Which precaution should the nurse teach a client regarding health care after he or she has undergone a splenectomy?
A. "You will no longer develop a fever when you have an infection, so you must learn to identify other symptoms of infection."
B. "You will be at an increased risk for developing allergies, so it will be important for you to avoid common allergens."
C. "You will need to avoid crowds and people with infections because it is harder now for you to develop antibodies."
D. "You will need to have yearly checkups because your risk for cancer development is greater now."
C
The spleen is the major site of B-lymphocyte maturation and antibody production. People who undergo splenectomies for any reason have a decreased antibody-mediated immune response and are particularly susceptible to viral infections.
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A nurse assesses a male client with an abdominal hernia. Which abdominal hernias are correctly paired with their physiologic processes? (Select all that apply.)
a. Indirect inguinal hernia - An enlarged plug of fat eventually pulls the peritoneum and often the bladder into a sac b. Femoral hernia - A peritoneum sac pushes downward and may descend into the scrotum c. Direct inguinal hernia - A peritoneum sac passes through a weak point in the abdominal wall d. Ventral hernia - Results from inadequate healing of an incision e. Incarcerated hernia - Contents of the hernia sac cannot be reduced back into the abdominal cavity
A 35-year-old woman is diagnosed with a peripheral neuropathy. When making her plan of care, the nurse knows to include what in patient teaching? (Mark all that apply.)
A) Inspect the lower extremities for skin breakdown B) Footwear needs to be accurately sized C) This disease has a genetic component D) Assistive devices may be needed to reduce the risk of falls E) Ask others for assistance
A pregnant teenager is not certain that she will like home care because she is afraid she will feel lonely. You suggest that
A) everyone could eat together. B) the family install an intercom system. C) her father buy a cell phone. D) the family buy her a television set.
The ascending colon, the transverse colon, the descending colon, the rectum, and the anus make up the small intestine
True False