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NEW QUESTION: 1
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. It is determined that he has no signs of wound infection
B. His blood pressure returns to its preoperative baseline level or greater
C. The nurse can detect bowel sounds in all four quadrants
D. He is able to eat a full meal without evidence of nausea or vomiting
Answer: C
Explanation:
Explanation/Reference:
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: 2
Scenario
Product Summary
A list of customers will be collated. This will use existing information from the Accounts department about current customers, and existing information from the Marketing department about prospective customers.
Using the tariff of mailing costs available from the Post Office, a production cost forecast will be produced to allow the CEO and the Marketing Director to decide whether to continue with the project. If they decide to continue, they will give the approval to launch the internal label design competition. Competition rules will be required to communicate details of the competition to the staff. The chosen label design will then be selected from the competition entries.
The photos for the calendar must be based on existing photo design ideas available from the Marketing department. The selected photos will be chosen from these. Monthly calendar displays will be created to show the required layout of each page.
Product Breakdown Structure (contains errors)
Extract from Stage Plan for stage 3.
(All entries are true statements but may not be shown under the correct heading or in the correct document).
Using the Project Scenario and the Extract from Stage Plan for stage 3 provided as additional intonation for this question in the Scenario Booklet, answer the following 5 questions.
The Stage Plan for stage 3 has been produced.
The Engineering Manager insists that there are to be no interruptions to operations whilst photographs are being taken of the engineering staff performing their everyday duties and operating machinery. Two weeks ago the professional photographer produced the photo session schedule based on the operational staff schedule. The operational staff schedule is produced weekly and maintained by the Engineering Manager.
None of the £500 change budget has been used to date and this is available for the stage.
Which 2 statements apply to the Plan prerequisites section?
A. Delete entry 4 because the customer list is a deliverable of stage 2, not a prerequisite for stage 3.
B. Add 'Compliance with the Data Protection Act'.
C. Delete entry 2 because these are project benefits not prerequisites of the stage.
D. Delete entry 3 because the production cost forecast is a deliverable of stage 2, not a prerequisite for stage 3.
E. Add 'Engineering team must be made available for photos'.
Answer: A,C
NEW QUESTION: 3
What is a benefit of using business architecture performance analysis in conjunction with business / IT
architecture alignment?
A. Greater clarity in establishing IT technical architecture approaches
B. Improved perspectives for focusing and prioritizing IT investments
C. Improved clarity as to how to improve the overall data architecture
D. The ability to adjust business strategy based on IT funding models
Answer: B