As part of secondary prevention, the community health nurse engages in crisis intervention to achieve which of the following?
A) Reestablish equilibrium to the lives of those involved
B) Prevent the crisis altogether
C) Involve as many people as possible in the resolution
D) Triage clients during the recovery phase of the crisis
Ans: A
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Which assessment finding should the nurse expect in an infant with Hirschsprung's disease?
a. "Currant jelly" stools b. Constipation with passage of foul-smelling, ribbon-like stools c. Foul-smelling, fatty stools d. Diarrhea
The nurse monitors the blood glucose levels of a patient being treated with insulin for diabetic ketoacidosis to ensure glucose levels decline at the rate of 50-70 mg/dL/hour because:
1. When blood glucose drops rapidly fluids shift out of the cell, which increases dehydration, causing severe hypovolemic shock. 2. When blood glucose drops rapidly severe damage to the brain results from metabolic alkalosis. 3. A rapid drop in blood glucose can result in hypokalemia, causing life-threatening arrhythmias. 4. A rapid drop in blood glucose can result in formation of thromboses as a result of dehydration.
A nurse in the post anesthesia care unit (PACU) observes that after an abdominal cholecystectomy a client has serosanguineous drainage on the abdominal dressing. What is the next nursing action?
a. Change the dressing b. Reinforce the dressing c. Replace the tape with Montgomery ties d. Support the incision with an abdominal binder
On day 14 after completion of her therapy, a bone marrow biopsy shows C.O. is in complete remission
With continued blood product support and antibiotic coverage, her marrow recovers and she is discharged from the hospital. HLA (human lymphocyte antigen) typing has been performed on all siblings. Her oldest brother is a perfect HLA match and has agreed to donate bone marrow or stem cells. C.O. is to be readmitted to the bone marrow transplant unit within the next few weeks. What does "complete remission" mean for C.O., and what impact did it have on the decision to perform a bone marrow transplant?