When a client presents with abdominal pain, the clinician would consider cholecystitis in the diagnostic process. Which of the following best describes cholecystitis?
a. gallstones in the cys-tic duct c. inflammation of the gallbladder
b. gallstones in the gallbladder d. gallstones in the common bile duct
C
Cholecystitis is an inflammation of the gallbladder. Cholelithiasis is the presence of gallstones or calculi (concentration of mineral salts) in the gallbladder. Sometimes gallstones migrate into the cystic or common bile duct (choledocholithiasis) causing an obstruction that, in turn, leads to cholecystitis.
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A 66-year-old patient is admitted to the critical care unit with a diagnosis of acute inferior MI. A 12-lead electrocardiogram (ECG) is done to validate the area of infarction. Which finding on the ECG is most conclusive for infarction?
a. Inverted T waves c. ST segment depression b. Tall, peaked T waves d. Pathologic Q waves
The nurse is drawing up a teaching plan for a patient who has type 1 diabetes. The doctor has ordered two types of insulin, 10 U of regular insulin and 35 U of NPH insulin. The proper procedure is to:
1. draw up the insulins in two separate syringes so that there can be no confusion. 2. draw up the regular insulin before drawing up the NPH insulin. 3. inject air into the NPH insulin, draw it up to 35 U, then inject air into the clear regular insulin and withdraw to 45 U. 4. inject 35 U air into the NPH insulin, inject 10 U air into the regular insulin, with-draw 10 U of the regular insulin, and withdraw 35 U of the NPH insulin.
The nurse recognizes that what are the most common disabilities in women?
1. Asthma and headaches 2. Arthritis or rheumatism 3. Adverse kidney and nervous system functioning 4. Cardiovascular diseases
Handwashing should be performed before and after
A. direct patient care. B. touching an environmental surface. C. passing each meal tray. D. handling clean linen.