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- A nurse is caring for a client who is schedule for surgery while witnessing the client signature. While the client is saying I trust my doctor, but I don’t understand what he meant when he said he’ll reset my intestines. Which of the following actions should the nurse take? Notify the provider complete incident report. provide brochure about the procedure describe the surgery to the clientDiscuss the nursing priorities for a patient undergoing a bowel resection surgery.A patient with a BMI of 40 is scheduled for laparoscopic banding bariatric surgery this morning. The patient is very anxious and says she cannot remember the preoperative instructions provided yesterday. She says she can’t remember what kind of surgery she is having today. What actions should the nurse take?
- A patient who has end-stage liver disease is experiencing signs and symptoms of hepatic encephalopathy. What interventions should the nurse implement for this patient? What teaching should the nurse provide to the family?The nurse is providing immediate postoperative care for a client who had fundoplication to reinforce the lower esophageal sphincter for the purpose of a hiatal hernia repair. What is the priority action for the care of this client?A visiting nurse is performing a family assessment of ayoung couple caring for their newborn who was diagnosedwith cerebral palsy. The nurse notes that the mother’s hairand clothing are unkempt, the house is untidy, and themother states that she is “so busy with the baby that I don’thave time to do anything else.” What would be the priorityintervention for this family?a. Arrange to have the infant removed from the home.b. Inform other members of the family of the situation. c. Increase the number of visits by the visiting nurse.d. Notify the care provider and recommend respite care forthe mother.
- Why is there a very strict diet patients must follow after bariatric surgery, and why is it sometimes difficult to follow this regime. What are some of the dangers associated with any type of surgery?The nurse is caring for a client with a Salem-sump double-lumen nasogastric (NG) tube to suction. The client complains of nausea and has mild abdominal distention. What is the nurse’s priority action?After Mrs. Shower’s CABG, she will be in the ICU for 4 to 6 days if there aren’t any complications. She will then be transferred back to the cardiac unit and stay a few more days before being discharged. As we discussed in class, nutrition education prior to the surgery is not appropriate as it is likely that the Patient will not be able to focus on the education. When she returns to the cardiac unit, you can obtain a detailed diet history for her usual intake at home: 1. Describe what nutrition education you will provide. 2. What are your goals for the education? 3. Describe the return demonstration you will ask Mrs. Showers to show that she understands the education.
- Location: Emergency DepartmentTime: 04:00Situation:Stan Checketts, a 52-year-old widower, arrived in the Emergency Department 30 minutes ago with severe abdominal pain. A small bowel obstruction is suspected.Background:He has experienced worsening abdominal pain, nausea, and vomiting for 1-2 days with inability to eat or drink much over the last few days. His past surgical history includes a cholecystectomy, appendectomy, and right inguinal hernia repair, all more than 5 years ago.Assessment:Mr. Checketts is awake and states he has felt 'dizzy' and 'weak' all evening. His vital signs upon arrival were: BP: 108/73; temperature: 100.9 °F (38.3 °C); pulse: 110; respiratory rate: 22, and SpO2: 95% on room air. He has poor skin turgor, dry mucous membranes, and has not urinated since yesterday. His abdomen is distended. He signed an informed consent for treatment. A right forearm saline lock was placed, and labs, a CBC, and BMP were drawn.Recommendation:You will need to check the provider's…Location: Emergency DepartmentTime: 04:00Situation:Stan Checketts, a 52-year-old widower, arrived in the Emergency Department 30 minutes ago with severe abdominal pain. A small bowel obstruction is suspected.Background:He has experienced worsening abdominal pain, nausea, and vomiting for 1-2 days with inability to eat or drink much over the last few days. His past surgical history includes a cholecystectomy, appendectomy, and right inguinal hernia repair, all more than 5 years ago.Assessment:Mr. Checketts is awake and states he has felt 'dizzy' and 'weak' all evening. His vital signs upon arrival were: BP: 108/73; temperature: 100.9 °F (38.3 °C); pulse: 110; respiratory rate: 22, and SpO2: 95% on room air. He has poor skin turgor, dry mucous membranes, and has not urinated since yesterday. His abdomen is distended. He signed an informed consent for treatment. A right forearm saline lock was placed, and labs, a CBC, and BMP were drawn.Recommendation:You will need to check the provider's…A patient has been diagnosed with pneumoconiosis and asks the health care professional to explain this disease. what description by the professional is best?
