The nurse is caring for a patient who has had a portacaval shunt placed surgically. The nurse is aware that this procedure:
a. improves survival in patients with varices.
b. decreases the risk of encephalopathy.
c. decreases the incidence of ascites.
d. decreases rebleeding.
D
Surgical shunts decrease rebleeding but do not improve survival. The procedure is associated with a higher risk of encephalopathy and makes liver transplantation, if needed, more difficult. A temporary increase in ascites occurs after all these procedures, and careful assessments and interventions are required in the care of this patient population.
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To help older adults maintain a healthy mental state, the nurse plans activities at a community center to promote the developmental stages of older adulthood. Which nursing intervention is suitable for the nurse's plan?
a. Screen for communicable diseases com-mon among older adults. b. Participate at a soup kitchen for other people who are homeless. c. Plan a safety program about falls, fire safety, and home security. d. Have speakers emphasize the need for isolated self-exploration.
Nurse X has always maintained that "whatever you think is right, is right" in his personal and professional relationships on your unit. Upon what ethical principle is he basing this kind of decision making?
a. beneficence c. teleology b. nonmaleficence d. relativism
What is the term for cultures and subcultures existing within the same society, as they do in the large cities of the United States?
a. Cultural diversity b. Cultural ethnicity c. Mixed society d. Cultural immigration
Review the following mechanisms, and select the one by which anabolic steroids act
a. Inhibiting hypertrophy of the adrenal cortex b. Promoting hypertrophy of the adrenal cortex c. Blocking cortisol uptake in muscle and liver cells d. Enhancing cortisol uptake in muscle and liver cells