Which client does the nurse assess most carefully for the development of gastroesophageal reflux disease?
a. Client with atrial fibrillation who drinks decaffeinated coffee
b. Client who has lost 20 pounds through diet and exercise
c. Diabetic client taking oral hypoglycemic agents
d. Postoperative client who has a nasogastric (NG) tube
D
A nasogastric tube keeps the cardiac sphincter open, allowing acidic contents from the stomach to enter the esophagus. The other clients do not have increased risk for gastroesophageal reflux.
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Following a spider bite she received while camping, a 20-year-old female presented to the emergency department with rash, edema, and fever and was subsequently diagnosed with serum sickness
Which of the following statements best conveys the physiological rationale for the broad systemic effects of this event? A) The woman is experiencing diffuse tissue necrosis as a consequence of an Arthus reaction. B) Antigen-antibody complexes have been deposited in a variety of locations throughout the body. C) Antibody binding to specific target cell receptors is bringing about a change in cell function. D) Deposited antibodies are activating her complement system.
Moist skin with fine hair, prominent eyes, lid retraction, and a staring expression are characteris-tics associated with:
a. Cushing syndrome. b. Graves disease. c. myxedema. d. systemic lupus erythematosus.
A woman in her 39th week of pregnancy is admitted to the labor and delivery unit where IV oxytocin is initiated. In this situation oxytocin is used for:
a. stimulating uterine contraction to initiate or stimulate labor. b. controlling postpartum hemorrhage. c. increasing uterine tone during the postpartum period. d. inducing milk letdown.
The mental health nurse is developing a plan of care for a victim of sexual assault. Which nursing diagnoses are likely appropriate for this client? (Select all that apply.)
A) Anxiety B) Impaired verbal communication C) Noncompliance D) Risk for injury E) Deficient knowledge