The nurse assesses a patient with a hernia and finds that the patient's symptoms include abdominal distention, nausea, vomiting, and pain. The patient's heart rate is 118 bpm and temperature is 101°F. Which type of hernia does the nurse suspect?
a. incisional
b. incarcerated
c. strangulated
d. umbilical
Answer: c. strangulated
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You are assessing an older adult patient post-myocardial infarction. You attempt to identify your patient's health patterns and to assess if these health patterns are achieving the patient's goals
How should you best respond if it is found that the patient's health patterns are not achieving their goals? A) Seek ways to promote balance in the patient. B) Refer the patient to social work. C) Identify alternative models of health care. D) Provide insight into the patient's physiological failings.
Assisting the health care team to prepare a terminal cancer nursing care plan includes which of the following?
1. Assessment of hyponatremia, hypotension, or cough, all of which must be allevi-ated by appropriate medications before treatments can begin 2. Preplanning, which includes acceptance by the nurse that it is the patient who is dying (nurse's personal feelings about death are not considered) 3. Acceptance that late-stage cancer needs management of severe continual pain, and acceptance of anxieties related to patient's physical deterioration and to per-sonal grieving 4. Helping the patient or family to contact the social worker (no use at this point)
Which laboratory value indicates that the epoetin alfa (Procrit, Epogen) therapy is effective?
A. Platelet count has decreased from 80,000 to 50,000. B. Segmented neutrophils outnumber the band neutrophils. C. Serum potassium level has increased from 3.5 to 4.5 mEq/L D. Red blood cell count has increased from 2.2 million to 3.0 million.
A patient is becoming increasingly tense, pacing the hall, alternately whispering and shouting. Other patients receive hostile, suspicious glares as they walk by. Which phase of the assault cycle is the patient demonstrating?
a. Crisis phase b. Triggering phase c. Escalation phase d. Depression phase