A client with an umbilical hernia complains of abdominal pain, nausea, and vomiting and, on auscultation of the abdomen, the nurse notes hypoactive bowel sounds. Which of the following does the nurse anticipate the client may be experiencing?
A. Intestinal evisceration
B. Intestinal obstruction
C. Electrolyte loss
D. Dehydration
B
The client with a hernia presenting with abdominal pain, fever, tachycardia, nausea and vomiting, and hypoactive bowel sounds should be suspected of having developed strangulation. Strangulation poses a risk of intestinal obstruction. Dehydration and electrolyte losses could accompany vomiting, but this is a secondary concern.
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A client is admitted to the psychiatric unit with complaints consistent with an anxiety disorder. During the assessment the nurse learns a client has a history of asthma and arthritis
Which of the following should the nurse do with this information? 1. Begin the respiratory assessment. 2. Begin the musculoskeletal status assessment. 3. Begin a review of the client's current medications. 4. Begin the psychosocial assessment.
A patient with Raynaud's disease receives no symptomatic relief with diltiazem (Cardizem). Which surgical intervention might be a treatment option for this patient to help provide symptomatic relief?
a. Cordotomy b. Rhizotomy c. Neurectomy d. Sympathectomy
The research method used to discover largely covert, complex, and generally hidden care knowledge in cultures or subcultures is called
A. Ethical nursing. B. Econursing. C. Ethnonursing. D. Emic nursing.
What can the nurse do to promote a safe environment for the client?
1. Keep clutter to a minimum in the client's room. 2. Have the client wear terry cloth slippers. 3. Provide adequate lighting. 4. Turn off alarms to reduce noise.