In caring for a client with severe hepatic abscess, the nurse would assess carefully for the common complication of
a. frequent diarrhea.
b. increasing jaundice.
c. increasing pruritus.
d. pleural effusion.
D
Because of the proximity of the liver to the right pleural space, an inflammatory process can start in the pleura. The other three options are not clinical manifestations.
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A patient is admitted to the hospital after a head injury. The nurse notes a widening pulse pressure. Which of the following actions is most appropriate?
a. None; this is an expected finding after a head injury. b. Lay the bed flat and check pupil response. c. Raise the head of the bed and notify the RN. d. Give an extra dose of diuretic.
Which of the following patients should be advised by the nurse to avoid over-the-counter cold and allergy preparations that contain phenylephrine?
A) A 47-year-old female with hypertension B) A 52-year-old male with adult-onset diabetes C) A 17-year-old female with symptoms of an upper respiratory infection D) A 62-year-old male with gout
On routine screening you notice that the cup-to-disc ratio of the patient's right eye is 1:2. What ocular condition should you suspect?
A) Macular degeneration B) Diabetic retinopathy C) Hypertensive retinopathy D) Glaucoma
Hemolytic disease is suspected in a mother's second newborn. Which factor is important in understanding how this could develop?
a. The mother's first child was Rh positive. b. The mother is Rh positive. c. Both parents have type O blood. d. RhIG (RhoGAM) was given to the mother during her first pregnancy.