The nurse assesses the clients waiting for an esophagogastroduodenoscopy. Which client assessment data requires the nurse to cancel the client's procedure? (Select all that apply.)
1. Hematemesis
2. NPO for 8 hours
3. Esophageal stricture
4. 32 breaths per minute
5. Esophageal diverticulum
6. Upper respiratory infection
1, 4, 5, 6
1. Active gastrointestinal bleeding, respiratory distress, upper respiratory infection, and esophageal diverticulum contraindicate upper endoscopic procedures. Bleeding makes gastric viewing very difficult.
4. Tachypnea exposes the client to the risk of respiratory failure during the procedure.
5. An esophageal diverticulum exposes the client to the risk of esophageal perfora-tion.
6. A upper respiratory infection potentially makes breathing during the procedure very difficult.
2 and 3. Properly prepared clients remain NPO for 8 hours before an endoscopy and may receive the test to eliminate or detect an esophageal stricture.
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The nurse is sensitive to the cultural beliefs of Native Americans; they practice rituals for the improvement of their health by creating harmony among __________. (Select all that apply.)
a. mind b. faith c. wellness d. spirit e. body
When caring for a patient with HIV, the nurse should:
a. not focus on the mouth, as infections of the mouth are rare. b. assure the patient that infections are not a major problem at this point. c. inform the patient that the disease does not affect the respiratory system. d. monitor the patient's medication regimen.
A client tells the nurse that he takes antacids before and after every meal and several times throughout the day for gastric distress. This client could be at risk for which condition?
a. Osteomalacia b. Peripheral neuritis c. Heart rhythm problems d. Vitamin C deficiency
Which teaching strategy is appropriate for a client who wishes to use mind-body complementary therapy to supplement traditional treatment for cancer?
a. Instruct the client to make a follow-up appointment with the health care provider after using mind-body treatments to assess the client's response to treatment. b. Instruct the client never to use alternative or complementary treatments for serious illnesses. c. Explain to the client that physicians and nurses are not prepared to recommend and monitor alternative treatments. d. Explain to the client that physicians and nurses do not incorporate such treatments into their practice.