The nurse is caring for a patient who has an inflamed appendix. The nurse understands that which complication is most likely to occur if the appendix ruptures?
a. Colitis
b. Enteritis
c. Hepatitis
d. Peritonitis
ANS: D
Perforation, abscess of the appendix, and peritonitis are major complications of appendicitis.
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Which action by the spouse of a hospice client indicates understanding of the nurse's teaching plan for reducing dyspnea?
A) Closing a window near the client B) Keeping the room warm C) Using a fan near the client's face D) Reducing the humidity level of the room
A maintenance man falls from a ladder into the unit hall, striking his head on some equipment. The man is unconscious and not breathing; the Code Team has already been paged and is on its way. The nurse should:
1. wait for the team to start CPR. 2. open airway with a jaw thrust. 3. give two rescue breaths after extending the neck. 4. start chest compressions.
A trauma patient's intra-abdominal pressure (IAP) measures 26 mm Hg. How would the nurse explain needed treatment to the patient's family?
1. "This pressure reading is normal and will help to get oxygen to the damaged internal organs." 2. "If we reduce the amount of IV fluid he is getting, the IAP will decrease." 3. "We will raise the head of his bed and have him cough more frequently to reduce this pressure." 4. "It is very likely that he will be taken back to surgery to relieve the pressure building in his abdomen."
A nurse assesses a 3-year-old child diagnosed with autistic disorder. Which finding is most associated with the child's disorder?
a. Toilet training complete b. Inability to identify colors c. Failure to develop interpersonal skills d. Anxiety when separated from a parent