Your patient has a gallstone blocking the bile duct. When you assess the patient's laboratory studies what would you expect to find?
A) Increased bilirubin level in the blood
B) Decreased cholesterol level
C) Increased BUN level
D) Decreased serum alkaline phosphatase level
Ans: A
Feedback: If the flow of blood is impeded, bilirubin, a pigment derived from the breakdown of red blood cells, does not enter the intestines. As a result bilirubin, levels in the blood increase.
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Following a hysterectomy, the nurse assessing for abnormal bleeding would:
1. record the number of perineal pads used. 2. assess vital signs every 8 hours. 3. place the patient's bed in a high Fowler's position. 4. apply an abdominal binder.
The nurse is determining the ability of a client with chronic confusion to solve problems. Which of the following questions would most likely elicit the type of information that the nurse is looking for?
1. "How tall do you think this building is?" 2. "What would you do if you saw a fire in the wastebasket?" 3. "What did you have for supper last night?" 4. "What is your favorite color?"
The nurse is tracking the trend of increased measles outbreak's in state public universities and providing immunization boosters to the campus health clinics. Which type of nursing is this?
A. Public health nursing B. Community health nursing C. Public health clinics D. Parrish Nursing
The nurse is working on a surgical unit, and overhears another nurse say, "That client is asking for pain medication again. He is constantly on the call bell, always reporting how severe his pain is, and I think he's just drug-seeking. I'm going to make him wait the full 4 hours before I give this medication again." Which action by the nurse is the most appropriate in this situation?
1. Ignoring the situation because the client in question is not this nurse's responsibility 2. Entering the nurses' station, reprimanding the nurse, and completing an incident or variance report 3. Pulling the second nurse aside and providing a reminder that the sensation of pain is subjective, and that professionals have a duty to believe clients' reports of their symptoms 4. Informing the charge nurse of what was overheard