The nurse is caring for a client with cholecystitis. The client is a poor historian and is unable to tell the nurse when the symptoms started. Which assessment finding indicates to the nurse that the condition is chronic rather than acute?
a. Temperature of 100.1° F (37.8° C)
b. Positive Murphy's sign
c. Light-colored stools
d. Upper abdominal pain after eating
C
Jaundice, clay-colored stools, and dark urine are more commonly seen with chronic than with acute cholecystitis. The other symptoms are seen equally with both conditions.
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A male patient with a history of heavy alcohol use has been admitted to hospital for malnutrition and suspected pancreatitis
The patient's diagnostic workup suggests alcoholic ketoacidosis as a component of his current health problems. He is somewhat familiar with the effect that drinking has had on his nutrition and pancreas but is wholly unfamiliar with the significance of acid-base balance. How best could his care provider explain the concept to him? A) "The chemical processes that take place throughout your body are thrown off very easily when your body is too acidic or not acidic enough. B) "The multitude of chemical reactions that take place in your body depend on your body fluids being slightly acidic." C) "The healthy function of your kidneys and your lungs requires a specific level of pH in your body." D) "Your body is highly dependent on what food and fluid you consume to keep itself at a functioning level of slight nonacidity."
Ketoconazole is used as an alternative to amphotericin B for less severe systemic mycosis. Which are the primary reasons for choosing ketoconazole? (Select all that apply.)
a. It can be given orally. b. It can be used safely in patients with he-patic dysfunction. c. It can be given once weekly rather than daily. d. It is effective for severe, acute infections. e. It is less toxic.
The nurse is preparing to collect a urine culture specimen from a catheterized patient. What should the nurse do to safely obtain this specimen?
1. with a sterile syringe, aspirate several mL of urine from the sampling port using sterile technique 2. disconnect the catheter from the drainage tubing and allows 1–3 mL of urine to drain into a sterile specimen container 3. with a sterile syringe and needle, aspirate 50 mL of urine from the catheter above where it is connected to the drainage tubing 4. empty a small volume of urine from the urine collection bag into a sterile specimen cup
The nurse sets up a sterile field and notes several tiny holes in the table's sterile drape that served as the wrap for the pack. Which does the nurse do to facilitate completion of the procedure?
1. Use a sterile towel to cover the existing holes. 2. Replace the entire sterile field and the supplies. 3. Move the sterile supplies to a replacement drape. 4. Avoid using any of the sterile items near the holes.