A post-cesarean birth woman has been diagnosed with paralytic ileus. Which of the following symptoms would the nurse expect to see?
a. Abdominal distension
b. Polyuria
c. Diastasis recti
d. Dependent edema
ANS: a
Feedback
a. The nurse would expect to see a distended abdomen in a client with a paralytic ileus.
b. Polyuria is unrelated to a paralytic ileus.
c. Diastasis recti is unrelated to a paralytic ileus.
d. Dependent edema is unrelated to a paralytic ileus.
You might also like to view...
Who is responsible for the development and evaluation of a plan for individualized patient care?
a. the physician c. the primary nurse b. the patient d. all nurses
The nurse is providing care for a patient whose recent stroke has necessitated the use of a nasogastric tube for feeding while a longer-term solution is explored with the patient's family
In an effort to prevent aspiration, the nurse recognizes the need to accurately assess the tube's placement. How should this best be done? A) Mark the tube's exit point from the patient's nares after an X-ray. B) Aspirate 3 to 5 mL of fluid from the nasogastric tube and test the fluid's pH. C) Inject 5 to 10 mL of air into the nasogastric tube while auscultating the patient's abdomen. D) Aspirate some fluid from the tube and test the fluid for glucose using a testing strip.
The nurse instructs the client receiving a dopamine system stabilizer that which side effects are possible? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected
1. Headache 2. Diarrhea 3. Constipation 4. Nausea 5. Vomiting
A teenage girl has come to the nurse's office at school because the last three times she has urinated, the urine has had a lot of bubbles. The nurse should:
1. Assess the amount of protein the girl has consumed within the last 24 hours. 2. Assess the fluid intake of the last 24 hours. 3. #the girl about recent sexual activity. 4. Call the parents immediately because the girl needs medical attention.