In caring for a client admitted to the hospital for treatment of cirrhosis, the nurse would know that priority interventions revolve around the client's
a. hypoglycemia related to pancreatitis.
b. infection related to neutropenia.
c. nerve impairment related to encephalopathy.
d. risk for hemorrhage related to bleeding tendencies.
D
Because of the increased risk of bleeding in the client with cirrhosis, the nursing diagnosis Inef-fective Tissue Perfusion related to bleeding tendencies and varices that may hemorrhage is common and so takes priority in this situation. If the pancreas were involved, the client would probably manifest hyperglycemia because of loss of endocrine function. Encephalopathy is a possible consequence of cirrhosis but may or may not be present. Infection is another possible complication.
You might also like to view...
Which is the role of the nurse when providing care to a client diagnosed with a phobia?
A) Providing comfort and alleviating emotional distress B) Encouraging the client to confront fears C) Providing medication to help reduce the symptoms of the disorder D) Telling the client that the hospital is a safe place
The older adult patient is quite ill and confused and begins to cry pitifully when the nurse approaches the bed to start an IV. The best action for the nurse at this point would be to:
1. keep the infusion equipment out of sight as much as possible, talk slowly, and divert the patient. 2. inform the patient that the doctor has ordered the IV and calmly continue to pre-pare the site and start the IV. 3. give an analgesic as ordered, wait a few minutes, and then proceed. 4. restrain the patient's arm to a padded arm board and proceed as directed.
The nurse is reviewing data collected for a patient's health history. Which factor should the nurse identify as increasing the patient's risk of developing type 2 diabetes mellitus?
A. Physical inactivity B. Low waist-to-hip ratio C. Blood pressure of 120/70 mmHg D. Body mass index of 23 kg/m2
The nurse is considering applying for work at a hospital. What action should the nurse perform first?
1. Contact the nurse recruiter and apply as quickly as possible. 2. Learn about the hospital and its parent company, if there is one. 3. Call the hospital personnel office to learn about the salary. 4. Contact the head nurse of the unit on which he would like to work.