A patient is admitted to the ED complaining of severe abdominal pain, stating that he has been vomiting "coffee-ground" like emesis
The patient is diagnosed with a perforated gastric ulcer and is informed that he needs surgery. When can the patient most likely anticipate that the surgery will be scheduled?
A) Within 24 hours
B) Within the next week
C) Without delay because the bleed is emergent
D) As soon as all the day's elective surgeries have been completed
Ans: C
Feedback:
Emergency surgeries are unplanned and occur with little time for preparation for the patient or the perioperative team. An active bleed is considered an emergency, and the patient requires immediate attention because the disorder may be life threatening. The surgery would not likely be deferred until after elective surgeries have been completed.
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The nursing diagnosis established for a client with fluctuating levels of consciousness, disturbed
orientation, and visual and tactile hallucinations that should be given priority is a. bathing/hygiene self-care deficit related to altered cerebral function, as evidenced by confusion and inability to perform personal hygiene tasks. b. risk for injury related to altered cerebral function, as evidenced by sensory perceptual alterations and unstable gait. c. disturbed thought processes related to altered cerebral function resulting from medication intoxication, as evidenced by confusion, disorientation, and hallucinations. d. fear related to sensory perceptual alterations, as evidenced by hiding from hallucinated dog and wanting nurse to remove hallucinated bugs from her legs.
A patient is experiencing considerable postpartum pain from an episiotomy and reports that the pain is a 7 on a scale of 1 to 10. What type of pain medication is the nurse most likely going to provide to this patient?
A) Narcotic analgesia intravenously as needed B) One-time epidural anesthesia C) Codeine every six to eight hours D) Ibuprofen on demand
Rigor mortis is
a. the gradual loss of body heat. b. the release of urine, feces, and flatus. c. the deterioration of the body. d. the stiffening of the body and limbs.
Licensed practical/vocational nurses, as well as the other members of the health care team, require a specific set of skills and personal characteristics
Which personal characteristic is essential to be a competent and effective provider of health care? A) Willingness to tell clients and clients' family what is best for them B) Ability to emotionally disengage in order to remain objective C) Willingness to inflict pain on others D) Ability to keep their personal problems private and to themselves