The nurse has given a patient instruction about the possible complications of unresolved cholecystitis
Which statements by the patient would indicate correct understanding of the instruction? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "I could have infected pus stored in my gallbladder.".
2. "My gallbladder could rot and cause a big infection in my abdomen.".
3. "My gallbladder trouble could become chronic.".
4. "My cholesterol could get very high.".
5. "My gallbladder could turn inside out into the bile duct.".
1,2,3
Rationale 1: Complications of cholecystitis include empyema, a collection of infected fluid within the gallbladder.
Rationale 2: Gangrene and perforation with resulting peritonitis may occur. An abscess may form.
Rationale 3: Chronic cholecystitis can develop.
Rationale 4: Cholesterol is implicated in the development of gallstones, but increased cholesterol levels are not caused by gallbladder disease.
Rationale 5: The gallbladder will not turn inside out into the bile duct.
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The nurse is instructing a client on lifestyle changes to prevent the onset of heart disease. Which should be included in this teaching session?
Select all that apply. A) Limit exercise to 15 minutes a day. B) Reduce saturated fats in the diet. C) Avoid cigarette smoking. D) Wear elastic hose. E) Limit fluid intake.
The organization's ethics committee is attempting to resolve an ethical dilemma regarding one aspect of a client's care. Once the committee has identified the ethical problem, the next step in the process would be to:
a. generate alternatives to solve the dilemma. b. carry out the moral action. c. identify the consequences for the moral action. d. determine the claims and the parties involved in the dilemma.
Patient teaching related to amlodipine includes:
1. Increase calcium intake to prevent osteoporosis from a calcium blockade. 2. Do not crush the tablet; it must be given in liquid form if the patient has trouble swallowing it. 3. Avoid grapefruit juice as it affects the metabolism of this drug. 4. Rise slowly from a supine position to reduce orthostatic hypotension.
A 6-year-old child has frequent constipation. The nurse provides teaching after the parent asks the nurse why the provider recommended using laxatives only when needed. Which statement by the parent indicates a need for further teaching?
a. "Children who take laxatives regularly can become dehydrated." b. "Chronic laxative use can cause electrolyte imbalances." c. "Frequent use of laxatives can cause diverticulitis." d. "The normal reflex to defecate can be inhibited with overuse of laxatives."