Abdominal pain in the midway between the umbilicus and right lower quadrant (Mc Burney's point) associated with low-grade fever, nausea, and vomiting are the symptoms of Appendicitis. Rebound tenderness (production of pain when pressure is released) is the classic symptom of appendicitis. Perforation is manifested by Increased pain, high-grade fever, abdominal distension, muscle rigidity, and decreased bowel sounds. It is one of the life-threatening complications require immediate surgery.
A nurse is caring for a client who admitted with suspected acute appendicitis. Which of the...
45 . a nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. the nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? ( select all that apply) a. tongue in thrusting and lips smacking b . facial grimacing and eye blinding c. fine hand tremor and pill rolling d. urinary retention and constipation e. involuntary pelvic rocking and hip thrusting movements
18. A nurse is admitting a client who has suspected appendicitis. Which of the following findings should the nurse report to the provider immediately? A. Distended board like abdomen. B. WBC 15,000/mm3 C. Rebound tenderness over McBurney’s point. D. Temperature of 37.3 Celsius (99.1@F) I am torn between B and C
A nurse is an acute care facility is caring for a client who is homeless a has a decubitus ulcer. Which of the following actions should the nurse take as a client advocate? Gather dressing supplies for the client’s discharge. Provide client teaching about nutrition. Consult with the facility’s quality improvement team. Contact the facility’s case management department.
4. A nurse is caring for a client who has acute pancreatitis. Which of the following interventions should the nurse include in the client’s plan of care? (Select all that apply) A. Initiate insulin drip. B. Monitor blood glucose levels. C. Continue regular diet as tolerated. D. Maintain NPO status until pain free. E. Manage acute pain.,
33. A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of the following findings should the nurse expect? A. Hand tremors B. Stuporous level of consciousness C. Bradycardia D. Hypotension 34. A nurse on an acute mental health unit is caring for a group of clients. For which of the following clients is seclusion contraindicated? A. An adult client following a suicide attempt B. A school-age client who attempts to repeatedly bite staff C. An...
27. A nurse is caring for a client who has acute heart failure and is receiving furosemide via IV bolus. The nurse should identify that which of the following findings indicates a desired therapeutic effect? Increased sputum production Decreased weight Decreased blood glucose level Increased blood pressure 54. A nurse is assessing a client who receives monthly injections of cyanocobalamin. Which of the following findings indicates a therapeutic effect of the medication? Absence of hand tremors Hematocrit 45% Potassium 3.8...
A client is admitted to the hospital with a medical diagnosis of acute pancreatitis. When caring for this client, the nurse understands that the hormone stimulating the flow of pancreatic enzymes is which of the following? A. Cholecystokinin B. Enterogastrone C. Pancreozymin D. Enterocrinin
A nurse in an acute care mental health facility is caring for a client who has major depression and states. Every one will be much better off when I'm gone.Which of the following actions should the nurse take first?
A nurse caring for a client with appendicitis and is preparing to perform an abdominal assessment. What is the correct sequence for performing an abdominal assessment?
The nurse is caring for a client with acute kidney injury who has a serum potassium level of 5.5 mmol/L. The nurse administers sodium polystyrene sulfonate to the client. What is the rationale behind this nursing action?