Based upon the pathophysiology of acute pancreatitis, select the priority nursing diagnosis:
A) Hyperthermia
B) Acute pain
C) Diarrhea
D) Nausea
Ans: B
Feedback: While fever and nausea are symptoms associated with acute pancreatitis, severe abdominal pain is the major symptom of pancreatitis. The stools of the patient with pancreatic disease are often bulky, pale, and foul-smelling.
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The informatics nurse is preparing a presentation for new nursing staff. Which definition should the nurse use when explaining informatics to these colleagues?
A) A subspecialty of nursing that focuses on training in the use of computers B) A specific area of medicine that highlights the importance of technology in patient care C) A profession that is seeking an identity separate from medicine, nursing, or other behavioral sciences D) An interdisciplinary field that includes computer, decision, information, management, and cognitive sciences
The nurse prepares to remove the client's sutures and staples. Which should the nurse implement before removal?
1. Assess the type of suture material used. 2. Snip off both ends of the suture material. 3. Cleanse crusting with hydrogen peroxide. 4. Plan staple removal for postoperative day 5.
Which describes hormonal regulation of fluid balance?
1. The posterior pituitary secretes aldosterone, leading to sodium retention and water excretion. 2. The kidneys secrete antidiuretic hormone and aldosterone, causing water and po-tassium retention. 3. The pituitary gland secretes antidiuretic hormone, stimulating aldosterone release to retain water and sodium. 4. The adrenal cortex secretes antidiuretic hormone, leading to potassium retention and water excretion by the kidneys.
An unconscious male patient has just arrived in the emergency department after a head injury caused by a motorcycle crash. Which order should the nurse question?
a. Obtain x-rays of the skull and spine. b. Prepare the patient for lumbar puncture. c. Send for computed tomography (CT) scan. d. Perform neurologic checks every 15 minutes.