A client just returned to the nursing unit after having a trans-jugular intrahepatic portal-systemic shunt (TIPS) procedure. Which clinical finding does the nurse expect to observe in this client?
a. Decreased level of consciousness
b. Decreased urinary volume
c. Increased blood pressure
d. Increased abdominal girth
C
With TIPS placement, ascitic fluid is routed into the venous system, resulting in vascular volume expansion. An increase in blood pressure is reflective of increased circulating volume. The client should not have the other findings.
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A woman cares for her husband with a C7 spinal cord injury. The patient requires frequent turning, help with all activities of daily living, catheterization every 3 hours around the clock, and daily wound care for a pressure ulcer
They have three children ages 5 to 12. The wife is exhausted, cannot sleep at night, and has no one to help her. Which of the following outcome criteria would be relevant to a nursing diagnosis of Caregiver Role Strain for this patient's plan of care? a. Caregiver maintains patient's health. b. Caregiver accepts constructive criticism. c. Caregiver accepts responsibility for own actions. d. Caregiver identifies resources available to assist with care.
The nurse is counseling a 52-year-old female client who has been instructed by her healthcare provider to have a screening mammogram performed. The nurse outlines this procedure for the client as which type of prevention?
1. Primary 2. Tertiary 3. Prepathologic 4. Secondary
Researchers in patient education have suggested that which of the following efforts are useful for nurses to follow to increase a patient's medication compliance?
1. Short verbal responses are easy to learn. 2. Limited visual material with more verbal responses may be helpful. 3. Flash cards are very useful for visualization. 4. A variety of teaching methods, including written information and audiotapes, are useful.
Which is the most essential element of handwashing?
a. soap or chemical c. friction b. water d. drying