A client who has undergone a malabsorptive surgery is at risk for which condition?
a. diabetes c. hypertension
b. chronic nutritional deficits d. impaired mobility
B
Malabsorptive surgery bypasses the part of the small intestine that absorbs calcium, iron, and other nutrients placing the client at risk for chronic nutritional deficits and vitamin B12 anemias. After the surgery, the client is placed on multivitamin and mineral supplements.
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A client is undergoing hemodialysis. The client's blood pressure at the beginning of the procedure was 136/88 mm Hg, and now it is 110/54 mm Hg. What actions should the nurse perform to maintain blood pressure? (Select all that apply.)
a. Adjust the rate of extracorporeal blood flow. b. Place the client in the Trendelenburg position. c. Stop the hemodialysis treatment. d. Administer a 250-mL bolus of normal saline. e. Contact the health care provider for orders.
When assessing a 12-year-old girl with the diagnosis of pneumonia, the nurse performs percussion. The lower left lobe is noted to have a dull sound. What should the nurse do next?
1. Call the doctor with the assessment. 2. Check the orders and start chest physiotherapy. 3. Palpate the chest to check for tactile fremitus. 4. Place the child on oxygen.
A child has scoliosis with a 40-degree curvature of the spine, and the parent is worried about pulmonary involvement. What statement by the healthcare professional is most appropriate?
a. “Scoliosis is a bone disorder and does not affect the lungs.” b. “Yes, we should obtain pulmonary function studies soon.” c. “Scoliosis severe enough to involve the lungs would be fatal.” d. “The lungs aren’t affected until the curvature is over 80 degrees.”
One of the requirements of an IND application is
A. the determination of an LD50 2 B. clinical trials for a specific population C. the preparation of an honestly written label D. an understanding of the proper dosage level