A patient with a large inguinal hernia has abdominal distention and inguinal pain. The nurse recognizes these as indicators of which type of hernia?
a. Strangulated
b. Hiatal
c. Ventral
d. Umbilical
ANS: A
The hernia is strangulated when the blood supply and intestinal flow are occluded, which results in pain and distention.
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A patient cries as the nurse explores the patient's relationship with a deceased parent and says, "I shouldn't be crying like this. It happened a long time ago
" Which response(s) by the nurse will facilitate communication? (Select all that apply.) a. "Why do you think you are so upset?" b. "I can see that you feel sad about this situation." c. "The loss of your parent is very painful for you." d. "Crying is a way of expressing the hurt you're experiencing." e. "Let's talk about something else, since this subject is upsetting you."
Co-trimoxazole (Bactrim, Septra) has a half-life of 8 to 12 hours. Based on this information, the nurse decides to administer the drug at which time(s) each day?
a. 9:00 AM b. 8:00 AM and 8:00 PM c. 8:00 AM, 12:00 PM, 4:00 PM, and 8:00 PM d. 8:00 AM, 12:00 PM, 4:00 PM, 8:00 PM, and 12:00 AM
The nurse was caring for an elderly 82-year-old gentleman who lives with his son. The nurse is concerned about elder abuse. Which of the following may well be the nurse's single most important intervention?
A. Counsel and recognize the son's efforts in relation to being a caregiver. B. Encourage the son to consider respite care or adult day care for his father if at all affordable. C. Give information to the son regarding nursing home placement. D. Suggest that other family members might be of some assistance with caregiving.
The health care team determines a patient's readiness for discharge from the PACU by noting a post anesthesia recovery score of at least 10. After determining that all criteria have been met, the patient is discharged to the hospital unit or home. Review the patient profiles after 1 hour in the PACU listed below. Which patient should the nurse expect to be discharged from the PACU first?
a. 10-year-old girl, tonsillectomy, general anesthesia. Duration of surgery 30 minutes. Immediate response to voice. Alert to place and person. Able to move all extremities. Respirations even, deep, rate of 20. Vital signs are within normal limits. IV solution is D5RL. Has voided on bedpan. Eating ice chips, Complaining of sore throat. b. 55-year-old man, repair of fractured lower left leg. General anesthesia. Duration of surgery 1 hour, 30 minutes. Drowsy, but responds to voice. Nausea and vomiting twice in PACU. No urge to void at this time. IV infusing D5NS. Pedal pulses noted in both lower extremities. VS: Temperature 98.6 degrees F; pulse 130 beats/min; respiratory rate 24.min; blood pressure 124/76 mm Hg. c. 24 year old man, reconstruction of facial scar. General anesthesia. Duration of surgery 2 hours. Sleeping, groans to voice command. VS are within normal limits. Respirations 10 breaths/min. No urge to void. IV of D5Rl infusing. Complains of pain in surgical area. d. 42 year old woman, colonoscopy, IV conscious sedation. Awake and alert. Up to bathroom to void. IV discontinued. Resting quietly in chair. VS are within normal limits.