Ancc Med-Surg Certification Study Guide Rated A+

d {Ans: A client is transferred from the surgical suite to the PACU following oral surgery. While monitoring the client's vital signs, the nurse finds that the tongue has become swollen and is obstructing the airway. Which of the following actions should the nurse take first?a. contact the anesthesiologistb. assist with endotracheal intubationc. increase the clients flow of oxygend. use the head-tilt, chin-lift method to open the airway}Signs of fat embolism 1. Mental status changes 2. Petechiae-late sign 3. Dyspnea {Ans: Bergman's triad}Acute cardiac tamponade- pericardial effusion 1. Disended neck vein's 2. Distant heart sounds 3. Hypotention Treatment- pericardiocentesis {Ans: Beck's triad}is the capacity to recognize and, to some extent, share similar feelings that are being experienced by another sentient or semi-sentient being. {Ans: Empathy}d {Ans: A nurse is providing discharge instructions for a client who is post-op following abdominal surgery. Which of the following client statements indicated a need for further teaching?a. "I will call my doctor if I have an increase in temp or wound drainage"b. "I will eat foods high in protein and vitamin C during my recovery"c. "I will complete the entire course of antibiotics."d. "I will remain on bed rest