What assessment findings related to this diagnosis would you anticipate in H.J.?
What will be an ideal response?
The signs and symptoms he would have would depend on the extent of the electrolyte imbalances.
These could a widened QRS and ECG changes, dysrhythmias, hypotension, diarrhea, vomiting,
edema, oliguria, edema and weight gain, lethargy, fatigue, flank pain, weakness, hyperactive
deep tendon reflexes, and neuromuscular symptoms (twitching, cramping, tetany, Chvostek sign,
Trousseau sign, laryngospasm, seizures, and confusion).
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A baby just born with a meningomyelocele is to have surgery in the morning. The nurse knows the care of this newborn includes:
1. Applying a diaper to prevent contamination of sac. 2. Positioning the newborn in a side-lying position. 3. Encouraging the mother to hold the newborn, because she will not be able to pick him up after surgery. 4. Positioning the newborn in a prone position.
A surgical client is assessed by the nurse before, during, and after surgery. What type of assessment would this be?
1. focused 2. emergency 3. ongoing 4. maintenance
A faculty nurse explaining the stratification in nursing roles seen today tells students that the most important event leading to this development was
a. desegregation in nursing. b. limited nursing opportunities. c. the Korean conflict. d. World War II.
The nurse obtains a health history from four patients. To which one should she give priority for teaching about cervical cancer prevention?
1. Age 30, treated for PID 2. Age 25, monogamous 3. Age 20, pregnant 4. Age 27, uses a diaphragm.