Which of the following is the most appropriate nursing intervention to prevent development of postoperative paralytic ileus when caring for a postsurgical client?
A) Encourage progressive activity.
B) Report large amounts of emesis.
C) Encourage ambulation.
D) Administer prescribed bulk-forming laxatives.
C
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Before tube insertion, the nurse performs the NEX measurement, which is the
a. distance from the tip of the nose to the ear lobe and to the xiphoid. b. length of a tube from the hub to the tip converted to centimeters. c. distance from the ear lobe to the umbilicus. d. width of the lumen of the tube multiplied by the length.
A client has a serum potassium of 2.5 mEq/L. While reviewing the client's medical administration record, the nurse suspects that which medication might have contributed to this imbalance?
1. Metoprolol 2. Hydrochlorothiazide 3. Aspirin 4. Acetaminophen
The nurse identifies the problem of impaired physical mobility in a patient hospitalized with traumatic injuries. Which intervention should the nurse identify as appropriate for this patient?
A. Provide active range-of-motion exercises to affected extremities every 8 hours. B. Remove anti-embolic stockings for 3 hours every shift. C. Administer tetanus toxoid. D. Turn and reposition every hour.
The nurse will know that a client with head lice understands principles of pediculicides when she can discuss
1. contraceptive measures. 2. importance of following package directions exactly. 3. sun protection. 4. antifungal creams.