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Jameskiller Jameskiller
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Posts: 327
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6 years ago
The nurse, caring for a client recovering from the placement of a shunt to treat portal hypertension, should assess the client for which of the following complications associated with this surgery?
 
  1. Myocardial infarction
  2. Pulmonary emboli
  3. Pulmonary edema
  4. Decreased peripheral pulses

Question 2

A client is diagnosed with liver disease. Which of the following is one impact of this disorder on a client's fluid and electrolyte status?
 
  1. Hyperkalemia
  2. Hypercalcemia
  3. Hypernatremia
  4. Hyponatremia

Question 3

A client is diagnosed with osteoarthritis. The nurse would not expect to find which of the following during assessment?
 
  1. Bouchard's nodes
  2. Crepitus
  3. Heberden's nodes
  4. Symmetrical joint involvement

Question 4

The nurse is planning care for a client recovering from an amputation. Which of the following should be included in this plan of care? (Select all that apply.)
 
  1. Provide pain medication 30 minutes before stump care.
  2. Wash the stump daily with mild soap and warm water.
  3. Allow the stump to dry open to the air for 10 minutes after washing.
  4. Avoid massaging the stump.
  5. Elevate the stump on a pillow.
  6. Lie prone 10 to 20 minutes every day.

Question 5

A female client is surprised to learn that she has been diagnosed with hemochromatosis. Which of the following should the nurse respond to this client?
 
  1. It doesn't affect people until they are in their 50s.
  2. I would ask the doctor if he's sure about the diagnosis.
  3. Females often do not experience the effects of the disease until menopause.
  4. All women have the disorder but not the symptoms.

Question 6

A client is diagnosed with esophageal pain. Which of the following medications would be indicated for this client? (Select all that apply.)
 
  1. Vasodilators
  2. Calcium channel blockers
  3. Isosorbide dinitrate
  4. Antibiotics
  5. Antipyretics
  6. Antihistamines
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Replies
wrote...
6 years ago
The answer to question 1  3
Complications after shunt surgery include the development of pulmonary edema. Myocardial infarction, pulmonary emboli, and decreased peripheral pulses are not complications associated with this type of surgery.

The answer to question 2  4
Liver disease effects the fluid and electrolyte status by causing ascites, edema, hypokalemia, hypocalcemia, and hyponatremia. Liver disease does not cause hyperkalemia, hypercalcemia, or hypernatremia.

The answer to question 3  4
Symmetrical joint involvement is seen with rheumatoid arthritis, not osteoarthritis. Bouchard's nodes, Heberden's nodes and crepitus are all assessment findings consistent with osteoarthritis.

The answer to question 4  1, 2, 3, 6
Care of the client recovering from an amputation includes providing pain medication 30 minutes before stump care; washing the stump daily with mild soap and warm water; allowing the stump to dry open to the air for 10 minutes after washing; massaging the stump daily; avoiding elevating the stump on a pillow to prevent contractures; and lying prone for 10 to 20 minutes every day to prevent contractures.

The answer to question 5  3
Women do not experience the effects of hemochromatosis until menopause when the regular loss of blood stops. This disorder is a genetic disorder and can affect individuals of all ages. The nurse should not doubt the physician's diagnosis. All women do not have this disorder.

The answer to question 6  1, 2, 3
The first line of treatment for esophageal pain is often the same medications used to treat angina of cardiac origin and would include vasodilators, calcium channel blockers, and isosorbide dinitrate. Antibiotics, antipyretics, and antihistamines are not medications used to treat esophageal pain.
Jameskiller Author
wrote...
6 years ago
found this very helpful thank you
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