Nokea
Paralytic ileus may occur as a postoperative complication. Which of the following patients would cause you the greatest concern about the development of paralytic ileus?
- A. Kim, a 27-year-old postlaparoscopic appendectomy.
- B. Joyce, a 39-year-old post–open right hemicolectomy.
- C. Nancy, a 56-year-old postmediastinoscopy.
- D. John, a 47-year-old post–total joint replacement.
Correct Answer: B
Rationale: Open abdominal surgeries increase the risk of paralytic ileus.
You may also like to solve these questions
A client is scheduled for a cholecystectomy in the morning. In planning the postoperative care, the priority nursing diagnosis for the client will be at high-risk for:
- A. knowledge deficit.
- B. urinary retention.
- C. impaired physical mobility.
- D. ineffective breathing pattern.
Correct Answer: D
Rationale: The client may have a knowledge deficit, but reducing the risk for knowledge deficit is not a postoperative priority nursing diagnosis. The client will have a Foley catheter for a day or two after the surgery. Urinary retention is usually not a problem once the Foley catheter is removed. A client having a cholecystectomy should not be physically impaired. The client is encouraged to begin ambulating soon after surgery. Because of the location of the incision, the cholecystectomy client is reluctant to breath deeply and is at risk for developing pneumonia. These clients have to be reminded and encouraged to take deep breaths.
A client with lung cancer has received oxycodone 10 mg orally for pain. When the student nurse assesses the client, which finding should you instruct the student to report immediately?
- A. Respiratory rate of 8 to 10 per minute
- B. Pain level decreased from 6/10 to 2/10
- C. Client requests room door be closed
- D. Heart rate 90-100 per minute
Correct Answer: A
Rationale: Oxycodone can depress respiration; a respiratory rate of 8-10 per minute is abnormally low and requires immediate attention to prevent respiratory failure.
Which of the following are the treatments of a non-severe sty?
- A. Cold compresses
- B. Warm soaks
- C. Limited sensory stimulation
- D. Incision and drainage
Correct Answer: B
Rationale: Warm soaks help reduce inflammation and promote healing of a non-severe sty.
When planning care, what factors should the nurse consider when utilizing evidence-based practice (EBP)? (Select ONE that does not apply)
- A. Cost-saving measures
- B. Nurse's expertise
- C. Client preferences
- D. Research findings
Correct Answer: A
Rationale: The correct answer is A: Cost-saving measures. When utilizing evidence-based practice, the nurse should prioritize providing care based on research findings, considering client preferences, and leveraging their expertise. Cost-saving measures should not be the primary factor influencing care decisions as the focus should be on delivering the most effective and appropriate care based on evidence. Ignoring research findings, client preferences, or the nurse's expertise could compromise the quality of care provided. Thus, cost-saving measures are not a factor to consider when planning care with evidence-based practice.
The primary mode of treatment for ankylosing spondylitis is
- A. Relaxed posture for comfort.
- B. Physical therapy.
- C. Strict bedrest.
- D. Respiratory therapy.
Correct Answer: B
Rationale: Physical therapy helps maintain mobility in ankylosing spondylitis.