A patient is admitted for a repair of an abdominal aortic aneurysm. Which of the following assessment findings would increase this patient's risk of developing an enterocutaneous fistula after surgery?
1. radiation therapy to the abdomen to treat colon cancer
2. diagnosis of type 2 diabetes mellitus
3. daily use of NSAIDs for arthritis symptoms
4. diagnosis of peripheral vascular disease
1
Rationale: There are a number of conditions that increase a patient's risk of developing an enterocutaneous fistula. These include malnutrition, history of steroid use, history of chemotherapy or radiation therapy to the abdomen, inflammatory bowel disease, and trauma to the abdomen. The assessment finding of radiation therapy to the abdomen to treat colon cancer would increase this patient's risk of developing the fistula after surgery. The other assessment findings are not known to increase the risk of developing the fistula after surgery.
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The client has been taking fluvoxamine (Luvox) for years, has been symptom-free for one year, and is now considering taking a drug holiday. What nursing teaching is necessary?
1. The client should be symptom-free for at least two years before trying to go off the medication 2. The client should let the prescriber make these decisions and should not suggest this 3. A drug holiday should be avoided due to discontinuation symptoms 4. This is worth trying since the client has been symptom-free for a year
If the fundus is palpated on the right side of the abdomen above the expected level, the nurse should suspect that the patient has
a. Been lying on her right side too long b. A distended bladder c. Stretched ligaments that are unable to support the uterus d. A normal involution
A nurse is planning a community health education project that deals with organ donation, and the target audience is a group of adults. When following andragogic concepts, the nurse should make sure that the teaching includes which of the following?
1. Past statistics about organ donors 2. Written pamphlets 3. Directions about how to become an organ donor 4. Information on how this group can influence their children
A clinic nurse is completing a patient intake interview with a noncommissioned veteran who has recently transitioned to civilian life. Which would be the most appropriate for the nurse to ask to assess how the veteran is transitioning from military to civilian life?
a. Have you been able to use your military experience to find a civilian job? b. Have you been able to find a leadership position in a local company? c. What hobbies have you been able to enjoy since leaving the military? d. What support have you recently received from the Veterans Benefits Administration?