The nurse is monitoring a patient and finds a bulging area in the patient's groin. The nurse would be most concerned by which of the following findings?
a. The white blood cell count is 10,000/mm3.
b. The patient develops pain at the site and vomiting.
c. The bulging disappears at times.
d. The bulging occurs when the patient coughs or strains.
ANS: B
An incarcerated hernia may become strangulated if the blood and intestinal flow are completely cut off. Symptoms are pain at the site of the strangulation, nausea and vomiting, and colicky abdominal pain.
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The nurse manager is determining placement for a client in need of medical and nursing care in an inpatient setting for less than 30 days. Which statement indicates the correct placement?
1. ?The client requires a long-term care facility.? 2. ?This client requires a managed care organization.? 3. ?This client needs an ambulatory care center.? 4. ?This client needs a hospital.?
A young man rolled his wheelchair up the ramp into the clinic to the desk where the intake nurse greeted him. After welcoming him to the clinic, which of the following should be the initial question asked by the nurse?
a. "Are you a vet home from the war?" b. "Can I help you into the treatment room to see the nurse practitioner?" c. "Do you have any family with you to help today?" d. "What brings you to the clinic today?"
An instructor explains to a student the controversy surrounding the minimum volume of water and fluid required for optimal health. The student understands that most tend to follow the recommendation of
1. 12 to 16 eight-ounce glasses of fluid per day. 2. 6 to 8 eight-ounce glasses of fluid per day. 3. 8 to 12 twelve-ounce glasses of fluid per day. 4. 10 to 14 sixteen-ounce glasses of fluid per day.
Which agent commonly used to treat intermittent claudication has the greatest inhibition of platelet aggregation?
1. Cilostazol (Pletal) 2. Aspirin 3. Dipyridamole (Persantine) 4. Ticlopidine (Ticlid)