A patient is diagnosed with nonhemorrhagic acute pancreatitis. The nurse realizes that which of the following would be the outcome for this patient?
1. extensive fat and tissue necrosis
2. reversible pancreatic edema with a good prognosis
3. irreversible damage to the pancreas
4. poor prognosis with multiple organ dysfunction
2
Rationale: Nonhemorrhagic acute pancreatitis is a short term illness characterized by pancreatic edema and little to no necrosis. Inflammation is localized and the condition is reversible with a good prognosis. Hemorrhagic acute pancreatitis is characterized by extensive fat and tissue necrosis with irreversible damage to the pancreas. A patient with this type of pancreatitis has a poor prognosis with the potential to develop multiple organ dysfunction.
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The main feature of a factitious disorder is that symptoms are purposefully produced to allow the individual to:
a. Get out of work. b. Assume the sick role. c. Assume control of treatment. d. Get the attention of health care providers.
The nurse is providing preoperative teaching for a client undergoing eye surgery. Which of the following are accurate teaching points to prepare this client following the surgery? Select all that apply
A) Remove the dressings when alert. B) Wear a metal shield, if prescribed, for up to 4 weeks. C) Sleep on the operative side for the first week. D) On the second postoperative day, clean the eye with moist cotton balls. E) Avoid sudden movements and straining at stool. F) Do not lift more that 20–30 pounds for about a week.
A nurse providing care in the 1970s follows a process when making clinical decisions. Which of the following processes would have been used?
a. Evidence-based nursing practice b. The science of medicine c. Evidence-based medicine d. Research utilization