When a client is admitted to the emergency department with a hernia, the classification of hernia that would represent a surgical emergency is
a. incisional.
b. inguinal.
c. reducible.
d. strangulated.
D
Incarcerated hernias usually become strangulated. This situation is a surgical emergency because unless the bowel is released, it soon becomes gangrenous from a lack of blood supply. An inci-sional hernia is one occurring at a surgical site, most often in clients with poor wound healing. A reducible hernia can be replaced into the abdominal cavity.
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If a physician orders a patient to be placed in reverse Trendelenburg's position, the nurse should place the bed:
a. on the floor. b. parallel with the floor. c. tilted with the head of the bed down. d. tilted with the foot of the bed down.
A nurse working in a large meat-packaging plant sees patients for work-related issues. What is the role of the nurse?
A) Occupational health nurse B) Staff nurse C) Nurse clinician D) Nurse educator
The client having surgery for a bowel obstruction also has primary selective IgA deficiency. For what postoperative problems should the nurse be extra vigilant with this client?
A. Septicemia and gangrene B. Wound infection and urinary tract infection C. Meningitis and descending urinary tract infection D. Herpes zoster (shingles) and Pneumocystis pneumonia
The thick, muscular middle layer of the heart wall that contains the atrial and ventricular muscle fibers necessary for contraction is the _____
a. epicardium b. pericardium c. myocardium d. endocardium