A nurse is caring for a client following an infratentorial
craniotomy. How should the nurse position this client in the
immediate post-operative period?
The client should be positioned lying flat in a side-lying position and
turned from side to side every 2 hours for 24 hours to 48 hours after the
procedure.
What are the recommendations for vaccinations in the adult
population?
Clients in the adult population are recommended to obtain vaccinations
for Hepatitis A, Hepatitis B, and the pneumococcal vaccine.
A nurse is caring for a client who has been admitted with renal
calculi. List three (3) interventions the nurse will take in the
management of renal calculi.
The nurse should monitor the client’s urinary output, administer
prescribed medications for pain, and encourage the client to position the
body for relief of pain.
A client diagnosed with asthma recently had pulmonary function
testing. The client asks the nurse ‘What is peak expiratory flow?’
What information should the nurse provide?
The nurse should explain to the client that peak expiratory flow is a
person’s maximum speed of expiration, which can be measured by using
a device called a peak flow meter. The peak flow meter is a small, hand-
held device that is used to monitor how a person breathes out air and his
or her ability to expel air.
A nurse is caring for a client with colorectal cancer who is
scheduled for a colectomy. What preoperative and post-operative
education should be provided to this client?
Preoperative education should include educating the client that he or
she will consume a diet of clear liquids days prior to surgery, complete
bowel prep with prescribed cathartics, and complete the administration of
antibiotics (i.e., neomycin and metronidazole) to remove intestinal flora.
Postoperative education should include teaching the client how to turn
and deep breathe, care for the surgical incision, ostomy care, activity
limits or restrictions, and how to manage postoperative complications,
such as sexual dysfunction or incontinence.
A nurse is evaluating the client's understanding of post cataract
surgery instructions. The client needs further education when
they state. "I will report any yellow drainage to my provider". "I
can return to my normal activities like cleaning my house and
vacuuming." "I will report any nausea or vomiting". "My vision
will improve over the next 4 to 6 weeks".
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