34. The nurse monitors for signs of peritonitis, a potential
complication postoperatively. The manifestations include
the following except

1 Answer

Answer :

D. Soft abdomen

Related questions

Description : As the nurse monitors the client, she notices a bright red spot on the dressings which measures 4cm in diameter. The nurse should initially do which appropriate nursing intervention? A. Change the ... C. Notify the clients surgeon of a potential hemorrhage D. Assess the presence of a drain

Last Answer : D. Assess the presence of a drain

Description : 31. Based on the initial manifestation on admission, the nurse is looking for positive manifestations of appendicitis which includes the following except

Last Answer : C. Thrombocytopenia

Description : Which of the following reflect the pathophysiology of cutaneous signs of HIV disease? a) Immune function deterioration Cutaneous signs may be the first manifestations of HIV, appearing in more ... Decrease in normal skin flora Cutaneous signs of HIV disease appear as immune function deteriorates.

Last Answer : a) Immune function deterioration Cutaneous signs may be the first manifestations of HIV, appearing in more than 90 per cent of HIV infected patients as the immune function deteriorates. Common complaints include pruritis, folliculitis, and chronic actinic dermatitis.

Description : When the nurse assesses the patient and observes blue-red and dark brown plaques and nodules, she recognizes that these manifestations are associated with a) Kaposi's sarcoma. Kaposi's sarcoma is ... syphilis. A painless chancre or ulcerated lesion is a typical finding in the patient with syphilis.

Last Answer : a) Kaposi’s sarcoma. Kaposi’s sarcoma is a frequent comorbidity of the patient with AIDS.

Description : Which of the following statements describes the clinical manifestations of a delayed hypersensitivity (type IV) allergic reaction to latex? a) Signs and symptoms are localized to the area of ... minutes after exposure to latex, an immediate hypersensitivity (type I) allergic reaction has occurred.

Last Answer : a) Signs and symptoms are localized to the area of exposure, usually the back of the hands. Clinical manifestations of a delayed hypersensitivity reaction are localized to the area of exposure.

Description : The nurse knows that a postoperative vision-threatening complication of LASIK refractive surgery, diffuse lamellar keratitis (DLK) occurs a) in the first week after surgery. DLK is a peculiar, non-infectious, ... after surgery. d) 6 months after surgery. DLK occurs in the first week after surgery.

Last Answer : a) in the first week after surgery. DLK is a peculiar, non-infectious, inflammatory reaction in the lamellar interface after LASIK. It is characterized by a white granular, diffuse culture-negative ... no single agent appears to be solely the cause of DLK, a multifactorial etiology is likely.

Description : 96. You planned the nursing care of the client together with the nursing student. You asked the nursing student to enumerate the clinical manifestations of a client with polycythemia vera. You expect the nursing student to enumerate the following manifestations except

Last Answer : B. Hepatomegaly

Description : The patient with Herpes Simplex Virus (HSV) encephalitis is receiving acyclovir (Zovirax). The nurse monitors blood chemistry test results and urinary output for a) renal complications related to ... output will alert the nurse to the presence of renal complications related to acyclovir therapy.

Last Answer : a) renal complications related to acyclovir therapy. Monitoring of blood chemistry test results and urinary output will alert the nurse to the presence of renal complications related to acyclovir therapy.

Description : When the patient who has undergone laryngectomy suffers wound breakdown, the nurse monitors him very carefully because he is identified as being at high risk for a) carotid artery hemorrhage. The ... poor wound healing and breakdown. d) pneumonia. Pneumonia is a risk for any postoperative patient.

Last Answer : a) carotid artery hemorrhage. The carotid artery lies close to the stoma and may rupture from erosion if the wound does not heal properly.

Description : Which of the following manifestations is often the earliest sign of malignant hyperthermia? a) Tachycardia (heart rate above 150 beats per minute) Tachycardia is often the earliest sign of malignant ... develops rapidly. d) Oliguria Scant urinary output is a later sign of malignant hyperthermia.

Last Answer : a) Tachycardia (heart rate above 150 beats per minute) Tachycardia is often the earliest sign of malignant hyperthermia.

Description : When the patient who has experienced trauma to an extremity complains of severe burning pain, vasomotor changes, and muscles spasms in the injured extremity, the nurse ... heterotrophic ossification. Heterotrophic ossification causes muscular pain and limited muscular contraction and movement.

Last Answer : a) reflex sympathetic dystrophy syndrome. RSD is frequently chronic and occurs most often in women.

Description : A patient has had neurologic deficits lasting for more than 24 hours, and now the symptoms are resolving. The nurse concludes that the patient has had which type of stroke? a) Reversible ... and symptoms have stabilized with no indication of further progression of the hypoxic insult to the brain.

Last Answer : a) Reversible ischemic neurologic deficit With a reversible ischemic neurologic deficit, the patient has more pronounced signs and symptoms that last more than 24 hours; symptoms resolve in a matter of days without any permanent neurologic deficit.

Description : When the female patient demonstrates thickening, scaling, and erosion of the nipple and areola, the nurse recognizes that the patient is exhibiting signs of a) Paget's disease. Paget's disease ... the breast and demonstrates an orange peel apearance of breast skin with enlargement of skin pores.

Last Answer : a) Paget’s disease. Paget’s disease is a malignancy of mammary ducts with early signs of erythema of nipple and areola.

Description : The nurse recognizes which of the following signs as typical of the patient in shock? a) Rapid, weak, thready pulse Pulse increases as the body tries to compensate. b) Flushed face Pallor is ... urine output Usually, a low blood pressure and concentrated urine are observed in the patient in shock.

Last Answer : a) Rapid, weak, thready pulse Pulse increases as the body tries to compensate.

Description : 80. An officer-in-charge signs a document for the chief nurse who went on leave. The OIC signs her full name over the name of the chief nurse. The proper way to sign for the chief nurse who is on leave is

Last Answer : D. Sign on a separate line as OIC

Description : After admitting the patient to the PACU, the first action of the nurse would be to A. Assess patency of the airway B. Check the rate of the IV infusion C. Monitor the vital signs D. Assess the clients pain

Last Answer : A. Assess patency of the airway

Description : The most common complication after knee arthroscopy is a) joint effusion. Joint effusion produces marked pain, and the physician may need to aspirate the joint to remove fluid and relieve the ... Complaints of the knee locking are associated with functioning of the injured knee prior to arthroscopy.

Last Answer : a) joint effusion. Joint effusion produces marked pain, and the physician may need to aspirate the joint to remove fluid and relieve the pressure.

Description : Which of the following solutions should the nurse anticipate for fluid replacement in the male patient? a) Lactated Ringer's solution Replacement fluids may include isotonic electrolyte solutions and ... only to treat severe symptomatic hyponatremia and should be used only in intensive care units.

Last Answer : a) Lactated Ringer’s solution Replacement fluids may include isotonic electrolyte solutions and blood component therapy.

Description : The nurse assesses subtle personality changes, restlessness, irritability, and confusion in a patient who has sustained a fracture. The nurse suspects a) fat embolism syndrome. Cerebral disturbances in ... severe, burning pain, local edema, hyperesthesia, muscle spasms, and vasomotor skin changes.

Last Answer : a) fat embolism syndrome. Cerebral disturbances in the patient with fat embolism syndrome include subtle personality changes, restlessness, irritability, and confusion.

Description : The nurse teaches the patient with a high risk for osteoporosis about risk-lowering strategies including which of the following statements? a) Walk or perform weight-bearing exercises out ... alcohol and caffeine consumption in moderation, and performing a regular weight-bearing exercise regimen.

Last Answer : a) Walk or perform weight-bearing exercises out of doors. Risk-lowering strategies for osteoporosis include walking or exercising out of doors, performing a regular weight-bearing exercise ... and vitamin D intake, smoking cessation, and consuming alcohol and caffeine consumption in moderation.

Description : 64. The client was placed on a low sodium diet. The wife asks the nurse which foods to include in the client’s diet while at home. The nurse should instruct to include which of these?

Last Answer : C. Fruits and vegetables

Description : 41. For a client complaining of mild musculoskeletal pain, the nurse will anticipate that the treatment for this client’s level of discomfort will include which of the following?

Last Answer : B. Acetaminophen

Description : The nurse teaches the patient about diabetes including which of the following statements? a) Elevated blood glucose levels contribute to complications of diabetes, such as diminished vision. When blood ... be able to resume previous methods for control of diabetes when the stress is resolved.

Last Answer : a) Elevated blood glucose levels contribute to complications of diabetes, such as diminished vision. When blood glucose levels are well controlled, the potential for complications of diabetes is reduced.

Description : The most significant nursing problem related to continuous tube feedings is a) potential for aspiration Because the normal swallowing mechanism is bypassed, consideration of the danger of ... in fat metabolism and lipoprotein synthesis Tube feedings maintain fat metabolism and lipoprotein synthesis.

Last Answer : a) potential for aspiration Because the normal swallowing mechanism is bypassed, consideration of the danger of aspiration must be foremost in the mind of the nurse caring for the patient receiving continuous tube feedings.

Description : When the surgeon performs an appendectomy, the nurse recognizes that the surgical category will be identified as a) clean contaminated. Clean-contaminated cases are those with a potential, limited ... with foreign bodies, fecal contamination, or purulent drainage would be considered a dirty case.

Last Answer : a) clean contaminated. Clean-contaminated cases are those with a potential, limited source for infection, the exposure to which, to a large extent, can be controlled.

Description : 90. When a telephone order is made, it should be documented by the nurse who is receiving the order. The following should be included in the order to be executed except

Last Answer : A. Time the call was made and its duration

Description : 56. The nurse is aware that acromegaly is a condition when growth hormone occurs in excess in adulthood or after epiphyses of the long bones have fused. The following are the typical features of the disorder except

Last Answer : C. The client grows taller

Description : 36. A nurse is obligated to carry out a physician’s order except

Last Answer : B. Believes an order to be inappropriate or inaccurate

Description : Clinical manifestations of right heart failure include each of the following EXCEPT: C A. dependent edema B. Ascites C. Pulmonary edema D. None of these

Last Answer : Pulmonary edema

Description : If a person has been exposed to radiation, presenting symptoms, such as nausea, vomiting, loss of appetite, diarrhea, or fatigue can be expected to occur within _______ hours after exposure? ... prodromal phase (presenting symptoms) of radiation exposure occurs within 48 to 72 hours after exposure.

Last Answer : a) 48 to 72 The prodromal phase (presenting symptoms) of radiation exposure occurs within 48 to 72 hours after exposure. Signs and symptoms include nausea, vomiting, loss of appetite, ... radiation exposure, the signs and symptoms may include fever, respiratory distress, and increased excitability.

Description : A person suffering from carbon monoxide poisoning a) appears intoxicated. A person suffering from carbon monoxide poisoning appears intoxicated (from cerebral hypoxia). Other signs and symptoms include headache, ... pink to cherry red to cynanotic and pale and is not a reliable diagnostic sign.

Last Answer : a) appears intoxicated. A person suffering from carbon monoxide poisoning appears intoxicated (from cerebral hypoxia). Other signs and symptoms include headache, muscular weakness, palpitation, dizziness, and mental confusion.

Description : Which of the following findings in the patient who has sustained a head injury indicate increasing intracranial pressure (ICP)? a) Widened pulse pressure Additional signs of increasing ICP ... regarded as unfavorable because hyperthermia may indicate brain stem damage, a poor prognostic sign.

Last Answer : a) Widened pulse pressure Additional signs of increasing ICP include increasing systolic blood pressure, bradycardia, rapid respirations, and rapid rise in body temperature.

Description : Later signs of increased intracranial pressure (ICP) later include which of the following? a) Projectile vomiting Projectile vomiting may occur with increased pressure on the reflex center in the ... , the pulse pressure (the difference between the systolic and the diastolic pressure) widens.

Last Answer : a) Projectile vomiting Projectile vomiting may occur with increased pressure on the reflex center in the medulla.

Description : Typical signs and symptoms of appendicitis include: a) Nausea Nausea is typically associated with appendicitis with or without vomiting. b) Left lower quadrant pain Pain is generally felt in the ... may be present with appendicitis. d) High fever Low-grade fever is associated with appendicitis.

Last Answer : a) Nausea Nausea is typically associated with appendicitis with or without vomiting.

Description : If an indwelling catheter is necessary, nursing interventions that should be implemented to prevent infection include a) performing meticulous perineal care daily with soap and water. Cleanliness of the area ... it is clamped because it may cause backflow of urine from the tubing into the bladder.

Last Answer : a) performing meticulous perineal care daily with soap and water. Cleanliness of the area will reduce potential for infection.

Description : What is the minimum age for becoming a nurse in 19th century?

Last Answer : Your question presumes that 21st cenury standards were applied in the 19th century. There was no certification of nurses until late in the 19th century. Florence Nightingale, the mother of Nursing didn; ... in 1890 was vastlly different from nursing in 1810. But both were in the 19th century.

Description : If you were sick in the hospital, what would differentiate a mediocre nurse from an outstanding nurse?

Last Answer : Compassion and a cheerful and drama free personality. They care, and they’re patient, no matter how difficult their day is, you will never know it. A great nurse knows to quit if they burn out and start hating their job.

Description : What must you be good at in order to be a nurse?

Last Answer : Drawing blood without digging a hole in the patient’s arm.

Description : Any words of advice for a new grad nurse?

Last Answer : answer:My daughter is a nurse. She was given bad advise on the first job she landed. It was at the Tennessee State Prison!! This is the worst possible place for a nurse, especially a new nurse, to begin her ... she moved to Seattle. This was not a safe job for her or for you. Keep this in mind. jp

Description : Should I change surgeons if I have a problem with his nurse?

Last Answer : I don't believe you to be over-reacting. Talk with your surgeon. You need to be as relaxed and comfortable going in as you can. This is outrageous. Please, please don't go under the knife ... There is nothing wrong with your thinking. PM me if you'd like. I have recent experience with surgery.

Description : I removed my own IV and a hospital nurse went bonkers. Is it so dangerous?

Last Answer : I agree with you. When I’m put in the hospital, I get IVs a lot. I’ve taken them out on my own plenty of times..and never hurt myself. I think they freak it because you hurting yourself or doing that can get them in trouble, fired, or even sued.

Description : Who makes more? A nurse practicioner or a physicians asistant?

Last Answer : The Dept of Labor produces a document called the Occupational Outlook Handbook that compares projections of salaries, the types of training required, anticipated markets for various services etc. Check out: http://www.bls.gov/OCO/

Description : During a disaster, the nurse sees a victim with a green triage tag. The nurse knows that the person has a) injuries that are minor and treatment can be delayed hours to days. A ... or expectant) indicates injuries that are extensive and chances of survival are unlikely even with definitive care.

Last Answer : a) injuries that are minor and treatment can be delayed hours to days. A green triage tag (priority 3 or minimal) indicates injuries that are minor and treatment can be delayed hours to days.

Description : Which of the following guidelines is appropriate to helping family members cope with sudden death? a) Show acceptance of the body by touching it, giving the family permission to touch. The nurse ... avoid volunteering unnecessary information (e.g., patient was drinking at the time of the accident).

Last Answer : a) Show acceptance of the body by touching it, giving the family permission to touch. The nurse should encourage the family to view and touch the body if they wish, since this action helps the family to integrate the loss.

Description : When the patient has been field triaged and categorized as blue, the nurse recognizes that the patient requires a) fast-track or psychological support. When a patient is categorized as blue, field ... . d) urgent care. Field triaged patients who require urgent care will be categorized as green.

Last Answer : a) fast-track or psychological support. When a patient is categorized as blue, field triage has identified fasttrack or psychological support needs.

Description : If a case of smallpox is suspected, the nurse should a) Call the CDC Emergency Preparedness Office. Anyone suspecting a case of smallpox should call the CDC Emergency Preparedness Office ... very different from that of chickenpox. With chickenpox, lesions appear at different developmental stages.

Last Answer : a) Call the CDC Emergency Preparedness Office. Anyone suspecting a case of smallpox should call the CDC Emergency Preparedness Office at 770-488-7100. The CDC will respond by immmediate provision ... with negative pressure, and maintain thorough lists of all those who have contact with the patient.

Description : The nurse teaches the parent of the child with chickenpox that the child is no longer contagious to others when a) the vesicles and pustules have crusted. When the lesions have crusted, the ... , and pustules appear. The child remains contagious when the rash is changing into vesicles and pustules.

Last Answer : a) the vesicles and pustules have crusted. When the lesions have crusted, the patient is no longer contagious to others.

Description : The nurse anticipates that the physician will perform joint aspiration and wrapping with compression elastic dressing for which of the following musculoskeletal problems? a) Joint effusion The described ... of tissue due to insufficient blood supply and may be associated with steroid use.

Last Answer : a) Joint effusion The described treatments are used with joint effusions and hemarthrosis.

Description : The Emergency Department nurse teaches patients with sports injuries to remember the acronym RICE, which stands for which of the following combinations of treatment? a) Rest, ice, compression ... contraindicated when injury is suspected, and examination, while indicated, does not provide treatment.

Last Answer : a) Rest, ice, compression, elevation RICE is used for the treatment of contusions, sprains, and strains.

Description : When the nurse notes that the patient's left great toe deviates laterally, she recognizes that the patient has a a) hallux valgus. Hallux valgus is commonly referred to as a bunion. b) ... the forefoot. d) flatfoot. In flatfoot, the patient demonstrates a diminished longitudinal arch of the foot.

Last Answer : a) hallux valgus. Hallux valgus is commonly referred to as a bunion.