A nurse is caring for a client with lung cancer who has had a paracentesis performed to relieve breathing difficulties. For which of the following adverse effects should the nurse monitor the client?
A) Hypervolemia
B) Punctured lung
C) Shock
D) Pulmonary edema
C
Feedback:
A large amount of fluid withdrawn (>1,000 mL) during paracentesis or thoracentesis can result in vasodilation and hypovolemia (decreased circulating fluid volume). These situations can cause syncope (temporary loss of consciousness, fainting) and shock. Parecentesis involves puncturing the abdominal cavity, not the lung.
You might also like to view...
A patient with a history of Graves disease is admitted to the unit with shortness of breath. The nurse notes the patient's vital signs: T 103 ° F, P 160, R 24, BP 160/80. The nurse also notes distended neck veins. What does the patient most likely have?
a. Pulmonary embolism b. Hypertensive crisis c. Thyroid storm d. Cushing crisis
Which symptom experienced by a woman in her 20s alerts the nurse to the possibility of endometriosis?
a. Bleeding between periods b. Cessation of menstruation c. Premenstrual tension headache d. Pain before the onset of menstrual flow
Mrs Tagaloa has expressed concern at being asked the same questions about her identity and impending surgery by a number of different staff members. a. Why are these multiple checks undertaken? b. Describe each stage of the World Health Organization (WHO) Surgical Safety Checklist (SSC) and identify when they are required to be performed. c. How do you address Mrs Tagaloa's concern?
Mrs Lanuola Tagaloa is a 54-year-old Samoan woman who has lived in Australia for the past 15 years. She was admitted on the day of surgery for an elective vaginal hysterectomy with anterior/posterior colporrhaphy. She has a history of asthma and has type 2 diabetes mellitus (diagnosed at 42 years of age). Mrs Tagaloa has a history of grand multipara. She has a BMI of 30+ and falls into the obese category, but appears otherwise fit and well. She lives at home with her extended family and is responsible for the care of her mother and school-aged children. The admissions nurse informs you that Mrs Tagaloa is very softly spoken and did not maintain eye contact. She was accompanied by a female family member and overheard to be conversing in her native language. What will be an ideal response?
Convert 1152 to traditional time