The nurse is speaking with a patient who has concerns about the development of cholelithiasis. The nurse correctly includes which risk factors for the condition? (select all that apply.)
a. Obesity
b. Daily exercise regimen
c. Diabetes mellitus (DM)
d. Taking cholesterol-lowering drugs
e. Mexican American ethnicity
A, C, D, E
Cholelithiasis is the presence of gallstones within the gallbladder or in the biliary tract. Obesity, DM, intake of cholesterol-lowering drugs, and Mexican American ethnicity are risk factors for the development of gallstones. A sedentary lifestyle is a risk factor for cholelithiasis.
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A sentinel event is usually one that results in an unexpected outcome for the patient and "signals" the need for investigation and response. Which of these situations would be considered a sentinel event?
a. Patient dies because there is no bed available in the ICU. b. Patient receives an incorrect dose of medication. c. Patient consents to be terminally weaned. d. A patient's family is upset with a physician's approach.
A nurse is performing fundal massage for a client. What precaution should the nurse take when giving a fundal massage?
A) Never massage a contracted fundus. B) Avoid placing a hand over the symphysis pubis. C) Report cramps immediately to physician. D) Avoid applying heat to relieve cramps.
Which of the following actions demonstrates the occupational health nurse's need to balance conflict between what is legal and what is ethical?
a. Ensuring the employer's profit and keeping the employees happy b. Fulfilling what the nurse's supervisor wants and what the employees want c. Encouraging primary prevention and first aid to the injured d. Reporting health problems to employers and keeping health records confidential