The nurse is caring for client recovering from a liver transplant necessitated by cirrhosis of the liver. Which postoperative outcome would be a priority for this client?
A) Moist membranes of the mouth
B) Normal serum bilirubin levels
C) Ability to move the legs
D) Normal pupil reaction
Answer: B
Normal bilirubin levels would indicate that the transplanted liver is functioning correctly. Normal pupil reaction, leg movement, and moist mouth membranes are all normal findings for any postoperative client.
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Mrs. T, a 58-year-old house wife, tells the clinic nurse that she does not understand why she does not lose weight since she is very active. Although she does not walk outside, she is busy most of the day doing housework, cooking, and doing laundry
She does not watch television until all of her housework is completed for the day. The best response for the nurse would be: 1. "Doing housework uses the same amount of kcalories/min as swimming, so it is a good way to lose weight.". 2. " Doing housework only utilizes about 3 kcalorie/min compared with 6.1 kcalories/min walking.". 3. "In order to lose weight you must increase physical exercise and reduce calories.". 4. "As people age they tend to naturally gain weight.".
Which of the following symptoms should a nurse associate with increased levels of thyroid-stimulating hormone (TSH) in a newly admitted client? Select all that apply
A. Depression B. Fatigue C. Increased libido D. Mania E. Hyperexcitability
Which structure of the ear is necessary to maintain equilibrium?
A. vestibule B. cochlea C. eustachian tube D. pinna
An adolescent sustains an injury while swimming in a river. Friends bring the adolescent to the riverbank and note that the adolescent is conscious and breathing but not moving any extremities. What should the friends do next?
a. Immobilize the boy, and call for help. b. Push on his stomach to rid his lungs of water. c. Use a four-man carry to take the boy to safety. d. Turn him onto his stomach to allow water to drain from his lungs.