A 55-year-old male patient is admitted to the medical-surgical unit with a presumptive diagnosis of renal stones. While assessing the patient you note increased tenderness over the costovertebral area
The patient complains of increased pain and nausea, and then has an episode of vomiting. You know that these symptoms are indicative of what?
A) Renal colic
B) Intestinal colic
C) Ureteral stones
D) Nephritis
Ans: A
Feedback: If the pain suddenly becomes acute, with tenderness over the costovertebral area, and nausea and vomiting appear, the patient is having an episode of renal colic. Intestinal colic, ureteral stones, and nephritis would not present with these symptoms.
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The nurse is responsible for assisting clients in experiencing adequate nutrition. Adequate food intake is essential for all of the following functions except:
1. Energy and growth 2. Structural material 3. Regulate body processes 4. Macronutrients
The patient has been on a mechanical ventilator for 2 weeks. Weaning from mechanical ventilation is to start today
Based on the length of time that the patient has been ventilated, what information should the nurse emphasize to the patient and the family? A) Extubation is expected later today, as the patient is relatively young. B) Delays and setbacks are expected before independence is achieved. C) The best method is continuous positive airway pressure (CPAP). D) Elevation of the head of the bed will provide for the most patient comfort.
A patient in respiratory failure has a heart rate of 124, respirations of 24, blood pressure of 168/98, blood pH of 7.28, and oxygen saturation of 84%. The patient can be aroused, but returns to sleep quickly. Noninvasive intermittent positive pressure (NIPPV) is initiated. On reassessment, which findings would the nurse evaluate as indicating that this therapy is having the desired outcomes?
1. Respiratory rate is 22. 2. The patient is not using accessory muscles. 3. The patient is somnolent. 4. Blood pH is 7.26. 5. O2 saturation is 90%.
What should the nurse do when performing suture or staple removal?
a. Snip both ends of the sutures. b. Apply tension to the suture line to remove the sutures. c. Pull the exposed surface of the suture through the tissue below the epidermis. d. Apply Steri-Strips if any separation greater than the width of two stitches is present.