A client has returned from an open cholecystectomy. The nurse places the highest priority on which intervention?
a. Coughing and deep breathing
b. Early ambulation
c. Wearing anti-embolic hose
d. Use of a nasogastric tube
A
After cholecystectomy, clients find it difficult to take deep breaths and cough independently be-cause of the location of the incision. Preventing pneumonia is a critical outcome of the diagnosis Risk for Injury.
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A patient has been prescribed mirtazapine (Remeron). How will it decrease migraine headaches and depression?
A) It increases concentration of endogenous epinephrine. B) It blocks the presynaptic alpha2-adrenergic receptors. C) It acts on the dopamine only receptors in the brain. D) It inhibits norepinephrine and serotonin reuptake.
A nurse is providing health education to an adolescent newly diagnosed with type 1 diabetes mellitus and her family. The nurse teaches the patient and family that which of the following nonpharmacologic measures will decrease the body's need for insulin?
A) Adequate sleep B) Low stimulation C) Exercise D) Low-fat diet
A scrub nurse thinks aseptic technique may have been broken while setting up the instrument stand in the operating room. Which of these actions should the scrub nurse take NEXT?
a. Ask the circulating nurse to remove and replace the instrument setup, rescrub, and set up the area again. b. No action is necessary, because the client is already on preoperative antibiotics. c. Report the possible compromise in private to the anesthesiologist. d. Request a replacement setup and proceed to prepare for the surgery.
A client becomes upset after speaking with his wife on the telephone. He begins to pace the floor and rub his chest. The interventions that are collaborative nursing roles are to:
a. console the client b. offer to sit and talk with the client c. obtain an electrocardiogram (EKG) d. assist the client to practice relaxation exercises