Select the action by the nurse that has the highest priority in the care of several clients who are receiving postoperative pain management by epidural analgesia on the surgical unit.
a. Change the IV tubing with each bag of medication.
b. Keep the head of the bed elevated 30 de-grees to prevent hypotension.
c. Monitor peripheral pulses every 2 hours.
d. Assess for movement and sensation of the feet and legs each shift.
Select the instructions by the clinic nurse that are most effective in preventing back injury for a client with chronic low back pain.
a. Stand close to a heavy object before at-tempting to lift it.
b. Use your arms to lift objects to prevent back strain.
c. A narrow base of stance is most effective for lifting.
d. Make sure to bend at the waist when lift-ing objects more than 30 pounds.
Identify the teaching point the nurse should include in the discharge plan for a renal transplant client about the risks of infection postoperatively.
a. If you develop fever, chills, joint pain, or headache, contact the physician imme-diately.
b. You can stop taking your Prograft if you start to feel sick or if you are very tired.
c. You will never be able to go to church or go any place where there are crowds of people.
d. You should avoid going to the dentist or the gynecologist for at least a year after your surgery.
Identify the nursing action that is most appropriate for the nurse to take when caring for a newborn who has tremors, has a high-pitched cry, and is diaphoretic.
a. Obtain urine for drug screen for cocaine.
b. Perform a finger stick blood sugar.
c. Cover the infant's head with a cap.
d. Give the infant 1 ounce of sterile water.
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