The nurse is caring for a patient with hepatitis. The nurse explains that jaundice occurs in conjunction with hepatitis based on which underlying pathophysiology?
a. Liver ischemia in hepatitis causes jaundice.
b. Increased bile production by the enlarged Kupffer cells causes jaundice.
c. The hepatitis virus destroys red blood cells and causes jaundice.
d. Hepatitis causes liver congestion that ob-structs bile flow.
D
Congestion from the inflammation obstructs the bile from entering the duodenum and keeps it in the circulating volume.
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The nurse is caring for a patient who will give himself medication injections at home after discharge. How can the nurse best determine that the patient understands the technique and can administer the injections correctly?
a. Provide written instructions about how to administer the injections. b. Watch the patient give himself an injection. c. Call the patient the next day to ask if he is having difficulty with the injections. d. Ask the patient if he understands how to administer the injections.
The CNO (chief nurse officer) of a hospital is reviewing last year?s turnover rate among nursing staff. The CNO realizes the largest proportion of the turnover is made up of nurse graduates
The CNO is investigating a program to enhance graduate nurse retention by offering educational and nurse mentoring opportunities. This is an example of which type of program? 1. Clinical ladder program 2. Mentoring program 3. Coaching program 4. Versant RN residency program
Upon assessment of a patient in the intensive care unit, the nurse suspects critical illness polyneuropathy is developing. Which finding would support this suspicion?
1. The patient exhibits facial grimacing to painful stimuli but does not withdraw from the stimuli. 2. There is bilateral absence of deep tendon reflexes. 3. Laboratory results reveal elevation of creatine kinase level. 4. The patient exhibits diffuse weakness.
The client with an anxiety disorder reports to the nurse that the Kunz-Krieger method seems to be helpful. The nurse understands that the client is referring to which of the following alternative therapies for anxiety?
1. relaxation 2. spiritual support 3. music therapy 4. touch therapy