A patient recovering from a splenectomy asks what impact the loss of the organ will have on the quality of life. Which response should the nurse make?

A. "Your liver and bone marrow will assume its functions."
B. "Your stomach will assume its functions."
C. "A spleen is not really necessary."
D. "You will have to avoid getting colds and flu."


Answer: A

Nursing

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A patient who is being transferred from the medical-surgical unit to the intensive care unit is in the progressive stage of shock

The nurse caring for the patient is aware that shock affects many organ systems and that nursing management will focus on: A) Reviewing the cause of shock and trying to limit the progression B) Assessing and understanding shock and the significant changes in assessment data to guide the plan of care C) Giving the prescribed treatment but shifting focus to providing family time, as the patient is unlikely to survive D) Giving progressive care to the patient and family using critical pathways for shock therapy

Nursing

Which of the following responses to the client's statement "I'm afraid to have a cesarean birth" would be the most therapeutic?

a. "What concerns you most about a cesarean birth?" b. "Everything will be OK." c. "Don't worry about it. It will be over soon." d. "The physician will be in later and you can talk to him."

Nursing

A patient is demonstrating tremors and a positive Chvostek's sign even though the serum calcium level is low normal. Which of the following should the nurse suspect is occurring with this patient?

1. elevated magnesium level 2. low potassium level 3. elevated sodium level 4. low magnesium level

Nursing

A client with three children (11, 9, and 6 years of age) seeks preventive treatment at a mental health clinic

She states, "I'm here before I go crazy! The kids don't listen. I yell at them and then, rather than argue constantly, I give in. What a great mom, huh? My mom and dad were very permissive with me, but I was more cooperative and willing to behave." Which of the following diagnoses is best? A) Health-Seeking Behaviors related to desire for a more stable home environment as evidenced by statement, "I'm here before I go crazy!" B) Situational Low Self-esteem related to ironic statement "What a great mom" as evidenced by desire for help C) Ineffective Coping related to inability to effectively discipline children and evidenced by statements about disciplining patterns D) Impaired Parenting related to a lack of knowledge about parenting skills as evidenced by statements about feelings of ineffectiveness

Nursing