The client receiving intraperitoneal (IP) therapy for ovarian cancer has abdominal pain, rigidity, and rebound tenderness. What is the nurse's best first action?
A. Remove the IP catheter.
B. Take the client's temperature.
C. Document the findings as the only action.
D. Culture the skin around the catheter exit site.
B
Chemical peritonitis and microbial peritonitis share most of the same clinical manifestations. Usually, the client has a fever with microbial peritonitis and does not have a fever with chemical peritonitis.
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The psychiatric–mental health nurse is working with the new graduate nurse who is orienting to the psychiatric unit. Which comment by the new graduate indicates further clarification of the generalist-nursing role is needed?
1. "I would feel better if you would look at my documentation that addresses progress toward treatment goals." 2. "I will spend time each day evaluating the effectiveness of the therapeutic milieu." 3. "I am a little nervous about conducting psychotherapy with clients." 4. "I am doing some reading on how to incorporate complementary interventions into treatment plans."
The nurse is performing a postpartum homecare visit. Which teaching has the highest priority?
1. Teaching or reviewing how to bathe the baby 2. Teaching how to thoroughly childproof the house 3. How many wet diapers the baby should have daily 4. Prevention of plagiocephaly
After completing a needs assessment, the nurse is confident that he has identified the highest priority health programming need within the community. He presents his ideas at a community interest meeting,
and the attendees show essentially no interest in being involved. Knowing that the health problem must be addressed he proceeds with implementation as planned. Which of the following is the most likely outcome of the program? a. Community members will become increasingly positive about the new program. b. Others will recognize the importance of the program and become involved. c. The public health agency will both publicize and expand the program. d. The program will fail because of the community's lack of interest.
A patient who is taking morphine for pain asks the nurse how a pain medication can also cause constipation. What does the nurse know about morphine?
a. It binds to different types of receptors in the body. b. It can cause constipation in toxic doses. c. It causes only one type of response, and the constipation is coincidental. d. It is selective to receptors that regulate more than one body process.