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Surgical Wound Dressing
ANSWER:
Fresh bleeding noted on abdominal surgical wound dressing is a
concerning observation for a postoperative client.
HIV Post-Test Counseling
ANSWER:
Encouraging retesting supports hope and gives the client time to
cope with the diagnosis.
Nail Polish Removal
ANSWER:
Removal provides a more accurate pulse oximetry reading and
evaluation of capillary refill.
Radiation therapy consequences
ANSWER:
Chronic esophagitis with gastroesophageal reflux is a potential
consequence of radiation therapy for breast cancer.
Pathologic fracture
,ANSWER:
Fractures that occur without evidence of trauma, often due to loss of
bone density from radiation damage.
Sexual activity after myocardial infarction
ANSWER:
Sexual intercourse after an MI requires no more energy expenditure
or cardiac stress than walking briskly up two flights of stairs.
Percutaneous endoscopic gastrostomy (PEG) tube
ANSWER:
A type of feeding tube that differs from a gastrostomy tube primarily
in the method of insertion.
GT
ANSWER:
A tube inserted through an incision in the abdomen and sutured to
the gastric wall.
Proctosigmoidoscopy preparation
ANSWER:
Includes obtaining consent, a clear-liquid diet for 24 to 48 hours
prior, administration of an enema, and fasting on the morning of the
procedure.
Pleurodesis
ANSWER:
A procedure aimed at preventing the formation of a pleural effusion
by causing the pleural spaces to seal together.
Dysuria in diabetes
,ANSWER:
Elevated fingerstick glucose levels (e.g., 300 mg/dl) need to be
reported to adjust the care plan.
Right renal calculi nursing diagnosis priority
ANSWER:
Acute pain related to movement of the stone.
Chemotherapy initiation
ANSWER:
Starting chemotherapy early increases the chance of eradicating
cancer cells, as 50% of tumor cells are killed with each dose.
Asterixis
ANSWER:
A clinical sign of liver disease characterized by a flapping tremor of
the hands.
Clear-liquid diet
ANSWER:
A diet consisting of clear fluids, often required 24 to 48 hours before
certain medical procedures.
Enema
ANSWER:
A procedure to introduce liquid into the rectum to stimulate a bowel
movement or cleanse the bowel before a procedure.
Fasting protocol
ANSWER:
Refraining from all food and drink for a specified period, often
required before medical procedures.
, Suprapubic pain
ANSWER:
Pain located in the lower abdomen, often associated with urinary
issues.
Bounding pulse
ANSWER:
A pulse that feels strong and full, often measured at 100
beats/minute in this context.
Acute pain
ANSWER:
Severe discomfort that arises suddenly, often related to conditions
like renal calculi.
Impaired urinary elimination
ANSWER:
Difficulty in passing urine, often due to obstruction.
Risk for infection
ANSWER:
Increased likelihood of developing an infection, often due to
conditions like urinary stasis.
Deficient knowledge
ANSWER:
A lack of understanding or information regarding a specific health
condition or its management.
Collateral circulation
ANSWER: