A client has a gastrectomy and vagotomy for treatment of peptic ulcer disease. Why was the vagotomy performed?
a. to anastomose the remaining portion of the stomach to the bowel
b. to remove the vagal innervation to the fundus of the stomach
c. to remove the perforated section of the sto-mach or bowel
d. to prevent further hemorrhage from the site
B
Gastrectomy, with or without vagotomy (removal of the vagal innervation to the fundus of the stomach), is the surgical treatment used for clients who have perforated ulcers or for ulcers that are resistant to medical treatment.
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A 37-year-old man has been diagnosed with Pneumocystis jiroveci pneumonia (PCP) and has been prescribed intravenous pentamidine isethionate (Pentam 300). In order to enhance the therapeutic effects of the drug, the nurse will
A) administer the drug by itself. B) administer it with a saline solution. C) place the patient in an upright position for administration. D) give the drug at bedtime to ensure faster absorption.
On the way to the biohazard disposal closet to dispose intravenous (IV) tubing and a bag used on a patient who is positive for human immunodeficiency virus, the LPN/LVN drops the IV tubing and bag on the floor, causing a spill
What is the team leader's most appropriate action? a. Quickly pick up the dropped supplies and dispose of them in the biohazard bag in the biohazard room. Ask housekeeping to place a small barricade over the spill until it can be mopped up later. b. Find the floor maintenance person to pick up and dispose of the used equipment and to mop the floor, reminding him or her to wash his or her hands with soap and wa-ter. Chart that the IV was infused and discontinued appropriately. c. Call and report to designated personnel to come and cordon off the area from staff and patients; have the spill cleaned with approved infection and chemotherapy spill control procedures. d. Chart the spill in the patient's chart, in-form the RN when convenient, and have housekeeping mop up the spill.
The nurse is caring for an older patient recently diagnosed with cancer. The nurse is concerned about the patient moving towards a trajectory of frailty. What laboratory findings support the nurse's concern?
1. Hemoglobin 12 g/dL 2. Hematocrit 40 g/dL 3. Serum albumin less than 2.5 g/100 dL 4. Serum albumin greater than 2.5 g/100 dL
The infusion is running at 14 mL/hr. The solution strength is 150 mg in 100 mL. Calculate the dose currently infusing in mcg/min to the nearest whole number
What will be an ideal response?