Normal bowel function and soft-formed stool usually do not occur until around the seventh day following surgery. The stool consistency is related to how much water is being absorbed.

Option A: Food, medicines, and other things ingested can affect the consistency or color of the stool.
Option B: A formed stool may occur a week after the surgery.
Option D: The stool from a colostomy can be thin or thick liquid, or semiformed.

The client has left visual field blindness. The client will see only from the right side. Homonymous hemianopsia is a condition in which a person sees only one side?right or left?of the visual world of each eye. The person may not be aware that the vision loss is happening in both eyes, not just one. An injury to the right part of the brain produces loss of the left side of the visual world of each eye.

Option B: The client would not be able to see the call light on his right side because he can only see the left side.
Option C: Only the right half of the visual world can be seen by the client.
Option D: The most ideal place to put the call light is on the client’s right side to avoid any injuries.

Checking the airway would be the priority, and a neck injury should be suspected. Airway patency and adequate respiratory effort are both essential for normal oxygenation and ventilation within the body so that normal physiological processes can proceed without metabolic derangement.

Option A: These assessments should be made, but keeping the spine stable is also a priority since the patient has been in an accident.
Option B: The first priority is always to check the airway, then the rest of the assessments would follow. Patency is assessed through the presence/absence of obstructive symptoms or findings suggesting an airway that may become obstructed.
Option D: The level of consciousness and circulation can be assessed after securing a patent airway.

The significant effect of nitroglycerin is vasodilation and decreased venous return, so the heart does not have to work hard.

Option A: Nitroglycerin does not increase contractility. Cardiac work is decreased by venodilation, reducing anginal symptoms secondary to demand ischemia.
Option B: AV conduction is not increased through nitroglycerin, and an increased heart may increase the blood pressure, which is contrary to the desired effects of nitroglycerin,
Option C: Contractility is not significantly affected by nitroglycerin. The desired vasodilatory effect increases perfusion and does not directly reduce oxygen consumption.

Having established, by stimulating the client, that the client is unconscious rather than sleep, the nurse should immediately call for help. This may be done by dialing the operator from the client’s phone and giving the hospital code for cardiac arrest and the client’s room number to the operator, or if the phone is not available, by pulling the emergency call button. Noting the time is important baseline information for cardiac arrest procedures.

Option B: A patent airway has been established the moment the nurse declares that the client is unconscious and calls for help.
Option C: This action can be done if there is an unwitnessed, unmonitored, unstable ventricular tachycardia when a defibrillator is not immediately available.
Option D: Administering two quick blows to the precordium is less effective and its use is more limited ideally.