Twelve hours after surgery for pheochromocytoma, the nurse should assess a postoperative client for manifestations of abdominal hematoma, including
a. absent bowel sounds.
b. blurred vision.
c. elevated blood pressure.
d. increased urine output.
A
For the first day or two the client should be monitored closely for complications of the operation, including adrenal insufficiency, hypotension, hemorrhage, and shock. If the client is bleeding internally, an abdominal hematoma can develop, resulting in paralytic ileus. Manifestations of paralytic ileus include abdominal pain, distention, severe nausea, vomiting, and diminished or absent bowel sounds.
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Which of the following is appropriate with a patient who is homeless?
A. Treat patients according to their ability to pay. B. The homeless patient is only treated in the emergency roomâ€"they should not be admitted unless life threatening condition; never admit them to the unit. C. Treat the homeless patient as you would treat any patient. D. Some parts of the Patient Bill of Rights do not apply to the homeless.
Which of the following would lead the nurse to suspect that an adolescent has bulimia?
A) Body mass index less than 17 B) Calluses on back of knuckles C) Nail pitting D) Bradycardia
A nurse is reviewing developmental concepts for infants and children. Which statement best describes development in infants and children?
a. Development, a predictable and orderly process, occurs at varying rates within normal limits. b. Development is primarily related to the growth in the number and size of cells. c. Development occurs in a proximodistal direction with fine muscle development occurring first. d. Development is more easily and accurately measured than growth.
The nurse is working with a client who has cancer that has been staged as a stage I. The nurse realizes that this cancer is best described as:
a. a cancer with disseminated metastatic disease b. cancer with a certainty of being fatal c. a localized disease in just one area or organ d. the end stage of cancer