Which finding indicates to the nurse that a patient's transjugular intrahepatic portosystemic shunt (TIPS) placed 3 months ago has been effective?
a. Increased serum albumin level
b. Decreased indirect bilirubin level
c. Improved alertness and orientation
d. Fewer episodes of bleeding varices
d. Fewer episodes of bleeding varices
TIPS is used to lower pressure in the portal venous system and decrease the risk of bleeding from esophageal varices. Indirect bilirubin level and serum albumin levels are not affected by shunting procedures. TIPS will increase the risk for hepatic encephalopathy.
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An experienced nurse who works in a busy, urban hospital is aware of the importance of multidisciplinary teams. What is the primary benefit of multidisciplinary teams in patient care?
A) Multidisciplinary teams make use of different individuals' areas of expertise B) The use of multidisciplinary teams allows health care institutions to employ larger numbers of people. C) Multidisciplinary teams help create a rigidly defined hierarchy in health care settings. D) Multidisciplinary teams help to reduce the workload of physicians and nurses.
A client who is diagnosed with a trichomonas infection is to receive metronidazole (Flagyl). The nurse would instruct the client to avoid which of the following while taking this drug?
A) Alcohol B) Cigarettes C) Chocolate D) Caffeine
A client presents with symptoms of anorexia and recent weight loss. Which nursing assessment finding is most important in determining the contributing factor to these symptoms?
A) History of obesity with a desire to lose weight B) Recent prescription for sertraline (Zoloft) C) Consistently works 60 hours/week D) Skips lunch when working
A researcher locates twelve research studies that all examine the effect of a different cognitive-behavioral strategy for decreasing pain—hypnosis, distraction, focusing, music therapy, and so forth
Why would these twelve studies make a poor meta-analysis? a. Cognitive-behavioral interventions are not a suitable focus for all patients, and consequently should not be studied. b. Twelve studies would be too many for synthesis of any kind. c. Secondary analyses of pooled data are not used for meta-analysis on pain, because of interindividual differences in perception. d. The result, if statistically significant, will produce a general recommendation, "If in pain, do something cognitive-behavioral," which is meaningless.