更多"A client undergoes a total hip repl"的相关试题:
[单项选择]A client undergoes a total laryngectomy and tracheostomy formation. On discharge, which instruction should the nurse give to the client and family
A. "Clean the tracheostomy tube with alcohol and water. "
B. "Family members should continue to talk to the client. "
C. "Oral intake of fluids should be limited for 1 week only. "
D. "Limit the amount of protein in the diet. "
[单项选择]A client with cancer undergoes a total gastrectomy. Several hours after surgery, the nurse notes that the client’s nasogastric (NG) tube has stopped draining. How should the nurse respond()
A. Notify the physician.
B. Reposition the NG tube.
C. Irrigate the NG tube.
D. Increase the suction level.
[单项选择]A male client with a total hip replacement is progressing well and expects to be discharged tomorrow. On returning to bed after ambulating, he complains of severe pain in the surgical wound. Which action should the nurse take()
A. Assume he’s anxious about discharge, and administer pain medication.
B. Assess the surgical site and affected extremity.
C. Reassure the client that pain is a direct result of increased activity.
D. Suspect a wound infection, and monitor the client’s temperature and vital signs.
[单项选择]A client undergoes extracorporeal shock wave lithotripsy (ESWL) to break up and remove renal calculi. Which of the following nursing measures is appropriate for the postoperative care of this client
A. Maintain client on strict bed rest for 48 hours after the procedure.
B. Instruct client to anticipate a decrease in urinary output.
C. Instruct client to anticipate hematuria for about 24 hours after the procedure.
D. Limit fluid intake to 1000 mL/day until all stone fragments have been passe
[单项选择]A client with thyroid cancer undergoes a thyroidectomy. After surgery, the client develops peripheral numbness and tingling and muscle twitching and spasms. The nurse should expect to administer()
A. thyroid supplements.
B. antispasmodics.
C. barbiturates.
D. IV calcium.
[单项选择]A client diagnosed with a peptic ulcer undergoes an upper gastrointestinal endoscopy to help the physician visualize the ulcer’s location and severity. Immediately after the endoscopy, what would be a priority for the nurse to assess
A. Return of the gag reflex.
B. Bowel sounds.
C. Peripheral pulses.
D. Intake and output.
[单项选择]The nurse is caring for a client who undergoes a total right knee replacement. The nurse would anticipate which of the following activity orders for this client on the first postoperative day
A. Bed rest for 24 to 48 hours after surgery.
B. Ambulate with walker twice a day.
C. Up to chair with leg elevated.
D. Dangle at bedside for 20 minutes.
[单项选择]The client with a total laryngectomy receives tube feedings to meet his fluid and nutrition needs. The nurse explains to the client that the purpose of the tube feedings is to
A. prevent pain from swallowing.
B. prevent fistula development.
C. ensure adequate intake.
D. allow for adequate suture line healin
[单项选择]A client has a total serum cholesterol level of 326 mg/dL. The nurse explains to the client that this level
A. is normal and requires no further treatment.
B. is high and will require dietary modification.
C. is low and requires no further treatment.
D. is borderline normal and may require dietary modification.
[单项选择]The nurse observes that the client’s total parenteral nutrition (TPN) solution is infusing too slowly. The nurse calculates that the client has received 300 mL less than was ordered for the day. What should the nurse do next
A. Assess the infusion system, note the client’s condition, and notify the physician.
B. Discontinue the solution and administer dextrose in 5% water until the infusion problem is resolved.
C. Increase the flow rate to infuse an additional 300 mL over the next hour.
D. Maintain the flow rate at the current rate and document any discrepancy in the chart.
[单项选择]A client has had a total gastrectomy for gastric cancer. Which one of the following is the most appropriate expected outcomes about nutrition
A. The client will learn to self-administer enteral feedings every 4 hours.
B. The client will maintain adequate nutrition through oral or parenteral feedings.
C. The client will regain any weight lost within 4 weeks of the surgical procedure.
D. The client will eat three full meals a day without experiencing gastric complications.
[单项选择]When caring for a client with preeclampsia, which action is a priority()
A. Monitoring the client’s labor carefully and preparing for a fast delivery.
B. Continually assessing the fetal tracing for signs of fetal distress.
C. Checking vital signs every 15 minutes to watch for increasing blood pressure.
D. Reducing visual and auditory stimulation.