing care. The nurse plans to help the client by:
1. Trying a different approach to care against policy. 2. Networking on-line with other nurses giving similar care. 3. Proposing a nursing research project to the manager. 4. Asking the doctor for a new nursing approach to care.
Which statement regarding health teaching related to the management of disease processes has been proven by research?
A) Healthcare costs are better managed when the client is educated about their treatment plan B) Fewer complications are experienced by clients who are well educated about their healthcare needs. C) Nursing education prepares the nurse to address the client's need for healthcare management information D) Little research has been done to support the long term affect client education has on the management of disease processes