A patient, diagnosed with acute pancreatitis, is nauseated and frequently vomits. The nurse realizes the nursing diagnosis appropriate for the patient's problem at this time would be
1. altered comfort.
2. acute pain.
3. risk for injury.
4. risk for infection.
1
Rationale: The patient is demonstrating nausea and vomiting which would indicate an alteration in comfort related to stimulation of the vomiting center. Acute pain may or may not lead to nausea and vomiting. Risk for injury would be related to infection, hemorrhage, or shock. Risk for infection would be related to peritonitis or abscess.
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A client is considering breast augmentation. Which of the following would the nurse recommend to the client to ensure that there are no malignancies?
A) Mammogram B) Mastopexy C) Ultrasound D) Breast biopsy
The 26-year-old patient with a malignant neoplasm has experienced a 10-pound weight loss in 3 weeks. The nurse takes into consideration that the rapid weight loss is most likely related to:
a. disinterest in eating food in general. b. a fitness and weight-training exercise program. c. the malignancy's high nutritional demand. d. a self-imposed rigid diet regimen.
Which of the following should be included when a nurse is recording a client's output? (Select all that apply.)
a. NG tube drainage d. diarrhea b. vomitus e. surgical drain c. urine
Calcitonin is a hormone secreted by the _____ when serum calcium is elevated.
A. kidneys B. adrenal glands C. thyroid gland D. pancreas