Author Question: The nurse is caring for a patient with mitral regurgitation. Referring to the figure below, where ... (Read 94 times)

debasdf · **on:** Jun 25, 2018

The nurse is caring for a patient with mitral regurgitation. Referring to the figure below, where should the nurse listen to best hear any murmur that the patient has?

Question 2

The nurse assumes care of a patient who just returned from surgery for a total laryngectomy and radical neck dissection and notes the following problems. In which order should the nurse address the problems?

(Put a comma and a space between each answer choice A, B, C, D.)
a. The patient is in a side-lying position with the head of the bed flat.
b. The patient is coughing blood-tinged secretions from the tracheostomy.
c. The nasogastric (NG) tube is disconnected from suction and clamped off.
d. The wound drain in the neck incision contains 200 mL of bloody drainage.

Eunice618 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer to Question 2

ANS:
A, B, D, C
The patient should first be placed in a semi-Fowler's position to maintain the airway and reduce incisional swelling. The blood-tinged secretions may obstruct the airway, so suctioning is the next appropriate action. Then the wound drain should be drained because the 200 mL of drainage will decrease the amount of suction in the wound drain and could lead to incisional swelling and poor healing. Finally, the NG tube should be reconnected to suction to prevent gastric dilation, nausea, and vomiting.