A severely obese patient has undergone Roux-en-Y gastric bypass surgery. In planning postoperative care, the nurse anticipates that the patient
a. may have severe diarrhea early in the postoperative period.
b. will not be allowed to ambulate for 1 to 2 days postoperatively.
c. will require nasogastric suction until the incision heals.
d. may have only liquids orally, and in very limited amounts, during the postoperative period.
Answer: d. may have only liquids orally, and in very limited amounts, during the postoperative period.
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Which of the following patients on a geriatric medical unit is most likely to require slow-release potassium supplements on a regular basis?
A) A 90-year-old female who is taking an aldosterone antagonist to treat pulmonary edema B) An 81-year-old male who takes a thiazide diuretic to control his hypertension C) A 79-year-old male with heart failure who is receiving a loop diuretic D) An 83-year-old female who is taking an osmotic diuretic to address severe peripheral edema
Why is a 2-mEq/L increase above normal for the serum potassium level more significant than a 2- mEq/L increase above normal for the serum sodium level?
A. Potassium plays a greater role in maintaining fluid osmolarity than sodium. B. More foods contain high concentrations of sodium than high concentrations of potassium. C. The intracellular concentrations of potassium and chloride are higher than the intracellular concentrations of sodium and chloride. D. The serum potassium range is lower and narrower than for sodium; thus, any change in potassium concentration is proportionally greater than the same change in serum sodium concentration.
When teaching the parents of a 6-month-old born with Down syndrome who is moderately cognitively challenge, which of the following would you include in the teaching plan?
A) The child will thrive best within the confines of an institution. B) Exposing the child to normal children in school should be avoided. C) He will probably benefit from an early education program. D) With good schooling, the child will achieve at an average level.
A student nurse graduates from a university with a bachelor's degree in nursing. After the successful completion of passing her state boards, she decides to pursue employment at a local hospital on medical-surgical unit
There are many openings due to the current nursing shortage. Which of the following factors is contributing to the current global nursing shortage? A) Low turnover rates so that jobs are hard to find B) Nursing faculty shortage contributing to fewer students C) Overstaffing in acute- and extended-care settings D) Reduced number of persons entering the profession