The nurse is caring for a patient diagnosed with gallstones. The patient's medical record indicates the presence of two gallstones less than 1.5 inches. The patient is obese and has a history of insulin-dependent diabetes
The patient asks the nurse why he could not have a lithotripsy. The nurse points out that the criteria for the procedure are rigid and that he failed to meet them because: a. he has only two gallstones.
b. the gallstones are all less than 1.5 inches.
c. he is obese.
d. he is diabetic.
C
Lithotripsy is not effective on obese persons. The three criteria are as follows: the gallstones must be fewer than three, of no more than 1.5 inches in diameter, and the patient must not be obese.
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A nurse works for a facility in which the facility sends information to The National Data Base for Nursing Quality Improvement (NDNQI) regarding patient falls, pressure ulcer incidence, and nursing satisfaction. The nurse works at which facility?
a. The Joint Commission b. A magnet-designated hospital c. The Centers for Disease Control and Pre-vention d. The American Association of Critical Care Nurses
A nurse is seeing a 71-year-old patient with Parkinson disease. The patient has frequent episodes of crying and reports having panic attacks, during which she feels as though she can't breathe. How should the nurse respond?
1. Inform the patient that depression is a normal reaction to a diagnosis of physical illness and it will naturally improve over time. 2. Inform the patient that a diagnosis of depression is unrelated to a diagnosis of Parkinson disease and refer the patient for counseling. 3. Inform the patient that brain changes that occur with Parkinson disease may be associated with high levels of depression and anxiety and may respond to pharmacotherapy. 4. Inform the patient that pharmacological treatment for depression is usually unsuccessful in patients with Parkinson disease because of possible side effects.
A female client arrived by life flight to the hospital after experiencing multiple traumas in a .motor vehicle crash involving a suspected drunk driver
Which statement is most important for the nurse to make to the parents before they see their child? 1. "You should press charges against the drunk driver." 2. "Your child's condition is very critical; her face is swollen, and she might not look like herself." 3. "Your child's leg was crushed, and might have to be amputated." 4. "Don't worry, everything will be okay. We will take excellent care of your child."
When entering a room in which droplet precautions are used, wear a
A. surgical mask. B. HEPA mask or equivalent. C. surgical mask and face shield. D. gown and gloves.