When the PACU nurse assesses diminished breath sounds in the unconscious recovering patient, the nurse should:
a. hyperventilate the patient with an Ambu bag.
b. turn the oxygen up to 3 L/min.
c. elevate the head of bed 45 degrees.
d. chart, "Diminished breath sounds in both lower lobes."
D
Mild atelectasis is an expected sign after anesthesia for the first 48 hours after surgery. This would be considered a normal finding while the patient is in the PACU and would require no further intervention unless other signs and symptoms, such as decreased oxygen saturation, were present.
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While documenting patient care, the nurse notes that a postpartum patient is accepting the birth of the child well. What did the nurse most likely observe to come to this conclusion?
A) Names the child after a well-loved friend B) Asks the nurse to take a photo of the child C) Turns the face to meet the infant's eyes when holding the baby D) Comments that the baby has the most hair of any in the nursery
A nurse is caring for a patient with a fever of 10C.2°F whose wife asks, "Why does his body get so hot like that?" The nurse's best response is:
1. "Actually, a fever is often what makes people seek medical help." 2. "A fever is the body's way of creating an environment that is harmful to germs." 3. "It is frustrating that his fever is still high when I gave him Tylenol 10 minutes ago." 4. "I think the fever is still up because the antibiotics haven't had time to work yet."
Famotidine is available as over-the-counter 10-mg tablets. If Kayla takes one tablet every 12 hours over a period of four days. What is the total dosage of famotidine administered to Kayla?
A. 48 mg B. 40 mg C. 120 mg D. 80 mg
The parents of a young man who abuses alcohol are theorizing about the origins of his problem with the psychiatric–mental health nurse. How are psychosocial and behavioral factors implicated in the development of substance abuse disorders?
A) Disturbed psychosocial and behavioral factors are considered to be causes of substance abuse disorders. B) Psychosocial and behavioral factors increase the client's vulnerability to drug or alcohol abuse. C) Psychosocial and behavioral factors have little influence on the development of substance abuse disorders but are used in treatment. D) Disturbed psychosocial and behavioral factors are a function of the disease process and are not part of the development of a substance abuse disorder.