A client has just returned to the unit after having a percutaneous transhepatic cholangiogra-phy. Which of the following should be included in the plan of care?

A. The client can be discharged after voiding.
B. The client should be kept NPO for 6 hours postprocedure.
C. Position the client on the right side with a sandbag against the lower ribs.
D. The client should ambulate with assistance only for the first 2 hours postproce-dure.


C
The client should be positioned on the right side with a sandbag against the lower ribs to prevent bleeding. The nurse assesses the client's vital signs and the lower right rib cage area for signs of bleeding.

Nursing

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A nurse suspects that a client is experiencing anxiety. Which physical assessment findings would support the nurse's suspicion? Select all that apply

A) Hypotension B) Decreased respiratory rate C) Increased muscle tension D) Pale skin E) Bradycardia

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During class, the student can usually take effective notes by all of the following except:

a. writing key words and phrases. b. drawing symbols and labeling. c. writing verbatim all that is said. d. underlining and highlighting.

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Samantha is taking lamotrigine (Lamictal) for her seizures and requests a prescription for combined oral contraceptives (COCs), which interact with lamotrigine and may cause:

1. Contraceptive failure 2. Excessive weight gain 3. Reduced lamotrigine levels, requiring doubling the dose of lamotrigine 4. Induction of estrogen metabolism, requiring higher estrogen content OCs be prescribed

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The nurse is assessing a client's past medical history. Which information should the nurse obtain during the assessment?

A. Reason for seeking care. B. Marital status. C. Allergies. D. Health beliefs and practices.

Nursing