The nurse recognizes that a risk factor for developing a strangulated intestinal hernia is a history of:
1. Surgical adhesions.
2. Familiar occurrence.
3. Intestinal infarctions.
4. Hyperlipidemia.
Surgical adhesions.
Rationale: In a strangulated bowel obstruction, there is an interruption of blood flow, both venous and arterial, by mechanical means, which can result from surgical adhesions. There is no research to support a genetic link or an increased risk related to high blood cholesterol levels. Impairment of arterial blood flow resulting from the strangulation leads to ischemic infarctions.
You might also like to view...
When assessing clients who have developed early chronic alcoholism, the nurse anticipates finding:
1. Esophageal pain. 2. Right upper quadrant pain. 3. Diabetes mellitus. 4. Esophageal varices.
A person's self-concept, or how a person sees himself or herself, comprises which of the following? (Select all that apply.)
a. Body image b. Self-esteem c. Identity diffusion d. Self-ideal e. Personal identity
A breast-feeding mother who was discharged yesterday calls to ask about a tender hard area on her right breast. The nurse's first response should be:
a. "Try massaging the area and apply heat; it is probably a plugged duct." b. "Stop breast-feeding because you probably have an infection." c. "Notify your doctor so he can start you on antibiotics." d. "This is a normal response in breast-feeding mothers."
A staffing issue and lack of patient care supplies cause a nurse to cancel planned evening activities and stay on the care area until all issues are resolved. The nurse's actions are most typical of which role?
1. Administrator 2. Educator 3. Manager 4. Researcher