To detect possible complications in a patient with severe cirrhosis who has bleeding esophageal varices, it is most important for the nurse to monitor
a. bilirubin levels.
b. ammonia levels.
c. potassium levels.
d. prothrombin time.
b. ammonia levels.
The protein in the blood in the gastrointestinal (GI) tract will be absorbed and may result in an increase in the ammonia level because the liver cannot metabolize protein very well. The prothrombin time, bilirubin, and potassium levels should also be monitored, but they will not be affected by the bleeding episode.
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The nurse just received a postoperative patient from the PACU to the medical–surgical unit. The patient is an 84-year-old woman who had surgery for a left hip replacement
Which of the following concerns should the nurse prioritize for this patient in the first few hours on the unit? A) Beginning early ambulation B) Maintaining clean dressings on the surgical site C) Close monitoring of neurologic status D) Resumption of normal oral intake
In some health care facilities, the LPN/LVN is allowed to take telephone orders from a physician. What is one precaution the nurse must take when receiving a verbal order?
a. Write quickly b. Repeat the order to the physician c. Have another nurse listen on an extension d. Sign and initial the physician's name on the order
When the nurse is comparing the patient's current status with the expected outcome, which type of evaluation is taking place?
a. function c. process b. structure d. outcome
Several patients call the urology clinic requesting appointments with the health care provider as soon as possible. Which patient will the nurse schedule to be seen first?
a. 22-year-old who has noticed a firm, nontender lump on his scrotum b. 35-year-old who is concerned that his scrotum "feels like a bag of worms" c. 40-year-old who has pelvic pain while being treated for chronic prostatitis d. 70-year-old who is reporting frequent urinary dribbling after a prostatectomy