Nursing Care Questions

Surgical Care

• To prevent cerebral edema after craniotomy, the nurse should expect the use of medications that reduce swelling.
• Halfway through the administration of blood, the nurse should stop the infusion and monitor the client for signs of an allergic reaction.

HIV Infection

• A positive diagnosis for HIV infection is made based on the presence of HIV antibodies in the blood.

Chronic Renal Failure

• An adequate amount of high-biologic-value protein is recognized when the client selects food high in protein, such as meat, fish, and poultry.

Uremic Syndrome

• The nurse should anticipate complications such as hypertension, heart failure, and anemia.

Benign Prostatic Hyperplasia

• The most relevant assessment would be the client's ability to urinate and any signs of obstruction.

Penile Implant

• After 24 hours of surgery, the nurse should monitor the client for signs of edema and pain.

Chest Pain

• An increased myoglobin level suggests myocardial damage or infarction.

Mitral Stenosis

• The client would demonstrate symptoms associated with congestion in the lungs, such as shortness of breath and coughing.

Hypertension

• The priority nursing diagnosis would be the risk of cardiovascular disease.

Angina

• The client should be taught about common expected side effects of nitroglycerin, including headaches, dizziness, and orthostatic hypotension.

Lipid Abnormalities

• A risk factor for the development of atherosclerosis and PVD is high levels of low-density lipoprotein (LDL) cholesterol.

Aortic Aneurysm

• A significant risk immediately after surgery for repair of aortic aneurysm is bleeding or hemorrhage.

Vitamin B12

• The best supply of Vitamin B12 is obtained from animal-based foods, such as meat, fish, and dairy products.

Aplastic Anemia

• The nurse monitors for changes in blood cell counts, including anemia, thrombocytopenia, and neutropenia.

Elective Splenectomy

• The nurse's final assessment before surgery would be the client's understanding of the procedure and any signs of bleeding.

Acute Lymphocytic Leukemia (ALL)

• The peak age range for acquiring ALL is children under 5 years old.

Leukemia

• Clinical manifestations may indicate all of the following except fever, which is not a typical symptom of ALL.

Disseminated Intravascular Coagulation (DIC)

• Heparin is contraindicated with the client due to the risk of bleeding.

Hypovolemic Shock

• The best indication that fluid replacement is adequate is the client's blood pressure and heart rate returning to normal.

Laryngeal Cancer

• An early manifestation of laryngeal cancer is a change in voice quality or hoarseness.

Myasthenia Gravis

• Immunosuppressive therapy is effective because it reduces the production of abnormal antibodies that attack the nervous system.

IV Mannitol

• An assessment specific to safe administration is the client's urine output and electrolyte levels.

Insulin Delivery Devices

• The advantages of these devices over syringes include ease of use, convenience, and fewer injections.

Fracture Tibia

• To assess for damage to major blood vessels, the nurse should monitor the client for signs of circulation problems, such as numbness or tingling.

Long Leg Cast

• After the cast is removed, the male client should perform exercises to prevent muscle atrophy and strengthen the affected leg.

Gout

• The nurse should assess for additional tophi (urate deposits) on the ears, fingers, and toes.

Crutch Walking

• The client demonstrates understanding of crutch walking with tripod gait when they place weight on the hand grips and axilla.