Which of the following patients is at greatest risk for serious complications when using the Valsalva manoeuvre to expel feces?
a. A 25-year-old pregnant patient
b. A 66-year-old male patient with hypertrophied prostate disease
c. A 44-year-old male patient with glaucoma
d. A 53-year-old female patient with stomach cancer
C
Feedback
A Although use of the Valsalva manoeuvre may contribute to hemorrhoids in pregnancy, this is not as serious as increasing the intraocular pressure of a patient with glaucoma.
B The Valsalva manoeuvre is not contraindicated in a patient with hypertrophied prostate disease.
C Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greatest risk of serious complications (such as cardiac irregularities and elevated blood pressure) with this manoeuvre, and need to avoid straining to pass the stool.
D The Valsalva manoeuvre is not contraindicated in a patient with stomach cancer.
You might also like to view...
When bathing an 80-year-old woman who lives on a farm, the nurse assesses brown macules on the patient's hands and forearms. The nurse recognizes these as _________
ANS:
A client with intermittent claudication is prescribed cilostazol by the primary health care provider. The nurse would expect to administer this drug cautiously if the client's history reveals which of the following?
A) Intermittent claudication B) Pulmonary emboli C) Myocardial infarction D) Pancytopenia
The baseline international normalized ratio (INR) of a client started on warfarin (Coumadin) for atrial fibrillation was 1.2. The nurse notes that the INR value is 2.5 prior to administration of the next dose of medication
Which action by the nurse is the most appropriate? 1. Administer the antidote and observe for bleeding. 2. Notify the health care provider so that the dose can be increased. 3. Administer the medication as ordered. 4. Hold medication and contact the health care provider.
Adapting the environment and using techniques to prevent injury is
A) ergonomics. B) body mechanics. C) repetitive motion. D) a high-risk task.