A client is hospitalized with kidney trauma resulting in lacerations to the parenchyma. Which of the ...

The answer to question 1  1
In the case of parenchymal lacerations to the kidney, the client should be hospitalized, kept on bed rest, and provided with antibiotics until the urine clears. Restricting fluids and encouraging early ambulation would not be appropriate for this client's injuries. A nephrectomy is not indicated for this type of kidney trauma.

The answer to question 2  2
During the compensatory stage, the body tries to remedy the problem. If it cannot, cellular damage will occur and organ failure and death may follow. During the initial stage, there is a decrease in cardiac output and impaired tissue perfusion. In multiple organ failure, every system in the body is affected. In the refractory stage, the body can no longer respond to therapy and the shock condition is considered irreversible.

The answer to question 3  4
Removal of the uterus, ovaries, and fallopian tubes through an abdominal incision is called a total abdominal hysterectomy and bilateral salpingo-oophorectomy. A hysterectomy performed vaginally via laparoscope is a laparoscopically assisted vaginal hysterectomy. A partial hysterectomy removes the body of the uterus without the cervix, and a complete hysterectomy is the removal of the entire uterus.