The nurse is monitoring a patient recovering from an emergency appendectomy. Which finding should be reported to the physician immediately?
a. Pain at the operative site
b. Absence of bowel sounds
c. Abdomen rigid on palpation
d. 3-centimeter spot of bloody drainage on dressing
ANS: C
With peritonitis, a life-threatening complication, abdominal rigidity is present. The physician should be notified promptly for treatment orders. A. The patient will be experiencing post-operative pain. B. Absence of bowel sounds is expected after anesthesia. D. Bleeding is expected after surgery.
You might also like to view...
A nurse uses a diagram to show the physiologic sequence of hearing. After entering the external ear, the sound is then conducted through the (Arrange the options in sequence. Separate letters by a comma and space as follows: A, B, C, D.)
A. tympanic membrane B. sensory receptors C. oval window D. acoustic nerve to the brain E. malleus, incus, and stapes
The critical care nurse is caring for clients in an emergency department. When caring for a variety of clients, when is the presence of a third heart sound normal?
A) In clients with heart valve replacement B) In geriatric clients C) In clients with an indwelling pacemaker D) In pediatric clients
A nurse is caring for a client diagnosed with an allergy. Which should the nurse monitor in the client as signs and symptoms of an allergic response?
A) Vasodilation, edema, and itching B) Vascular spasm or vasoconstriction C) Spontaneous platelet plug formation D) Coagulation process for a fibrin clot
What do the words macrocephalic, antibiotic and neonate all have in common?
A) They all have common suffixes. B) They all use an "o" as the combining vowel. C) both A and B D) They all have common prefixes.