In reviewing the medical record shown in the accompanying figure for a patient admitted with acute pancreatitis, the nurse sees that the patient has a positive Cullen's sign. Indicate the area where the nurse will assess for this change
a. 1
b. 2
c. 3
d. 4
c. 3
The area around the umbilicus should be indicated. Cullen's sign consists of ecchymosis around the umbilicus. Cullen's sign occurs because of seepage of bloody exudates from the inflamed pancreas and indicates severe acute pancreatitis.
You might also like to view...
A patient who has been admitted after near drowning was submerged for 10 minutes and remains unconscious. What possible damage to the body has occurred as a result of the submersion?
A) Atrophy to brain cells B) Cellular injury C) Hypoxia to the brain D) Necrosis to the brain
The nurse is caring for a patient who will receive a caudal block. In which of the following surgeries would a caudal block be useful for pain control?
A) Thoracotomy B) Inguinal hernia repair C) Breast reduction D) Closed reduction of a right humerus
The patient with hypothyroidism takes levothyroxine daily and has triiodothyronine (T3), thyroxine (T4), and thyroid-stimulating hormone (TSH) levels drawn in the laboratory to check appropriateness of prescribed dosage
What results would the nurse analyze as indicating the need for a higher dosage of medication? A) Elevated TSH, elevated T3, and reduced T4 levels B) Reduced TSH, elevated T3 and T4 levels C) Elevated TSH, reduced T3 and T4 levels D) Reduced TSH, T3, and T4 levels
A patient is receiving intravenous gentamicin. Which change in condition do you report to the prescriber immediately?
a. Temperature increases from 38° C to 39° C. b. Blood pressure decreases from 132/80 to 118/66. c. Total 24-hour urine output decreases from 2100 to 1100 mL. d. White blood cell (WBC) count decreases from 11,000/mm3 to 8500/mm3.