The nurse is creating a plan of care for a client scheduled for surgery. The nurse should include which activity in the nursing care plan for the client on the day of surgery?
A: 1. Avoid oral hygiene and rinsing with mouthwash.
B: 2. Verify that the client has not eaten for the last 24 hours.
C: 3. Have the client void immediately before going into surgery.
D: 4. Report immediately any slight increase in blood pressure or pulse
A: 1. Avoid oral hygiene and rinsing with mouthwash.
B: 2. Verify that the client has not eaten for the last 24 hours.
C: 3. Have the client void immediately before going into surgery.
D: 4. Report immediately any slight increase in blood pressure or pulse
举一反三
- The most important feeling for the nurse to convey to the client in order for the client with personality disorder to accept the nurse is one of() A: Let client feel warm and being care B: Willingness to help C: Remorse for client D: No-nonsense demands with client
- The nurse is caring for a client with an acute bleeding cerebral aneurysm. Which of the following activities is not appropriate in nursing care（） A: Position the client to prevent airway obstruction. B: Keep the client in one position to decrease bleeding. C: Administer IV fluid as ordered and monitor the client for signs of fluid volume excess. D: Maintain the client in a quiet environment.
- Which of the following orders should a nurse question for a client who is scheduled for surgery? A: Demerol (meperidine) 200 mg IM B: Atropine sulfate 0.4 mg IM C: Valium (diazepam) 2 mg IM D: Phenergan (promethazine) 25 mg IM
- While taking an adult client’s pulse, the nurse finds the rate to be 140. The nurse would report and document this finding as
- When working with a client who is depressed, the nurse should initially:() A: Accept what the client says B: Attempt to keep the client occupied C: Try to keep the client from talking too much D: Keep the client’s surroundings bright and gay