A client is diagnosed with uterine fibroids. Which of the following would indicate that surgery is needed for this client? (Select all that apply.)
1. Abnormal bleeding not responsive to other therapy
2. Weight gain of 10 lbs over the last 3 months
3. Growth of fibroids after menopause
4. Chronic constipation
5. Client unable to conceive
6. Diagnosed with iron deficiency anemia
1, 3, 5, 6
Indications for surgical management of fibroids include abnormal bleeding that is not responding to medical therapy, growth of fibroids after menopause, infertility, and iron deficiency anemia. Weight gain and chronic constipation are not indications for surgery to remove uterine fibroids.
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A patient is administered imipenem–cilastatin for the treatment of an E. coli infection. The nurse should be aware that cilastatin is combined with the imipenem for what purpose?
A) To eliminate adverse effects of imipenem administration B) To inhibit the destruction of imipenem C) To potentiate the therapeutic effects of imipenem D) To allow imipenem to cross the blood–brain barrier
The ethics committee is reviewing a case in which the patient is competent. Which model is likely to be of best use to the ethics committee reviewing the case?
1. Autonomy 2. Patient benefit 3. Social justice 4. Patient justice
Clients who are traveling abroad will ask how to avoid "traveler's diarrhea." What suggestion should be offered?
a. Pack bottled water and plan to drink only that during the trip. b. Take a dose of Pepto-Bismol with each meal for prevention. c. Take a dose of Loperamide (Imodium) daily for prevention. d. Eat salads and fruits that come from the destination country.
A licensed practical nurse (LPN) learns that a client intends to leave the facility without
the physician's permission. Which should the nurse do first? A) Report the client's intentions to the team leader B) Ask the client to return when needed C) Perform discharge documentation for the client D) Ask the client to sign a dated release form