A nurse is explaining to a group of nursing students in a clinic about the interventions to
be taken while caring for clients with herniation. Which is a common site for herniation
in men that the students should be aware of?
A) Inguinal canal
B) Prostate gland
C) Cowper's glands
D) Scrotum
A
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A nurse cares for a client who has an 80% blockage of the right coronary artery (RCA) and is scheduled for bypass surgery. Which intervention should the nurse be prepared to implement while this client waits for surgery?
a. Administration of IV furosemide (Lasix) b. Initiation of an external pacemaker c. Assistance with endotracheal intubation d. Placement of central venous access
A patient has swallowed a large amount of pills. Activated charcoal, an adsorbent, is ordered to reduce toxic absorption. For best use of this substance, what action does the nurse initiate?
A) Administer via nasogastric tube to increase the speed of administration. B) Verify that the ingested pills will be adsorbed by activated charcoal. C) Administer the charcoal 4 hours after the pills were ingested. D) Combine the charcoal with an emetic to increase elimination of toxins.
When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to review how maternity care has changed over the years. Which of the following would the nurse include when discussing the 20th century?
A) Epidemics of puerperal fever B) Performance of the first cesarean birth C) X-ray developed to assess pelvic size D) Development of free-standing birth centers
Max says, "Nurse, see that man on the television? He is the reason why I am sick. He told them to make me this way." The nurse documents this as an episode of a(n):
A. Hallucination. B. Delusion. C. Illusion. D. Autistic thought.