The nurse has conducted assessment of a patient who had surgery for a ruptured appendix 3 days ago. The patient complains of nausea, the abdomen is firm, and bowel sounds are rare in all quadrants
The nurse discusses these assessment findings with the health care provider due to concern regarding development of which condition? 1. Paralytic ileus
2. Dehydration
3. Intestinal obstruction
4. Hyperkalemia
1
Rationale 1: Three days after surgery, a distended abdomen with hypoactive bowel sounds may indicate paralytic ileus. Nausea is also indicative of ileus.
Rationale 2: Dehydration would not manifest as a distended abdomen and hypoactive bowel sounds.
Rationale 3: Intestinal obstruction may cause similar findings, but as this patient has just had surgery, it is not the condition of primary concern.
Rationale 4: Increased potassium levels would not manifest as distention of the abdomen and hypoactive bowel sounds.
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The patient's plan of care includes using the continuous passive motion (CPM) machine. Which statement by the patient indicates the need for further teaching?
a. "I marched in the Marines for 20 years, and now I'm marching flat on my back!" b. "My new knee will be glad to rest at night." c. "I can make my new knee stronger if I reset this thing to go faster and flex my knee more." d. "I almost wish this CPM ran at night. The motor noise is soothing."
The x-ray technician wears a badge that is monitored frequently to measure the amount of radiation he has absorbed. Such occupational exposure to radiation frequently results in a specific cancer, which is:
a. bladder cancer. b. leukemia. c. melanoma. d. lung cancer.
A patient diagnosed with syphilis reminds the HCP of having an allergy to penicillin. Which medications should the nurse expect to be prescribed for this patient? (Select all that apply.)
a. Gentamicin b. Amoxicillin c. Tetracycline d. Doxycycline e. Erythromycin
Which of the following is important to include when creating a culture of patient safety?
a. Promote staff empowerment to resolve unsafe situations. b. Use new technology to document client complaints. c. Implement professional standards of care. d. Recognize social justice issues.