Five days after the start of intraperitoneal therapy, the client reports abdominal pain and "feeling warm." The nurse prepares to assess the client further for evidence of which condition?
a. Allergic reaction
b. Bowel obstruction
c. Catheter lumen occlusion
d. Infection
D
Fever, abdominal pain, abdominal rigidity, and rebound tenderness may be present in the client who has peritonitis related to intraperitoneal therapy. Peritonitis is preventable by using strict aseptic technique in handling all equipment and infusion supplies. An allergic reaction would occur earlier in the course of treatment. Bowel obstruction and catheter lumen occlusion can occur but would present clinically in different ways.
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Taking responsibility for one's actions and interventions and for one's own learning and growth is known as:
a. Self-management. b. Accountability. c. Professional. d. Benchmarking.
A patient admitted with nephrotic syndrome is being cared for on your unit. When writing this patient's care plan, based upon the major clinical manifestation of nephrotic syndrome, what nursing diagnosis would you include?
A) Constipation related to immobility B) Risk for injury related to altered thought processes C) Hyperthermia related to the inflammatory process D) Excess fluid volume related to generalized edema
The nurse is caring for a hospitalized client who has AIDS and is severely immune compromised. Which interventions are used to help prevent infection in this client? (Select all that apply.)
a. Use sterile gloves and gowns whenever the nursing staff is in contact with the client. b. Provide an incentive spirometer to en-courage coughing and deep breathing by the client. c. Keep a blood pressure cuff, thermometer, and stethoscope in the client's room for his or her use only. d. Use N95 respirators (all nursing staff) when in the client's room. e. Request that the family take home the fresh flowers that are at the client's bed-side. f. Assist the client with meticulous oral care after meals and at bedtime.
The nurse administering the phosphodiesterase inhibitor milrinone (Primacor) recognizes that this drug will have a positive inotropic effect. Which result reflects this effect?
a. Increased heart rate b. Increased blood vessel dilation c. Increased force of cardiac contractions d. Increased conduction of electrical impulses across the heart