A postcesarean birth woman has been diagnosed with paralytic ileus. Which of the following symptoms would the nurse expect to see?
A) Abdominal distension
B) Polyuria
C) Diastasis recti
D) Dependent edema
A
Abdominal distension
You might also like to view...
A 3-month-old infant has been diagnosed with respiratory syncytial virus (RSV) and will begin treatment with inhaled ribavirin. Which of the following measures should be taken in the care of this patient and administration of ribavirin?
A) Serial sputum samples should be obtained daily for the duration of treatment. B) Pulmonary function testing should be performed immediately before and 30 minutes after each dose of the drug. C) Nurses who are pregnant or who may be pregnant should not administer the drug. D) The drug should be administered by a physician or a nurse practitioner.
A school-age client with a history of multiple allergies is prescribed epinephrine (EpiPen) for prevention of anaphylactic shock
The client's mother says to the nurse, "I thought shock was about heart failure." Which response by the nurse is the most appropriate? A) "Allergic response is the most fatal type of shock; other types involve loss of blood, heart failure, and liver failure." B) "Heart failure is the most serious kind of shock; others include infection, kidney failure, and loss of blood." C) "There are many kinds of shock that also include infection, nervous system damage, and loss of blood." D) "There are many kinds of shock: heart failure, nervous system damage, loss of blood, and respiratory failure."
What is the priority nursing intervention for the client during the first 24 hours after a skin graft procedure?
A. Monitoring of vital signs for early detection of hemorrhage B. Monitoring of graft site to assess "take" of the newly grafted skin C. Repositioning the client every 2 hours to prevent pressure ulcer formation D. Performing passive range-of-motion exercises on the extremity with the new graft to prevent contracture development
What question should the nurse ask to determine a possible trigger for the worsening of a client's psoriatic lesions?"
A. "Have you eaten a large amount of chocolate lately?" B. "Have you been under a lot of stress lately?" C. "Have you used a public shower recently?" D. "Have you been out of the country recently?"