Paralytic ileus can develop as the result of:
a. adhesions that obstruct the bowel's lumen
b. interrupted blood flow to a portion of the bowel, which then becomes necrotic
c. interrupted nerve transmission to the bowel with a portion becoming paralyzed
d. a tumor obstructing the bowel's lumen
C
Intestinal obstruction (ileus) may occur in the large or small intestine, particularly in the ileum, as the result of mechanical, neurogenic, or vascular factors. Mechanical obstruction can be either partial or complete; possible causes include tumors, fecal impaction, hernia, volvulus, intussusception, or adhesions.
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Compromise, negotiation, networking, and coalition building are essential activities in policy development while:
1. Implementing the program as a result of the developed policy. 2. Evaluating how well the policy has been implemented. 3. Formulating the goals and programs to result from the policy. 4. Setting the agenda to define the problem to be addressed by the policy.
The nurse is instructing a patient, recovering from thoracic surgery, on pulmonary hygiene. Which of the following will facilitate the removal of lung secretions causing the least amount of pain to the patient?
1. Instruct the patient to cough 3 to 4 times with each exhalation. 2. Assist the patient to a sitting position to lean over the bedside table while coughing. 3. Provide the patient with a pillow to splint the incision while coughing. 4. Guide the patient to cough with the glottis open.
The nurse at the beginning of the shift plans to see which client first, based on the following vital signs?
A) The client age 2 years whose respiratory rate is 16 breaths/minute B) The newborn whose axillary temperature is 98.2 ºF (36.8 ºC) C) The client age 7 years whose pulse is 120 beats/minute D) The client age 10 years whose blood pressure is 102/62 mmHg
The nurse is testing a patient for the presence of Trousseau's sign. Which patient response should the nurse recognize as a positive result?
a. Weakness of the arm b. Pain in the arm and hand c. Spasticity of the arm and fingers d. Redness of the arm below the cuff