Your patient recently had abdominal surgery and tells you that he feels a popping sensation in his incision during a coughing spell, followed by severe pain. You anticipate an evisceration. Which supplies should you take to his room?
-
Solution
Sterile saline solution and sterile dressings.
Saline solution is isotonic, or close to body fluids in content, and is used along with sterile dressings to cover an eviscerated wound and keep it moist.
Hepatic encephalopathy develops when the blood level of which substance increases?
-
Solution
Ammonia
Ammonia levels increase d/t improper shunting of blood, causing ammonia to enter systemic circulation, which carries it to the brain.
A patient who underwent abdominal surgery now has a gaping incision due to delayed wound healing. Which method is correct when you irrigate a gaping abdominal incision with sterile normal saline solution, using a piston syringe?
-
Solution
Irrigate continuously until the solution becomes clear or all of the solution is used.
To wash away tissue debris and drainage effectively, irrigate the wound until the solution becomes clear or all the solution is used.
Annabelle is being discharged with a colostomy, and you’re teaching her about colostomy care. Which statement correctly describes a healthy stoma?
-
Solution
“At first, the stoma may bleed slightly when touched.”
For the first few days to a week, slight bleeding normally occurs when the stoma is touched because the surgical site is still new. She should report profuse bleeding immediately.
Elmer is scheduled for a proctoscopy and has an I.V. The doctor wrote an order for 5mg of I.V. diazepam(Valium). Which order is correct regarding diazepam?
-
Solution
Give diazepam in the I.V. port closest to the vein.
Diazepam is absorbed by the plastic I.V. tubing and should be given in the port closest to the vein.
You’re caring for a 28 y.o. woman with hepatitis B. She’s concerned about the duration of her recovery. Which response isn’t appropriate?
-
Solution
Encourage her to not worry about the future.
Telling her not to worry minimizes her feelings.
Gail is scheduled for a cholecystectomy. After completion of preoperative teaching, Gail states,”If I lie still and avoid turning after the operation, I’ll avoid pain. Do you think this is a good idea?” What is the best response?
-
Solution
“You’ll need to turn from side to side every 2 hours.”
To prevent venous stasis and improve muscle tone, circulation, and respiratory function, encourage her to move after surgery.
You’re discharging Nathaniel with hepatitis B. Which statement suggests understanding by the patient?
-
Solution
“My family knows that if I get tired and start vomiting, I may be getting sick again.”
Hepatitis B can recur. Patients who have had hepatitis are permanently barred from donating blood. Alcohol is metabolized by the liver and should be avoided by those who have or had hepatitis B.
Rob is a 46 y.o. admitted to the hospital with a suspected diagnosis of Hepatitis B. He’s jaundiced and reports weakness. Which intervention will you include in his care?
-
Solution
Rest period after small, frequent meals.
Rest periods and small frequent meals are indicated during the acute phase of hepatitis B.
Nathaniel has severe pruritus due to having hepatitis B. What is the best intervention for his comfort?
-
Solution
Give tepid baths.
For pruritus, care should include tepid sponge baths and use of emollient creams and lotions.