The nurse uses a poster to show the process of bowel obstruction from diverticulitis. Arrange the pathophysiologic event in order. (Separate letters by a comma and space as follows: A, B, C, D)
a. Increase in intra-abdominal pressure
b. Weakened wall of sigmoid
c. Pouch fills with fecal matter
d. Pouch protrudes through smooth muscle
e. Narrowing of bowel lumen
f. Inflammation of diverticula
B, A, D, C, F, E
Bowel obstruction from diverticulitis follows a sequential path: The wall of the bowel is weakened (usually the sigmoid), increase in abdominal pressure from such activities as bending and carrying heavy loads causes a pouch to protrude through the smooth muscle of the colon, the pouch fills with fecal matter, becomes inflamed, and narrows the lumen of the bowel causing obstruction.
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The intervention the client with rheumatoid arthritis (RA) can do that is most effective in preserving motor function during periods when the affected joints are not inflamed is
a. application of moist heat to joints. b. encouraging moderate increase in activity. c. promotion of a high-protein diet. d. restriction of the client's activity.
The school nurse removes a tick embedded in a student's scalp by the hairline. Which follow-up instruction is the nurse sure to provide to the mother?
a. "Call your pediatrician right away if a fever or a red rash develops at the bite." b. "If your child does not have symptoms within 2 weeks, you can relax." c. "Call your pediatrician tomorrow to get antibiotics to prevent Lyme disease." d. "Keep the site clean, but you don't have to worry about further problems."
After receiving patient education about erythropoietin, the patient states that for the medication to be effective, the body must have sufficient amounts of which of the folllowing? (Select all that apply.)
a. Vitamin B6 b. Folic acid c. Calcium d. Vitamin B12 e. Iron
A patient newly diagnosed with diabetes mellitus is admitted to the emergency department with nausea and vomiting. ABG results reveal a pH of 7.2 and a bicarbonate level of 20 mEq/L
Which other assessment findings would the nurse anticipate in this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Abdominal pain 2. Visual changes 3. Dysrhythmias 4. Kussmaul respirations 5. Positive Chvostek's sign