Biology Forums - Study Force

The nurse is concerned that a patient recovering from surgery to repair an abdominal aneurysm is developing bowel ischemia. What assessment findings did the nurse use to come to this conclusion?
 
  Select all that apply.
 
  1. diarrhea
  2. obvious bloody stool
  3. abdominal distention
  4. onset of abdominal pain
  5. hyperactive bowel sounds

Question 2

A patient with hypertension weighing 115 kg is advised by the primary healthcare provider to lose 10 of total body weight over the next 6 months. How many lbs. of weight loss per month should the nurse instruct the patient to establish as a goal?
 
  Record your answer rounding to the nearest whole number.

Question 3

While conducting an assessment, the nurse suspects that a patient is experiencing a hypertensive crisis. What did the nurse assess to make this clinical decision?
 
  Select all that apply.
 
  1. acute onset of confusion
  2. onset of projectile vomiting
  3. complaints of a severe headache
  4. systolic blood pressure 198 mmHg
  5. diastolic blood pressure 148 mmHg

Question 4

A patient is suspected as having secondary hypertension. For which diagnostic tests should the nurse prepare this patient?
 
  Select all that apply.
 
  1. bladder scan
  2. renal lithotripsy
  3. renal ultrasound
  4. renal arteriogram
  5. intravenous pyelogram

Question 5

A patient with hypertension is prescribed the alpha-adrenergic blocker doxazosin (Cardura). What should the nurse instruct the patient about this medication?
 
  Select all that apply.
  1. Take the medication at bedtime.
  2. Change positions slowly and sit down if dizziness occurs.
  3. Notify the primary healthcare provider if nasal congestion develops.
  4. Restrict the intake of all alcoholic beverages and items containing caffeine.
  5. Avoid engaging in hazardous activity for 12 to 24 hours after the first dose.

The answer to question 1

Correct Answer: 1, 2, 3, 4
Manifestations of bowel ischemia include diarrhea, occult or fresh blood in stools, abdominal distention, and abdominal pain. A change in bowel sounds is not a manifestation of bowel ischemia.

The answer to question 2

Answer: 4 lbs.
The patient weighs 115 kg. To convert this weight into lbs. multiply the weight in kg by 2.2 lbs. or 115  2.2 = 253 lbs. The patient is counseled to lose 10 of total body weight or 253 lbs.  10 = 25.3 lbs. If this weight is to be lost over 6 months, divide the total weight to lose by 6 or 25.3/6 = 4.216 lbs. When rounding to the nearest whole number, the patient should set a goal to lose 4 lbs. per month.

The answer to question 3

Correct Answer: 1, 3, 4, 5
Manifestations of hypertensive crisis include confusion, headache, diastolic blood pressure greater than 120 mmHg, and systolic blood pressure greater than 180 mmHg. Projectile vomiting is not a manifestation of hypertensive crisis.

The answer to question 4

Correct Answer: 3, 4, 5
In secondary hypertension, a renal cause needs to be ruled out. A renal ultrasound, arteriogram, or intravenous pyelogram might be prescribed. A bladder scan determines the amount of residual urine in the bladder. Renal lithotripsy is done when renal calculi are diagnosed.

The answer to question 5

Correct Answer: 1, 2, 3, 5
Because of the risk of fainting after taking the first dose of this medication the medication should be taken at bedtime. This drug can cause dizziness. The patient should change positions slowly and sit down if dizziness occurs. The primary healthcare provider should be notified if nasal congestion occurs. Because of the risk of fainting, the patient should not drive or engage in hazardous activity for 12 to 24 hours after taking the first dose. There is no need to restrict the intake of alcoholic beverages and items containing caffeine while taking this medication.

I wish all teachers could be as helpful as you instead of making us do things the complicated way...

It really depends on the course, never give up