The nurse is caring for a client after a Whipple procedure. Which manifestations might indicate that a complication from the operation has occurred? (Select all that apply.)
a. Urinary retention
b. Substernal chest pain
c. Shortness of breath
d. Lack of bowel sounds or flatus
e. Urine output of 20 mL/6 hr
B, C, D, E
Myocardial infarction (chest pain), pulmonary embolism (shortness of breath), adynamic ileus (lack of bowel sounds or flatus), and renal failure (urine output of 20 mL/6 hr) are just some of the complications that the nurse must monitor the client for after the Whipple procedure. Urinary retention is not a complication of this operation.
You might also like to view...
Psychotropic medications are used for older adults to
a. Manage problematic behaviors b. Decrease the symptoms of dementia c. Treat psychotic features of dementia d. Avoid the use of restraints
The nurse volunteering time in a free community mental health clinic is concerned about mental health disparities in pediatric patients and implements strategies to reduce health care disparities
These strategies include: Select all answers that apply. A) educating the community about poverty predisposing families to mental illness. B) teaching families' ways to handle cognitive or psychosocial-related concerns. C) taking an approach of listening and providing positive feedback to families. D) acquiring empathy when working with families by using ethnic generalizations.
A mother calls the pediatric triage nurse and states, "I don't know what is on her hand. It is red with clear drainage coming out of small bumps. She got into the poison ivy patch yesterday.". The nurse instructs the mother to:
1. Apply warm compresses to help reduce the pain. 2. Use a body wash, such as Dove, to help with the itching. 3. Use Calamine lotion to help with the itching. 4. Apply a thin coat of Cetaphil to help with itching.
Since the Intervention Wheel was first published in 1998, it has
a. Guided national policy b. Been used as a tool in deciding licensure issues for State Boards of Nursing c. Been incorporated into the public health curricula of many nursing programs d. Gained wide acceptance internationally