A nurse preparing to get a patient out of bed for the first time since surgery will initially:
place a walker at the side of the bed.
allow the patient to sit with the head of bed raised to the high Fowler's position.
assist the patient to sit and dangle his or her legs on the side of the bed.
assist the patient from a supine position to a standing position.
The Correct Answer is C
A. Place a walker at the side of the bed. A walker may not be necessary for all patients and should only be used if prescribed by the healthcare provider.
B. Allow the patient to sit with the head of bed raised to the high Fowler’s position. This helps with postural adjustment but is not the best first step before dangling the legs.
C. Assist the patient to sit and dangle his or her legs on the side of the bed. Gradual movement from lying to sitting to standing helps prevent orthostatic hypotension, which is common after surgery.
D. Assist the patient from a supine position to a standing position. Moving too quickly can cause dizziness, falls, and syncope due to orthostatic hypotension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Recovery care: Recovery is a component of postoperative care, but it does not encompass all aspects of care after surgery.
B. Postoperative care: Postoperative care begins after the patient leaves the post-anesthesia care unit (PACU) and continues until full recovery, including wound healing, pain management, and preventing complications.
C. PACU care: PACU care is a phase within postoperative care but does not represent the complete postoperative period.
D. Perioperative care: Perioperative care refers to the entire surgical experience (before, during, and after surgery), not just the final phase of recovery.
Correct Answer is C
Explanation
A. To relieve pain or complication without caring: This definition does not align with the meaning of "autologous." It is not related to relieving pain or complications.
B. Voluntary: "Voluntary" refers to an action taken by choice, but this is not the definition of "autologous."
C. Own, originating within an individual: "Autologous" refers to something that originates from the same individual. For example, autologous blood donation means the patient donates their own blood for later use.
D. Artificial body part: An artificial body part refers to a prosthesis, not something autologous. Autologous refers to the self, such as autologous tissue or stem cells.
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