S.B. is diagnosed with hypertrophic pyloric stenosis, admitted to the pediatric unit, and scheduled for
surgery.
S.B.'s parents are concerned that their living situation contributed to S.B.'s diagnosis.
How
would you respond to their concerns?
Hypertrophic pyloric stenosis is an idiopathic condition that is more common in first-born Caucasian
males and can be polygenic with increased risk of occurrence in siblings and offspring. The condition
usually develops over the first few weeks of life as the pyloric sphincter becomes increasingly
hypertrophied. The vomiting is usually nonbilious and becomes progressively projectile over time.
The baby appears hungry, but the prolonged vomiting can lead to dehydration and failure to thrive.
Mr. and Mrs. B. did not contribute to the progression of the condition. You would want to
recognize and support their concern. In addition, you can explore if there was a history of family
members with similar manifestations. You need to acknowledge the social situation of the family and
offer to contact a social worker to explore resources following discharge.
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The nurse is reviewing a client's electronic medical record and notices that the client has recently experienced dyspareunia. The nurse knows that this is an effect of aging on the female reproductive system
What is the best description of dyspareunia that the nurse can share with the nursing student who is going to see this client with the nurse? A) Female climacteric B) Bones become brittle and porous and fracture more easily C) Painful intercourse D) Uterus prolapses and falls into the vagina
A nurse conducting an admission assessment asks a patient about recent medications. The patient states, "I took a fosfomycin tablet 3 days ago." The nurse knows that the patient was treated for which problem?
1. Meningitis 2. Cellulitis 3. Urinary tract infection 4. Pneumonia
The nurse works in a healthcare clinic in which providers communicate with one another and with patients using e-mail. What guideline associated with this method of communication should the healthcare providers follow?
1. Categorize patients according to major medical diagnosis and create groups educational e-mails. 2. Delete messages as soon as possible to protect confidentiality. 3. Inform patients of anyone else who will be reading messages. 4. Use e-mail as the primary method of communication.