NURS 482

A hospitalized patient experiences a sharp, stabbing pain while visiting with his spouse. Both the patient and his wife become very concerned, and the patient's call light is activated. What referent initiated communication between the patient and the nurse? a. Interaction between the patient and his wife b. Concern on the part of the patient's spouse c. Pain experienced by the patient d. Activation of the call light - ANS c. Pain experienced by the patient Which defense mec...

Parts of a Chest Tube Drainage System: >collection chamber - ANS -collects fluid with air passing through -allows fluid volume up to 2,000 mL >this allows for assessment of type of drainage, amount of drainage, & rate changes (& some have a sampling port) Parts of a Chest Tube Drainage System: >water seal chamber - ANS -prevents air from going back into the pt >one-way valve action that prevents air from returning to the chest while allowing air removal as i...

The nurse is caring for a client with Disseminated Intravascular Coagulopathy (DIC). What is the rationale to monitor for symptoms of thrombus formation AND to implement bleeding precautions? - ANS Once clotting factors are depleted, the client is high risk for hemorrhage Rationale: DIC first starts with triggering of widespread release of clotting factors which initially cause thromus formation, after all the clotting factors are utilized, levels are significantly low resulting in he...

Which postoperative client is manifesting the most serious negative effect of inadequate pain management? 1. Demonstrates continuous use of call bell related to unsatisfied needs and discomfort 2. Develops venous thromboembolism related to immobility caused by pain and discomfort 3. Refuses to participate in physical therapy because of fear of pain caused by exercises 4. Feels depressed about loss of function and hopeless about getting relief from pain - ANS 2 A client with ch...