Postoperative care of the above patient will include:
a. Avoiding palpation of the abdomen
b. Monitoring child for signs of infection
c. Teaching family to limit all activity in the future
d. Avoiding the discussion of the possibility of the tumor being fatal.
B
The abdomen should not be palpated before surgery. The child should be observed for infection, because the chemotherapy will cause immunosuppression. The child should participate in activities that are appropriate for the developmental level. Activities that could result in trauma to the kidneys are avoided. The family may be facing a fatal prognosis and will need an opportunity to discuss their feelings.
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The nurse prepares to administer vancomycin (Vancocin) to an older adult. Which laboratory test should the nurse review before administering this medication?
a. Stool culture c. Creatinine clearance b. Serum potassium d. Alkaline phospha-tase
A nurse is caring for a client following a culdoscopy. Which assessment data would the licensed practical nurse report to the registered nurse?
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The advanced nurse practitioner wishes to obtain admitting privileges at an area hospital. To whom should this nurse apply for these privileges?
1. The individual hospital 2. The state board of health 3. The Joint Commission for Accrediting Healthcare Organizations 4. The state board of medicine
A client in labor who is requesting an epidural asks if the baby will be harmed. How should the nurse respond?
1. "Epidural anesthesia is very safe and there are no potential side effects that can affect your baby." 2. "We'll monitor your baby continuously so we can recognize and treat any changes that may be related to the epidural." 3. "We'll assess your blood pressure every 15 minutes to make sure the epidural is not having any negative effects on your baby." 4. "Before your epidural is placed, we'll administer IV fluid to you in order to prevent the epidural from causing you problems."