The nurse is caring for a client who is 2 days postop whose vital signs show the following: pulse of 112, blood pressure of 96/52, with a urine output of 15 cc/hour
Which of the following postoperative problems could present with those signs?(Select all that apply) Standard Text: Select all that apply. 1. UTI
2. Embolus
3. Hypovolemia
4. Hemorrhage
5. Hypovolemic shock
3,4,5
Rationale: A urinary tract infection presents clinically as cloudy and/or foul smelling urine, with the client complaining of burning with voiding, or lower abdominal pain
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A parent reports that her 5-year-old child, who has had all recommended immunizations, had a mild fever one week ago and now has bright red cheeks and a lacy red maculopapular rash on the trunk and arms
The nurse recognizes that this child might have: 1. Chickenpox (varicella). 2. German measles (rubella). 3. Roseola (exanthem subitum). 4. Fifth disease (erythema infectiosum).
A male patient is receiving rituximab therapy for non-Hodgkin's lymphoma. Which of the following would be a priority nursing intervention to reduce the risk for cytotoxicity and tumor lysis syndrome?
A) Ensure that the patient maintains a normal breathing pattern. B) Ensure that the patient maintains a normal fluid and electrolyte balance. C) Protect the patient from exposure to infections. D) Monitor the patient for deterioration in renal function.
A patient diagnosed with several fractured vertebra is having surgical stabilization. The nurse would reinforce which information about this surgery?
1. "You will be required to wear a hard cervical collar for several months after the surgery." 2. "After surgery you will be fitted for a halo device." 3. "The fusion generally requires insertion of rods to stabilize your spine internally." 4. "This is the first of a series of surgeries you will require."
The client states a history of substance abuse but reports current abstinence. If valid, this report means that the client has not used alcohol or illicit substances in at least how many months?
A) 3 B) 6 C) 9 D) 12