A nurse is teaching a client who has an abdominal incision about coughing and deep breathing Call the primary health care provider to request more analgesia. "Hold your breath for 5 seconds. If the tracheostomy is dislodged, an obturator is used to reinsert the outer cannula of the tracheostomy. flush the catheter with sterile water daily d. A nurse is preparing to administer an injection of an opioid medication to a client. Rapid onset of dehydration E. Pain management and more. Importance of Chest pain and dyspnea As an embolus occludes a pulmonary artery, it blocks the supply of oxygenated blood to the heart, causing chest pain. Vitamin D, A nurse is assessing a client who has a pressure ulcer. Use a soft chair or recliner for sitting. Clots in the tubing during the first postoperative day B. palpable pedal pulse D. Wash hands with soap and water, followed by an alcohol-based hand rub. Which of the following actions should the nurse take to promotor thinning of respiratory secretions? A. Which of the following instructions by the nurse is related to preventing skin breakdown?, A wound, ostomy and continence nurse (WOCN) is providing an in service to a group of nurses about documentation The nurse should follow these general tips for postoperative abdominal incision care: Always wash your hands before and after touching your incisions. Position a heat lamp over the lower extremities. 3 mEq/L C. Which of the following instructions should the nurse include to promote comfort? Sleep on a firm mattress. which of the following response should the nurse offer? A. assist the client in a side-lying position to cough B. Hold your breath for several seconds 3. D) Raw vegetables. which of the following statements should the nurse make? (select all that apply) A. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 5 days postoperative after abdominal surgery. Apply ice packs to painful joints, A nurse Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a client for endotracheal intubation. Inspect your incisions and wounds every day for signs your healthcare provider has told you are red flags or concerning. "Take your heart medication with a sip of water before surgery" B. All pulses palpable. Which of the following oxygen delivery devices should the nurse expect to use?, A nurse is Study with Quizlet and memorize flashcards containing terms like 100. When the client asks, "Why am I practicing leg exercises when I'm having hernia surgery?" what is the appropriate nursing response? This technique will help with pain control. 9 x 103 cells/mm3 (12. Which factor(s) in the client's health history signals to the nurse that the client is at increased risk? Select all that apply. What action by the nurse is best? a. ) A diet high in saturated fats A history of smoking for 25 years A sedentary lifestyle A nurse is reinforcing teaching with a client who has an abdominal incision about coughing and deep breathing. What does the nurse explain to the client about why these actions are important? Study with Quizlet and memorize flashcards containing terms like A nurse is explaining to a client about coughing following surgery. The nurse is caring for a 27-year-old client who presents with A nurse is reinforcing teaching with a client who has an abdominal incision about coughing and deep breathing. The nurse should identify that that partner is experiencing which of the following types of Rover formance stress? Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing teaching with the caregiver of a client who is near death. Which of the following instructions should the nurse provide? A. Which of the following client statements indicates an understanding of the teaching? Potassium 5. In which order should the nurse instruct the client to perform the following steps? (Move the steps into the box on the right, placing them in the selected order of performance. The client asks the nurse to repeat the instruction before attempting the exercises 2. Which of the following oxygen delivery devices should the nurse expect to use?, A nurse is An obturator The nurse should ensure that a client who has a tracheostomy has an obturator at their bedside. The nurse offers to break the pill into two smaller pieces. A nurse is collecting data from a client who has 30% body surface area deep partial-thickness and full-thickness Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a postoperative client. , A female client age 54 years has been scheduled for a bunionectomy (removal of bone tissue A nurse is reinforcing teaching with a client who has an abdominal incision about coughing and deep breathing. Absent bowel sounds with distention C. Which of the following nutrients should the nurse include in the teaching? A. Study with Quizlet and memorize flashcards containing terms like The nurse is providing postoperative care to a client with cancer of the lung who had a lobectomy. ) A nurse who is teaching a client who has an abdominal incision about coughing and deep breathing. In which order should the nurse instruct the client to perform the following steps? 1. What Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing preoperative teaching with a client who will undergo surgery to create a temporary colostomy. Care for the surgical incision b. The client has a history of arthritis and has been taking acetylsalicylic acid. The nurse is caring for a client who had abdominal surgery yesterday and is reluctant to cough and perform deep breathing. ", A The nurse is teaching the client who recently experienced abdominal surgery to deep breathe and cough effectively. For which of the Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with the development of a plan of care to manage pain for a client who has herpes zoster with lesions on the lower extremities. 5 mg/dL, A nurse is teaching about daily chest physiotherapy with a client who has cystic fibrosis. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has been admitted with a diagnosis of an obstruction in the small intestine. After reviewing the report of the complete blood count (see report), the nurse should also report which results to the Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is 48 hours post-op following abdominal surgery. Ambulate three times a day C. The nurse should identify that which of the following can cause hypoxia?, Study with Quizlet and memorize flashcards containing terms like A nurse is teaching about secondary prevention actions for colorectal cancer for a health fair for adults in the community. hypotension b. Normal bowel sounds with A nurse is teaching client who is postoperative about the importance of turning, coughing, and breathing deeply. Which of the following actions should the nurse take first? 1. 9 x 109 /l), hemoglobin 14 g/dl (140 g/l), blood glucose level 130 mg A nurse is teaching a client who is preoperative how to do deep-breathing exercises and cough effectively after surgery. Which assessment finding includes a complication? A. Encourage the client to increase fluid intake D. What would the nurse do next? a. The nurse monitors the client for thrombus formation. A. It also blocks blood flow to the lungs, causing dyspnea. Repeat the breathing exercises twice each day. Which of the following alterations in tissue integrity should the nurse expect to find?, A nurse is assisting with discharge teaching for a client who has a stage 1 pressure injury to the sacrum. The client reports discomfort from abdominal distension and flatus. Study with Quizlet and memorize flashcards containing terms like A client has a nursing diagnosis of Ineffective airway clearance related to poor coughing. Call the provider to request more analgesia. Benefits of a diet high in cruciferous vegetables C. " c. If you continue to breathe shallowly or cough ineffectively, this can lead to deep vein Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is scheduled for surgery and is experiencing anxiety. There is no visible soiling on the nurse's hands. The nurse is demonstrating which of the following ethical principles? A nurse is assisting with the care of a client following abdominal surgery. Which of the following instructions should the nurse include? A. Which of the following statements should the nurse make? a. " "I breathe deeply and cough every 4 hours. To decrease the heartburn, the nurse should instruct the client to eliminate which of the following items from the diet? A) Lean beef. Study with Quizlet and memorize flashcards containing terms like 1. Which of the following actions should the nurse take? a. "Exhale through your nose. The client has decreased bowel sounds C. Exhale slowly 4. Bloody fluid in the drainage-collection chamber on Study with Quizlet and memorize flashcards containing terms like a nurse is collecting data from a patient who had PAD and is scheduled for RLE amputation. Which strategy will most likely increase the client's willingness to cough and perform deep breathing? Teach the client how to splint the abdomen while coughing. The client has a sudden onset of shortness of breath and begins coughing frothy, pink sputum. Instruct the client to report increased abdominal pain. Which of the following actions should the nurse take? after meals is not ideal because bronchodilators are typically given before meals to help open the airways and make breathing easier during eating. Study with Quizlet and memorize flashcards containing terms like A nurse is planning discharge teaching for a client who is postoperative following a traditional open cholecystectomy. " A nurse is caring for a client who had a myocardial infarction 5 days ago. " B. Encourage deep-breathing and coughing--- The first action the nurse should take when using the airway, breathing, and circulation (ABC) approach is to encourage the client to breathe deeply and cough to clear secretions from the airway. Vitamin B1 d. Review The nurse is supervising a nursing student who is providing postoperative education to a client with an abdominal incision. Administer respiratory treatments to encourage coughing. Test water temp with Study with Quizlet and memorize flashcards containing terms like The nurse has completed an intervention with a client. "Use the incentive spirometer every hour while awake" C. Potassium 2. The client has been vomiting for the past 24 hours and reports a pain level of 8 on a 0 to 10 scale. ) The nurse has admitted a client to the postoperative unit following a bowel resection and is providing postoperative health education on coughing and deep breathing. The nurse sees the student coaching the client to perform coughing exercises, as pictured above. Calcium c. Which of the following interventions is appropriate?, A nurse is planning to Study with Quizlet and memorize flashcards containing terms like A nurse in a provider's office is collecting data from a client who has skin lesions. D) Take serial measurements of the abdomen with a tape measure. He asks the nurse to recommend specific exercises for him. b) To mobilize secretions in the Airways. A client has a great deal of pain when coughing and deep breathing after abdominal surgery despite having pain medication. Place a pillow Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following an above-the-knee amputation of the right leg and reports pain in the absent portion of the limb. Study with Quizlet and memorize flashcards containing terms like The nurse has conducted preoperative teaching for a client scheduled for surgery in 1 week. How many times and how often Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from a client who is receiving oxygen therapy. A nurse is caring for a client who is 6 days postoperative from abdominal surgery. Which of the following assessments is an Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an indwelling urinary catheter. to stimulate the cough reflex A client has a great deal of pain when coughing and deep breathing after abdominal surgery despite having pain medication. The client with pulmonary embolism typically has a cough that produces blood-tinged sputum (rather than a nonproductive cough) and chest pain (rather than abdominal pain). Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with the development of a plan of care to manage pain for a client who has herpes zoster with lesions on the lower extremities. ), A nurse is preparing to perform an assessment of a client's abdomen. " Study with Quizlet and memorize flashcards containing terms like A nurse teaches deep breathing exercises to a client scheduled for surgery. The nurse notes a hard, distended abdomen and absent bowel sounds. Which of the following statements Wound dehiscence can lead to infection, bleeding, and evisceration (protrusion of internal organs through the incision). Trim toenails by rounding the edges of the nail C. numbness c. A client who has been diagnosed with gastroesophageal reflux disease (GERD) complains of heartburn. Which of the following actions should the nurse take to promote thinning of respiratory secretions? a. Teach the client how to splint the abdomen while coughing C. The nurse is educating a patient who has a thoracic or abdominal incision about how to perform postprocedure controlled coughing. Which of the following statements indicates the client understands the reinforcement of teaching?, A Study with Quizlet and memorize flashcards containing terms like A nurse is placing a client in the dorsal recumbent position. encourage the client to ambulate frequently b. The client has a chest tube attached to suction. Which of the following information should the nurse provide the parent?, A nurse is providing teaching to a client who Study with Quizlet and memorize flashcards containing terms like A nurse is teaching an older adult client who has a new prescription for a pain medication. The client has an NG tube to provide continuous suction C. Which of the following actions should the nurse take to ensure proper A nurse is teaching a client with cystic fibrosis about daily chest physiotherapy. Encourage coughing and deep breathing C. A nurse is preparing to perform wound care and remove Study with Quizlet and memorize flashcards containing terms like (Select all that Apply) A nurse is caring for a client who is postoperative following abdominal surgery. Calcium 10 mg/dL, A nurse is assisting with the care of a Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 2 days postoperative from abdominal surgery. 1 Dietary recommendations B. What is an action of this medication?, Which nursing action will best promote pain management for a client in the postoperative phase?, After a client receives morphine sulfate A nurse is caring for a client who is 2 days postoperative following a cholecystectomy. What is the best method to ensure that the client understands the procedure?, The nurse is teaching a preoperative patient how to perform deep breathing exercises. The client is morbidly obese B. A nurse is teaching a client who has an abdominal incision about coughing and deep breathing. Which of the following interventions should the nurse identify as the priority?, A nurse is contributing to the plan of care for a client who has peripheral arterial disease of the lower extremities. " "When coughing, apply firm pressure on the incision with a bath blanket to Study with Quizlet and memorize flashcards containing terms like When an older adult client is brought to the recovery room and presents with irregular, loud respirations, the nurse determines that this is most likely a result of, A client will be having a surgical procedure requiring general anesthesia. The nurse notes a moderate amount of serosanguineous drainage on the old dressing. Which statement will the nurse use to educate the client? · "I think it might be good to refer you to a psychiatrist. encourage the client to increase fluid intake d. In which order should the nurse instruct the client to perform the following steps? A) Inhale deeply, cough, exhale B) Exhale, inhale deeply, cough C) Cough, exhale, inhale deeply D) Exhale, cough, inhale deeply Study with Quizlet and memorize flashcards containing terms like The nurse in the ED is caring for a client who has returned to the ED 4 days after receiving stitches for a knife wound on his hand. What criteria would alert the health care worker to her nutritional risk? a) Arm muscle circumference 90% of standard b) Body weight decrease of 5% c) Total lymphocyte count of 1,500/mm3 d) Albumin level of 3. Carefully reinsert the intestine through the opening of the wound B. Assess fluid intake every 24 hours B. Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing preoperative teaching with a client who is to undergo a pneumonectomy. Which of the following activities should the nurse suggest?, A nurse is reinforcing preoperative teaching about breathing exercises with a client. Smoking cessation B. The client's partner expresses frustration about finding time to manage household responsibilities while caring for their partner. Hypoactive bowel sounds; reports nausea, no vomiting; client is passing flatus. In which perioperative phase would this action occur?, A client has presented to a clinic for a preoperative consult, during which the client has expressed concern about having to fast before surgery. Night sweats D. Blood The nurse is caring for a client who had abdominal surgery yesterday and is reluctant to cough and perform deep breathing. A nurse is teaching a client who has a pressure injury on their leg about proper nutrition to facilitate wound healing. On assessment, the nurse notes that the client's wound has eviscerated. Which of the following manifestations should the nurse identify as an indication for discontinuing the application due to a systemic response? a. The nurse should recognize which An 80-year-old client who has a fractured hip The nurse should identify that an 80-year old client who has a fractured hip is at the greatest risk for a complication due to immobility and a lack of lower-extremity movement, which can lead to DVT. Protein B. Hyperactive bowel sounds with diarrhea. "Exhale into the incentive spirometer" B. ) Study with Quizlet and memorize flashcards containing terms like A nurse is providing teaching for a client who has a new prescription for an incentive spirometer. Choice B reason: Breathing deeply and coughing every 4 hours is part of postoperative care, but it does not indicate understanding of the technique to protect the incision. Which of the following actions should the nurse take?, A nurse is contributing to the plan of care for four patients. Which criterion would the client need to demonstrate to ensure that she is ready for discharge? verbalize absence of pain void normally exhibit no bleeding eat without nausea, The nurse is teaching Study with Quizlet and memorize flashcards containing terms like A nurse is conducting discharge teaching about foot care for a client who has diabetes mellitus. "Repeat your breathing exercise every 2 hrs. Which of the following should the nurse do? A. The client reports a sudden pulling sensation and pain in his surgical incision. Which of the following actions should the nurse take?, A nurse is caring for a client who had a mastectomy and has a self-suctioning drainage evacuator in place. Which statement indicates a lack of readiness to learn by the client?, A nurse is preparing a client who is scheduled for a hysterectomy for transport to the operating Study with Quizlet and memorize flashcards containing terms like A nurse is teaching the parent of a child who has severe reactive airway disease about glucocorticoid therapy. Which of the following statements by the client indicates to the nurse an understanding of the teaching?, A nurse is planning care for a client Study with Quizlet and memorize flashcards containing terms like A nurse is changing the dressings for a client who has two Penrose drains near an abdominal incision. Which of the following findings should alert the nurse that the client is developing an Study with Quizlet and memorize flashcards containing terms like A nurse is replacing the surgical dressings on a client who had abdominal surgery. What will the nurse do? a. Use all the steps. The client tells the nurse that the pill is too large to swallow and refuses to take it. In which order should the nurse instruct the client to perform the following steps? "take a deep breath" hold your breath for several seconds. Which of the following information should the nurse provide the parent?, A nurse is providing teaching to a client who Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing the laboratory values for a client who has heart failure and is taking bumetandine. " · "That is called phantom pain and it is not unusual. Which of the following statements by the client indicates understanding of the teaching? "I will no longer floss my teeth after brushing my teeth" instruct the client to avoid flossing teeth to prevent gum inflammation, which could create an opportunity Which of the following findings should the nurse identify as risk factors for heart disease? (Select all that apply. "Hold your breath for 10 secs. Medications used during surgery c. The nurse discovers a loop of bowel through an opening in the Quiz yourself with questions and answers for Gas exchange and oxygenation Test, so you can be ready for test day. d. Contact the surgeon to discuss the need for What will the nurse include in the client teaching about preventing repeat hospitalizations? level of pain while performing cough and deep-breathing exercises while splinting incision. Which o f the following abdominal assessments should the nurse expect? A. Weight gain C. Copious diarrhea D. Which of the following instructions should the A nurse is caring for a client who has pneumonia. "Inhale through your mouth. excess hair growth on A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. Client rates pain as 7 on a scale of 0 to 10. Which of the following instructions should be The nurse is preparing discharge instructions for a family member who will be caring for a client with an abdominal incision. Cyanosis of the fingertips, A nurse is providing discharge instructions to a client who Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a history of asthma and is wheezing. A nurse is teaching a client how to take a deep breath and cough during postoperative care after abdominal surgery. New types of ostomy appliances D. Which of the following is the purpose of these treatments? a) To encourage deep breaths. Client is awake, alert, and oriented x3. "Help them onto their left side if they are experiencing nausea. In which order should the nurse instruct the client to perform the following steps? -Hold your A nurse is teaching a client who has an abdominal incision about coughing and deep breathing In which order should the nurse instruct the client to perform the following steps? (Move the A nurse should teach a client who has an abdominal incision to perform these steps in following order: Exhale, inhale deeply, and then cough (Option B). Choice C reason: Splinting the incision with a pillow while coughing is a recommended technique to support the incision and reduce pain during coughing, indicating an Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing teaching of postoperative deep breathing and coughing exercises with a client who will have emergency surgery for appendicitis. "Splint the abdominal incision with a pillow when coughing and deep breathing. Assist with deep breathing and coughing D. Encourage the client to ambulate frequently B. Which of the following nutrients should the nurse include in the teaching? a. Vitamin B1 D. Ask the client to briefly explain his cultural The nurse is providing postoperative education to a client with an abdominal incision and is coaching the client to perform coughing exercises, as pictured above. Study with Quizlet and memorize flashcards containing terms like A nurse is administering cold therapy application to a client. Which of the following adhering devices is the best choice for the nurse to use to decrease skin irritation?, A nurse if preparing to anchor with tape the catheter tube for a male client who has a newly After positioning the client to teach deep-breathing exercises, the nurse asks the client to place the hands on the rib cage. How does the nurse instruct the client? The nurse has admitted a client to the postoperative unit following a bowel resection and is providing postoperative health education on coughing and deep breathing. " . Have the client take shallower breaths. The nurse draws out 1 mL of the medication from Study with Quizlet and memorize flashcards containing terms like The nurse is teaching a client who will undergo abdominal surgery to repair a hernia about leg exercises. Deep breathing and coughing techniques d. shivering d. The nurse has transferred the client from the stretcher to a bed and asked the client if he is experiencing pain. Provide written materials that are printed with a small font size. Study with Quizlet and memorise flashcards containing terms like The nurse is caring for a client that is experiencing increased shortness of breath. Which of the following findings is a clinical manifestation of pulmonary tuberculosis? A. Which of the following statements by the patient indicates an understanding of the teaching?, A nurse is caring for a patient who is postoperative following abdominal surgery. The student nurse should understand this clients stools will like 7. Incision care C. The client has Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative and has paralytic ileus. to dilate the bronchioles d. DVT is caused by venous stasis and blood clot formation in the vascular system and can lead to Study with Quizlet and memorize flashcards containing terms like A nurse in an orthopedic clinic is reinforcing teaching with a client who has osteoarthritis. Encourage deep breathing and coughing. Magnesium 1. empty the drainage bag when it is three/fourths full c. What should the nurse discuss with the client A nurse is providing discharge teaching about infection prevention to a client who has AIDS. "Keeping the room warm will help them breathe easier. The nurse A nurse is caring for a client who has an abdominal surgical incision and notes an evisceration. The Study with Quizlet and memorize flashcards containing terms like 1. Projectile vomiting B. Instruct the client to keep a pain diary. Significant abdominal distention C. " b. Apply extra gauze to the new dressing. D. The nurse auscultates loud, bubbly sounds on inspiration. Coughing and deep-breathing exercises D. Which of the following interventions should the nurse include in the plan of care? Keep bed linens o of the affected areas. Client presents to the ED with upper abdominal pain that radiates to the right shoulder. "I should leave the patch on for 16 to 20 hours each day. States pain became worse this morning and is radiating to the back. Which of the following foods Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from a client who has a stage 3 pressure injury on the coccyx. Reports minimal pain on abdominal palpation. Lung sounds clear bilaterally, S1 and S2 heart tones noted. In which order should the nurse instruct the client to perform the following "I start to use the incentive spirometer when I can get out of bed. Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to perform light palpations of a clients abdomen. What suggestion should the nurse give?, A nurse is contributing to a teaching plan about the prevention of hepatitis A. 4 mEq/L D. Which laboratory test best measures the adequacy of tissue oxygenation?, When planning a class for primigravid clients about the common physiological Study with Quizlet and memorize flashcards containing terms like A nurse in a providers office is assessing a client who states he was recently exposed to TB. It is important for the client to turn, cough, and deep breathe to reduce the risk for respiratory complications. The nurse should follow these general tips for postoperative abdominal incision care: Always wash your hands before and after touching your incisions. The nurse removes the client's surgical dressing and notes a separation of the wound edges. Which of the following adventitious breath sounds should the nurse document? Study with Quizlet and memorize flashcards containing terms like The nurse is teaching a preoperative client how to perform deep-breathing exercises after back surgery. " C. Oral antibiotic therapy after discharge home, The A nurse is teaching a client who has human immunodeficiency virus (HIV) about how the virus is transmitted. Decontaminate hands using an alcohol Study with Quizlet and memorize flashcards containing terms like A nurse providing preoperative teaching to a client who is to have abdominal surgery. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who had abdominal surgery yesterday and is reluctant to cough and perform deep breathing. 4 mEq/L. Study with Quizlet and memorize flashcards containing terms like A client who had a recent amputation below the knee tells the nurse about feeling as though the toes are cramping in the missing leg. What does the nurse explain to the client about why these actions are important? a. Which teaching statements follows the recommended guidelines? "If you cough, turn your head away from the incision to protect it from microorganisms. The preoperative nurse is teaching a client about deep-breathing exercises. Which of the following findings should the nurse report to the provider? A. Which of the following actions should the nurse take? The nurse is caring for a client on the third day following abdominal surgery and assess the absence of bowel sounds, abdominal distention, and the client passing no A nurse is assessing a client who is postoperative following abdominal surgery. Frequent bowel sounds with flatus B. Which of the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who reports feeling a pop after coughing without properly splinting an abdominal incision. A nurse is A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD) about minimizing the effects of reflux during sleep. ) 【Solved】Click here to get an answer to your question : A nurse is teaching a client who has an abdominal incision about coughing and deep breathing In which order should the nurse instruct the client to pe Study with Quizlet and memorize flashcards containing terms like A nurse is inserting a nasogastric tube for a client and asks the client to flex their head toward their chest after the tube passes through the nasopharynx. Pericardial friction rub B. Febrile, oriented to person, place and time. What teaching would the nurse include about DVT prevention?, A nurse is receiving a client to the postanesthesia unit. The wound is now infected, so the stitches were removed, and the wound is cleaned and packed with gauze. The client acknowledges that he is in pain. A colostomy drains stool and ileostomy drains Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an indwelling urinary catheter. to encourage deep breaths b. The client has been vomiting for the past 24 hr and reports a pain level of 8 on a 0 to 10 scale. The nurse should identify that which of the following findings increases the client's risk for wound evisceration? A. Hold breath for 5 seconds after goal volume is reached Patient should hold their breath for 3 to 5 seconds after reaching maximal inspiratory volume. "I will apply a new patch in the same location each day. Which technique is recommended by infection control practice standards for hand hygiene? a. when using the incentive Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a history of asthma and is wheezing. C) Hot chocolate. Which of the following statements indicates a lack of readiness to learn by the client? 1. Which of the following actions should the nurse take?, A nurse is reinforcing teaching with a client who has A nurse is reinforcing teaching about transdermal nitroglycerin (Nitro-Dur) to a client who has stable angina. It will make sure Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has urinary incontinence. The nurse should identify that which of the following can cause hypoxia? Normal breathing Smoke inhalation Crackles in the lungs Infection 5 of 20 A nurse is reinforcing teaching with a client who has an abdominal incision about coughing and deep breathing. Which of the following signs should indicate to the nurse that the client has developed a thrombus?, A nurse is monitoring a client who is receiving a unit of packed RBCs following surgery. . A recently extubated client has shortness of breath. Which of the following topics should the nurse include? A. Which of the following actions should the nurse take?, A nurse is preparing to remove staples from a client's incision. Which of the following statements by the client indicates teaching has been effective? A. Pain management, A nurse is A nurse is demonstrating postoperative deep breathing and coughing exercises to a client who will have emergency surgery for appendicitis. b. c) Encourage deep breathing and coughing. In planning care for this client, the nurse should be prepared to perform catheterization if the patient hasn't avoided in: A. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following a vascular surgery. Which strategy will most likely increase the client's willingness to cough and perform deep A nurse is caring for a client who has pneumonia. The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? Shellfish Peanuts Eggs Avocados, Complete the diagram by dragging from the choices below to specify what condition the client is most likely A nurse is caring for a client who has a prescription for a potassium supplement. Which strategy will most likely increase the client's willingness to cough and perform deep breathing?, The nurse is teaching a client about splinting and coughing postoperatively. A nurse is checking a client' s abdominal incision several hours following surgery and realizes that it is eviscerating. The client received an opioid analgesic 1 hr prior. clean the perineal area at least once a day b. Which of the following interventions should the nurse include in the plan of care?, A nurse in an orthopedic clinic is reinforcing teaching with a client who has osteoarthritis. The nurse should instruct the client that Which of the following is the purpose of the treatments? a. Which of the following interventions A nurse is teaching a client who has an abdominal incision about coughing and deep breathing. Dietary recommendations B. The nurse should identify that which of the following findings can indicate oxygen toxicity?, A nurse is caring for a client who is receiving supplemental oxygen for hypoxia. Remind the client of the serious complications that can result A nurse is talking with the partner of a client who has dementia. Which of the following statements should the nurse identify as an indication that the client understands the instructions? From the middle of the thigh toward the wound From the left lower abdominal quadrant toward the wound From Study with Quizlet and memorize flashcards containing terms like A nurse is performing a preoperative assessment for a client. B) Air-popped popcorn. "Aspirin can cause bleeding after Study with Quizlet and memorize flashcards containing terms like A nurse from the ambulatory surgical center is preparing discharge instructions for a client who has had pelvic surgery. The nurse should instruct the client to splint the incision while performing these actions to reduce the risk of Study with Quizlet and memorize flashcards containing terms like A nurse is providing preoperative teaching for a client about coughing and deep breathing. The nurse should also ensure that a spare tracheostomy of the client's size, as well as a tracheostomy of one size smaller, supplemental humidified air or oxygen, and Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client about deep venous thrombosis (DVT) prevention. encourage coughing and deep breathing c. encourage regular use of the incentive spirometer Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing wound edges and applying a blinder to the separated incisions of a client after a surgery. "After surgery, deep-breathing exercises help to remove anesthetic gases and mucus and improve Study with Quizlet and memorize flashcards containing terms like A nurse is teaching the parent of a child who has severe reactive airway disease about glucocorticoid therapy. Protein b. In which order should the nurse instruct the client to perform the following steps? 1) A nurse is teaching a client who has an abdominal incision about coughing and deep breathing. B. Incision Care C) Coughing and deep-breathing A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for regular and NPH insulin. The client reports severe pain 3. The nurse should instruct the client to lie supine with his A nurse is reinforcing teaching of postoperative deep breathing and coughing exercises with a client who will have emergency surgery for appendicitis. " · "Oh, that is Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a patient who is preoperative how to do deep-breathing exercises and cough effectively after surgery. What observable action serves to best minimize pain that may result from the intervention? The nurse is providing postoperative education to a client with an abdominal incision and is coaching the client to perform coughing Study with Quizlet and memorize flashcards containing terms like A female patient who is being treated for self- inflicted wounds tells the nurse that she is anorexic. The nurse determines that the client needs additional teaching if the client makes which statement? 1. Which of the following findings should the nurse expect in the affected limb. Tell the client a little pain is expected. A nurse is providing teaching about Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a male client in an outpatient psychiatric clinic. Bowel sounds Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with the care of a client who is 2 days postoperative. to mobilize secretions in the airways c. " "I'll ask for pain medication after I do the exercises. Demonstrate how to splint the incision. The parent asks why her child has to inhale the medication instead of taking it orally. Apply lotion between the toes after bathing D. disconnect the drainage bag when emptying and Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who had abdominal surgery 24 hours ago. The client A nurse is teaching a client who has an abdominal incision about coughing and deep breathing. reduced blood viscosity, a nurse is caring for a client who has Study with Quizlet and memorize flashcards containing terms like The nurse is performing a dressing change on a client who underwent abdominal surgery 6 days prior. A student nurse is receiving report from the LPN on duty, the LPN informs the nurse that the client has an colostomy in place. Vitamin D, A nurse is caring for a client who has a large lower-leg ulcer. After conferring with the provider, which of the following actions should the nurse take A nurse is teaching a client who has an abdominal incision about coughing and deep breathing. After conferring with the provider, which of the following actions should the nurse take first? A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. The nurse reports the client's discomfort and the results of the recently prescribed arterial blood gas analysis to the healthcare provider (HCP). Explore quizzes and practice tests created by teachers and students or create one from your course material. Which of the following actions is the priority? A. Calcium C. Study with Quizlet and memorize flashcards containing terms like A nurse is updating the plan of care for a client who is 48 hr postoperative following a laryngectomy and is unable to speak. Monitor the incision site for findings of infection, A nurse is talking with a client Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client to the postsurgical unit from the postanesthetic care unit. The ED doctor plans to have the man return tomorrow to remove the Study with Quizlet and memorize flashcards containing terms like A client comes to the clinic reporting chronic low back pain. What initial nursing activity is most important in the postoperative recovery area?, What measurement should the Study with Quizlet and memorize flashcards containing terms like Client presents with abdominal pain in the upper left quadrant for the past two days. The client states, "I am afraid it will hurt to cough after the surgery. Which of the following statements by the client indicates an understanding of the teaching? "I'll splint my incision with a pillow to cough. Sodium 136 mEq/L B. " Which of the following statements should the nurse make? a. The client is pale and slight circumoral cyanosis is developing. "Encourage meals at least three times daily. In what order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the order of performance. Provide the information at a 10th grade reading level. Skin cool to touch from calf to toes B. Which instruction is appropriate for this patient? A. Take a deep breath 2. Rates pain as 8 on a scale of 0 to 10. This decreases the collapse of alveoli, which helps to prevent the risk of atelectasis and pneumonia The patient should breathe normally for short periods of time between each cycle of breaths, to reduce hyperventilation and fatigue. The nurse should report this finding to the provider immediately and Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client about nutritional requirements necessary to promote wound healing. Administer respiratory treatments to encourage coughing D. Preventing curling of the tube in the mouth c The client has just returned from abdominal surgery. The nurse is teaching a client who will undergo abdominal surgery to repair a hernia about deep breathing. What step should the nurse have the client perform next? Encourage the client to cough and deep breathe This does not describe postural drainage. The nurse notes that the lesions are 0. c. after the surgeon removes the lung you will not need to cough b. A nurse is caring for a client who has a deep foot A medical surgical unit nurse is caring for a client who was transferred to the unit from the PACU approximately two hours ago. The nurse should document these findings as which of the following skin lesions?, A nurse is collecting data from a client who is 3 Which nursing measure would be most effective in helping the client cough and deep breathe after a cholecystectomy? Have the client take rapid, shallow breaths to decrease pain. " "Leg exercises facilitate quicker Which strategy will most likely increase the client's willingness to cough and perform deep breathing? A. Have the client lay on the left side while coughing and deep breathing. Which of the following actions should the nurse implement to prevent the development of skin breakdown?, A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following learning needs of the client is the nurse's priority? A. d) Assist the client with ambulation. The nurse checks the client's surgical wound and finds an evisceration. Client also reports nausea, vomiting, and dyspepsia. Which of the following actions should the nurse take first?, A nurse is caring for a client who requires 7 L of oxygen to maintain oxygen saturation. Which desired outcomes of general anesthesia does the nurse expect to observe? A nurse is caring for a client who is receiving supplemental oxygen for hypoxia. C. Cough two or three times and inhale between each cough. Which concept should be the priority in the teaching plan The postoperative client refuses to do deep breathing, and he refuses to turn while in bed. , A nurse A nurse is caring for a client who is 2 days postoperative following a cholecystectomy. The nurse should assess the client for which signs and symptoms? Select all that apply. Encourage regular use of the incentive spirometer Study with Quizlet and memorize flashcards containing terms like A nurse is providing teaching to a client who is in a wheelchair about measures to avoid skin breakdown. Which postoperative complication has the client developed?, A nurse is reviewing the intraoperative record of a client who has been admitted to the surgical unit following abdominal surgery. Closing off the glottis b. The anesthesiologist has ordered an anticholinergic medication for this client. The client ask the nurse about the difference between colostomies and ileostomies. " d. A nurse is reinforcing teaching with an adult client who has a low literacy level about the subcutaneous administration of medication. Teach the client to use a folded blanket or pillow to splint the incision. *The nurse should also expect to measure the client's abdominal girth to determine if ascites is increasing or decreasing. SATA A. This action facilitates proper insertion of the tube by achieving which of the following? a. This is because A nurse is reinforcing teaching with a client who has an abdominal incision about coughing and deep breathing. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Wear nylon socks with shoes everyday B. 20 in) in size, elevated, and solid with distinct borders. A) Neurological assessment B) Incisional drainage C) Urinary output D) Reported pain level E) Gastrointestinal assessment F) Vital signs, A nurse in a provider's clinic is caring for a client who has heart failure. Try jogging in place when joints feel stiff. The nurse observes that the clients wound is in evisceration. When planning this client's care, the nurse should include which intervention? -Increasing fluids to 2,500 ml/day -Improving airway clearance -Suctioning the client every 2 hours -Teaching the client how to deep-breathe and . 1 / 76 A nurse is reinforcing teaching with a client who has cirrhosis of the liver and a history of C. For which of the following results should the nurse notify the provider? A. Develop rubor when extremity is dependent position C. Brace the incision with a pillow and try to cough deeply Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with the development of a plan of care to manage pain for a client who has herpes zoster with lesions on the lower extremities. The nurse has helped the client to a sitting position. " "I lie flat in bed to cough and deep Explanation: Evisceration is a surgical emergency that occurs when the abdominal contents protrude through the incision site. A nurse is teaching a client who has an abdominal incision about coughing and deep breathing. 5 sm (0. " "I splint my incision with a pillow to cough. White blood count 12. What can cause the spread of Hepatitis A?, Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client about nutritional requirements necessary to promote wound healing. Study with Quizlet and memorize flashcards containing terms like Which topic is most important for the nurse to discuss preoperatively with a patient who is scheduled for abdominal surgery for an open cholecystectomy? a. Which of the following actions should the nurse take?, A nurse is teaching a client who has a new hearing aid. Which of the following actions should the nurse plan to take first?, A nurse is teaching a client who has a new prescription for a total parenteral nutrition through a central line. lfwon vbx xscydi did xtpxp xjwb uyosfh ppkdcoju tsuefmo wefkdm