A client at 10 weeks' gestation has developed cholecystitis. If surgery is required, what is the safest time during pregnancy?
1. Immediately, before the fetus gets any bigger
2. Early in the second trimester
3. As close to term as possible
4. The risks are too high to do it anytime in pregnancy
2
Explanation: 2. The early second trimester is the best time to operate because there is less risk of spontaneous abortion or early labor, and the uterus is not so large as to impinge on the abdominal field.
You might also like to view...
A 26-year-old female is resting after a one-minute episode during which she lost consciousness while her muscles contracted and extremities extended
This was followed by rhythmic contraction and relaxation of her extremities. On regaining consciousness, she found herself to have been incontinent of urine. What has the woman most likely experienced? A) A myoclonic seizure B) A tonic-clonic seizure C) An absence seizure D) A complex partial seizure
Two nurses have initiated cardiopulmonary resuscitation (CPR) on a middle-aged client in apparent cardiac arrest. An automated external defibrillator (AED) is not available and the arrival of emergency resuscitation personnel is delayed
When should the nurse first assess the victim to determine whether CPR is effective? A) After five cycles of compressions and ventilations B) After the arrival of emergency resuscitation personnel C) At the rate of 15 compressions to 2 ventilations D) After the client shows signs of spontaneous breathing
A detailed history and assessment of a 59-year-old male patient lead the nurse to suspect that the patient may have masked hypertension. A patient who has masked hypertension:
A) Lacks the characteristic risk factors associated with hypertension B) Has occasional "spikes" in blood pressure (BP) but lacks the high serial BP readings necessary for a diagnosis C) Tends to have normotensive BP during health assessments and high BP at other times D) Has signs and symptoms of hypertension but is unwilling to engage in the treatment process
A community health nurse is participating in a healthy-living workshop that has been sponsored by a local seniors' center. The discussion has turned to the problem of heart failure, and the nurse is emphasizing preventative measures
When teaching older adults to decrease their future risks of developing heart failure, the nurse should emphasize what action? A) Effective stress management B) A low-fat, high-protein diet C) Physical exercise and the importance of getting 30 to 60 minutes of activity each day D) Close blood pressure monitoring and vigilant adherence to hypertension therapy