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NEW QUESTION: 1
A. Yes
B. No
Answer: A
NEW QUESTION: 2
A 52-year-old client who underwent an exploratory laparotomy for a bowel obstruction begins to complain of hunger on the third postoperative day. His nasogastric (NG) tube was removed this morning, and he has an IV of D5W with 0.45% normal saline running at 125 mL/hr. He asks when he can get rid of his IV and start eating. The nurse recognizes that he will be able to begin taking oral fluids and nourishment when:
A. The nurse can detect bowel sounds in all four quadrants
B. His blood pressure returns to its preoperative baseline level or greater
C. He is able to eat a full meal without evidence of nausea or vomiting
D. It is determined that he has no signs of wound infection
Answer: A
Explanation:
Explanation
(A) The absence of wound infection is related to his surgical wound and not to postoperative GI functioning and return of peristalsis. (B) Routine postoperative protocol involves detection of bowel sounds and return of peristalsis before introduction of clear liquids, followed by progression of full liquids and a regular diet versus a full regular meal first. (C) Routine postoperative protocol for bowel obstruction is to assess for the return of bowel sounds within 72 hours after major surgery, because that is when bowel sounds normally return. If unable to detect bowel sounds, the surgeon should be notified immediately and have the client remain NPO.
(D) Routine postoperative protocol for bowel obstruction and other major surgeries involves frequent monitoring of vital signs in the immediate postoperative period (in recovery room) and then every 4 hours, or more frequently if the client is unstable, on the nursing unit. This includes assessing for signs of hypovolemic shock. Vital signs usually stabilize within the first 24 hours postoperatively.
NEW QUESTION: 3
Welche der folgenden Faktoren sind für das Qualitätsmanagement am wichtigsten?
A. Teamwork aller Vertreter der Qualitätsgruppe
B. Anwendung statistischer Prozesskontrollmethoden
C. Einhaltung eines weltweit anerkannten Qualitätsstandards
D. Verpflichtung der Geschäftsleitung
Answer: D
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