While assessing an elderly patient with gallstones, the nurse in aware that the patient may not exhibit typical symptoms. The elderly patient may exhibit symptoms including:
A) Fever and pain
B) Chills and jaundice
C) Nausea and vomiting
D) Septic shock and oliguria
Ans: D
Feedback: The elderly patient may not exhibit the typical symptoms of fever, pain, chills jaundice, and nausea and vomiting. Symptoms of biliary tract disease in the elderly may be accompanied or preceded by those of septic shock, which include oliguria, hypotension, change in mental status, tachycardia, and tachypnea.
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A hospital prepares for a mass casualty event. Which functions are correctly paired with the personnel role? (Select all that apply.)
a. Paramedic - Decides the number, acuity, and resource needs of clients b. Hospital incident commander - Assumes overall leadership for implementing the emergency plan c. Public information officer - Provides advanced life support during transportation to the hospital d. Triage officer - Rapidly evaluates each client to determine priorities for treatment e. Medical command physician - Serves as a liaison between the health care facility and the media
The nurse is caring for a patient with bipolar disorder who has been awake for 72 hours and has eaten only small amounts of food. The patient's speech is pressured and unorganized. When planning care for this patient,
what priority nursing diagnosis will the nurse formulate? 1. Alteration of sleeping pattern due to acute mania, as evidenced by decreased sleep. 2. Alteration of sleeping pattern caused by acute mania, manifested by decreased sleep. 3. Risk for injury caused by acute mania, manifested by altered nutrition, decreased sleep, and pressured speech. 4. Risk for injury due to acute mania, as evidenced by altered nutrition, decreased sleep, and pressured speech.
A woman is diagnosed with having a stillborn. At first, she appears stunned by the news, cries a little, and then asks you to call her mother. The phase of bereavement the woman is experiencing is called:
1. anticipatory grief. 2. acute distress. 3. intense grief. 4. reorganization.
The physician orders multivitamins for the client. The client asks the nurse why she needs vitamins. What will the best teaching plan by the nurse include?
1. Small amounts of vitamins are needed for health. 2. Vitamins will heal many illnesses. 3. Vitamins are inorganic compounds that are not stored in the body. 4. Your body cannot synthesize most vitamins. 5. Vitamins are needed for growth and maintenance of normal metabolic processes.