In the postoperative phase of abdominal surgery, the client complains of severe abdominal pain, and in the second postoperative day, the client's bowel sounds are absent. What does the nurse suspect?
A) Normal response
B) Abdominal infection
C) Hernia development
D) Paralytic ileus
Ans: D
You might also like to view...
The nurse is performing an assessment of the client's head and neck. The client requests information about the assessment of her lymph nodes. Which of the following is the best response?
1. "Sometimes, enlarged lymph nodes indicate an infection.". 2. "All of your lymph nodes should be easily palpable.". 3. "The lymph system makes antibiotics to treat infection.". 4. "When one lymph node is identified as being enlarged, this is always an abnormal finding.".
The physician has prescribed phenytoin (Dilantin) for a client with diabetes mellitus, type
1. What does the nurse include in the plan of care for this client? 1. Plan to institute safety precautions, as the client is at risk for dizziness and ataxia. 2. Plan to discuss with the physician the need to increase the client's insulin based on serum glucose levels. 3. Plan to assess the client for petechiae, epistaxis, and hematuria. 4. Plan to discuss with the physician the need to decrease the client's insulin based on serum glucose levels.
A client is brought into the emergency department because of complaints from neighbors that the client was acting strangely. The nurse assesses the client and suspects schizotypal personality disorder based on assessment of which of the following?
Select all that apply. A) Magical beliefs B) Hallucinations C) Paranoia D) Avoidance of eye contact E) Meticulous dress
The primary care NP refers a patient to a cardiologist who diagnoses long QT syndrome. The cardiologist has prescribed propranolol (Inderal). The patient exercises regularly and is not obese
The patient asks the NP what else can be done to minimize risk of sudden cardiac arrest. The NP should counsel the patient to: a. drink extra fluids when exercising. b. reduce stress with yoga and hot baths. c. ask the cardiologist about an implantable defibrillator. d. ask the cardiologist about adding procainamide to the drug regimen.