更多"After abdominal surgery, a client i"的相关试题:
[单项选择]A 2-year-old client returns from surgery after a bowel resection as a result of Hirschsprung's disease. A temporary colostomy is in place. Which immediate postoperative nursing intervention takes priority ？（）
A. Changing the surgical dressing.
B. Suctioning the nasopharynx frequently to remove secretions.
C. Irrigating the colostomy with 100 ml of normal saline solution.
D. Auscultating lung sounds.
[单项选择]Nursing care for a client after electroeonvulsive therapy (ECT) should include which of the following
A. Nothing by mouth for 24 hours after the treatment because of the anesthetic agent.
B. Bed rest for the first 8 hours after a treatment.
C. Assessment of short-term memory loss.
D. No special care.
[单项选择]The nursing care plan for a client after gynecologic surgery includes nursing orders intended to help reduce the risk of thrombophlebitis. Which is not appropriate among the following nursing interventions
[单项选择]The nurse is planning care for a client after a tracheostomy. One of the client's goals is to overcome verbal communication impairment. Which of the following interventions should the nurse include in the care plan ？（）
A. Make an effort to read the client's lips to foster communication.
B. Encourage the client's communication attempts by allowing him time to select or write words.
C. Answer questions for the client to reduce his frustration.
D. Avoid using a tracheostomy plug because it blocks the airway.
[单项选择]The nurse is caring for a client after a closed renal biopsy. Which of the following nursing measures should be included in the plan of care
A. Maintaining the client on strict bed rest in a supine position for 6 hours.
B. Administering intravenous narcotic medications to promote comfort.
C. Inserting an indwelling catheter to monitor urine output.
D. Applying a sandbag to the biopsy site to prevent bleeding.
[单项选择]The nurse notices that a client's abdominal wound has eviscerated. Which of the following would the nurse do first
[单项选择]A client who has recently had surgery for prostate cancer expresses to the nurse feelings of anger toward God, his church, and the clergy. Which intervention isn't appropriate for this client
[单项选择]After gastric resection surgery, which of the following signs and symptoms would alert the nurse to the development of a leaking anastomosis
A. Pain, fever, and abdominal rigidity.
B. Diarrhea with fat in the stool.
C. Palpitations, pallor, and diaphoresis after eating.
D. Feelings of fullness and nausea after eating.
[单项选择]The second morning after surgery for a below-the-knee amputation of the left leg, the client says, "This sounds weird, but I feel pain on my left feet. " The nurse knows the client is experiencing a
A. denial reaction.
B. hallucination.
C. phantom-limb sensation.
D. body image disturbance.
[单项选择]A client is admitted for detoxification after a cocaine overdose. The client tells the nurse that he frequently uses cocaine but that he can control his use if he chooses. Which coping mechanism is he using ？（）
A. Withdrawal.
B. Logical thinking.
C. Repression.
D. Denial.
[单项选择]After cancer chemotherapy, a client develops nausea and vomiting. For this client, the nurse should give the highest priority to which action in the plan of care
A. Serve small portions of bland food.
B. Encourage rhythmic breathing exercise.
C. Administer metoclopramide (Reglan) and dexamethasone (Decadron) as prescribed.
D. Withhold fluids for the first 4 to 6 hours after chemotherapy administration.
[单项选择]A client reports a severe headache shortly after a lumbar puncture for a myelogram. What would be the nurse's best response
[单项选择]After a client receives an IM injection, he complains of burning pain in the injection site. Which nursing action would be the best to take at this time
A. Apply a cold compress to decrease swelling.
B. Apply a warm compress to dilate the blood vessels.
C. Massage the area to promote absorption of the drug.
D. Instruct the client to tighten his gluteal muscles to promote better absorption.
[单项选择]During the first 24 hours after a client is diagnosed with addisonian crisis, which of the following should the nurse perform frequently
A. Weigh the client.
B. Test urine for ketones.
C. Assess vital signs.
D. Administer oral hydrocortisone.
[单项选择]After a gastrectomy, the client will have a nasogastric tube in place for several days postoperatively. The nurse explains to the client that the nasogastric tube is for which of the following reasons
A. Prevent excessive pressure on suture lines.
B. Prevent the development of ascites.
C. Provide enteral feedings in the immediate postoperative period.
D. Enable administration of antacids to promote healing of the anastomosis.
[单项选择]After determining that a pregnant client is Rh-negative, the physician orders an indirect Coombs'test. What's the purpose of performing this test on a pregnant client
A. To determine the fetal blood Rh factor.
B. To determine the maternal blood Rh factor.
C. To detect maternal antibodies against fetal Rh-positive factor.
D. To detect maternal antibodies against fetal Rh-negative factor.
[单项选择]A client is in the first postoperative day after a total laryngectomy and radical neck dissection. Which of the following is a priority goal ？（）
A. Communicate by use of esophageal speech.
B. Improve body image and self-esteem.
C. Attain optimal levels of nutrition.
D. Maintain a patent airway.
[单项选择]After a cerebrovascular accident (CVA) a client develops aphasia. Which assessment finding is most typical in aphasia
A. Arm and leg weakness.
B. Absence of the gag reflex.
C. Difficulty swallowing.
D. Inability to speak clearly.
[单项选择]Immediately after a 1-year-old client returns from a cardiac catheterization, the nurse notes that the pulse distal to the catheter insertion site is weak. The nurse should take which of the following actions ？（）
A. Remove the pressure bandage from the insertion site.
B. Perform passive exercises on the affected extremity.
C. Notify the physician of the assessment.
D. Record the data on the nursing notes and continue to evaluate.
