A client with acute cholecystitis resulting from obstruction of the cystic duct by gallstones is at risk for which of the following?
A. Reflux of bile into the esophagus
B. Perforation of the gallbladder
C. Hepatomegaly
D. Malabsorption
B
In acute cholecystitis, trapped bile acts as a chemical irritant. Coupled with a distended gallbladder, edema, and impaired circulation, tissue sloughing and gangrene can occur, leading to perforation.
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A CNO (chief nurse officer) is considering a collaborative effort with a school of nursing to offer externships to students. The CFO (chief financial officer) rejects the proposal because it will cost the organization
Which statement by the CNO would influence the CFO to reconsider this proposal? 1. ?Nursing is the foundation of this hospital and we have to get nurses into the organization.? 2. ?We could hire the students as nurse?s aides, which would save costs.? 3. ?An externship will allow the nursing students to work with nurses, learn about the organization, and create a positive impression of our facility.? 4. ?Offering a nurse externship would allow the organization to create the types of nurses we would like to hire.?
What should nurses do to win as much as possible in negotiation?
A) Be well prepared with only one clear plan for dealing with the situation B) Communicate their hidden agenda C) Be unwilling to compromise, except as a last resort D) Begin with a high but realistic expectation
A 23-year-old woman is brought to the emergency department complaining of stomach cramps, nausea, vomiting, and diarrhea. The nurse notes that the patient ate grilled chicken at a local restaurant approximately 8 hours before admission to the ED. The nurse suspects food poisoning. What is the key to treatment in food poisoning?
A) Stopping the vomiting and diarrhea B) Fluid replacement C) Determining the source and type of food poisoning D) Determining if anyone else in the family is ill
An older patient being treated for pneumonia has signs of metabolic syndrome but denies the presence of diabetes. Serum glucose is 220 mg/dL and the hemoglobin A1C is 5%. What can be induced from these findings?
1. The nurse should anticipate discharge teaching related to insulin to manage blood sugars at home. 2. The nurse anticipates that the doctor will diagnose the patient with type 1 diabetes. 3. The nurse would anticipate treatment with sliding scale insulin even though diabetes is not yet evident. 4. The nurse anticipates that the doctor will diagnose the patient with type 2 diabetes.