A herniation is present when the client stands and disappears when the client lies down. What could the nurse infer from this finding?
A. The hernia is strangulated.
B. The hernia is incarcerated.
C. There is no herniation.
D. The hernia is reducible.
D
In a reducible hernia, the contents of the hernial sac can be replaced into the abdominal cavity by gentle pressure or by lying flat.
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A child has liver cancer. The most recent results for the alpha-fetoprotein level show it has been reduced by 50%. Which statement by the nurse to the parents and child is most appropriate at this time?
A. "Once the level gets to normal, we can resect the tumor." B. "This shows the cancer is responding to therapy." C. "Unfortunately, the chemotherapy is not working." D. "Your child will need a liver transplant soon."
An older female adult has a glass of wine a few days after being discharged from the hospital with atrial fibrillation. Which instruction should the nurse provide to this woman first?
a. A daily glass of red wine might be heart-healthy. b. Avoid drinking more than 4 ounces of wine daily. c. Ask for help before getting up after drinking wine. d. Avoid alcoholic beverages when on an anticoagulant.
The home care nurse is assessing management of the patient's gastrostomy. Which of the following statements indicates that the patient is managing the tube correctly?
A) " I clean my stoma twice a day with alcohol." B) " I am placing sterile dressings on my stoma site." C) "I am flushing my tube with 30 mL of water after my feeds." D) "I have been giving my medications all at the same time to avoid hassle."
The nursing is planning care for a child recovering from neck surgery for rhabdomyosarcoma. Which outcome suggests the best long-term prognosis for this patient?
A) The child tolerates chemotherapy to treat the tumor and on the neck and lungs. B) The child tolerates radiation for neck tumor and tumor found in the colon and liver. C) The child tolerates chemotherapy provided after complete removal of the neck tumor. D) The child tolerates chemotherapy every 4 weeks for 24 months to eradicate inoperable tumor.