The nurse is caring for client who is four days post-operative open repair of an abdominal aortic aneurysm the abdomen is distended. The client is complaining abdominal pain and the abdomen is distended. What action should the nurse take at this time?

Encourage the client to ambulate and perform deep breathing exercise

Notify the healthcare provider and prepare the client for further testing

Document the client's symptoms and continue to monitor.

Administer pain medication and explain this is normal.

Answer and Explanation

The Correct Answer is B

A) Encourage the client to ambulate and perform deep breathing exercises:
While ambulation and deep breathing exercises are important for post-operative recovery, they are not the priority intervention in this scenario. The client is presenting with abdominal distension and pain, which could indicate a potential complication such as bowel obstruction, ileus, or internal bleeding. These symptoms need to be thoroughly evaluated by the healthcare provider to rule out serious complications.

B) Notify the healthcare provider and prepare the client for further testing:
The combination of abdominal pain and distension in a client who is four days post-operative for an abdominal aortic aneurysm repair is concerning for potential complications such as bowel ischemia, internal bleeding, or post-operative ileus. It is essential to notify the healthcare provider immediately for further assessment and possible diagnostic tests, such as imaging or a physical exam to evaluate for signs of ischemia or obstruction

C) Document the client's symptoms and continue to monitor:
Although documenting and monitoring the client's symptoms is important in nursing care, it is not the most appropriate immediate response. Given the symptoms, including pain and abdominal distension, there is a potential for a serious complication, and simply continuing to monitor without notifying the healthcare provider could delay diagnosis and treatment.

D) Administer pain medication and explain this is normal:
While it is important to manage the client's pain, explaining that the symptoms are "normal" could lead to a delay in identifying a potentially serious issue. Abdominal distension and pain post-operatively in a patient who has undergone abdominal surgery should never be assumed to be a normal part of recovery without further investigation.

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Correct Answer is ["90"]

Explanation

Given:

Ordered dose of Alteplase: 0.9 mg/kg

Client weight: 220 pounds

Step 1: Convert the client's weight from pounds to kilograms:

1 pound (lb) = 0.453592 kilograms (kg)

Client weight in kg = 220 lbs x 0.453592 kg/lb = 99.76824 kg

Step 2: Calculate the total dose of Alteplase:

Total dose (mg) = Ordered dose (mg/kg) xClient weight (kg)

Total dose (mg) = 0.9 mg/kg x 99.76824 kg

Total dose (mg) = 89.801416 mg

Step 3: Round to the nearest whole number:

Total dose (mg) ≈ 90 mg

A. there are no obvious symptoms or problems B. radiation therapy is ineffective because the ovaries are located so deep within the pelvis C. the causative cancer cell is resistant to chemotherapy or radiation D. ovarian cancer occurs primarily among women over age 70 that also have other complicating health problems

Correct Answer is ["A"]

Explanation

A) There are no obvious symptoms or problems: Ovarian cancer is often referred to as the "silent killer" because it tends to develop without noticeable symptoms in the early stages. When symptoms do appear, they are often vague and nonspecific, such as bloating, abdominal discomfort, or changes in bowel habits. By the time ovarian cancer is diagnosed, it is frequently at an advanced stage, making it more difficult to treat effectively. This lack of early, clear symptoms contributes significantly to the high death rate associated with the disease.

B) Radiation therapy is ineffective because the ovaries are located so deep within the pelvis: While ovarian cancer is located deep within the pelvis, radiation therapy can still be effective for certain types of tumors. However, the primary reason for high death rates is not the location of the ovaries, but the late-stage diagnosis and difficulty in detecting the cancer early.

C) The causative cancer cell is resistant to chemotherapy or radiation: While some ovarian cancer cells may exhibit resistance to treatment, this is not the main reason for the high mortality rate. The real issue is the lack of early detection, as ovarian cancer is often diagnosed when it has already spread beyond the ovaries. Early-stage ovarian cancer may be more responsive to treatment, but by the time symptoms are noticeable, the cancer is often advanced, which limits the effectiveness of chemotherapy and radiation.

D) Ovarian cancer occurs primarily among women over age 70 that also have other complicating health problems: Although the incidence of ovarian cancer increases with age, particularly after age 60, it is not the primary factor contributing to high death rates. Many women diagnosed with ovarian cancer are relatively healthy except for the cancer itself.

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The nurse is caring for client who is four days post-operative open repair of an abdominal aortic aneurysm the abdomen is distended. The client is complaining abdominal pain and the abdomen is distended. What action should the nurse take at this time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with an acute stroke must receive Alteplase 0.9 mg/kg. The client weighs 220 pounds. How should the client receive? (Round to the nearest whole number, do not use trailing zeros)

Correct Answer is ["90"]

Explanation

In educating clients about ovarian cancer the nurse emphasizes death rates for ovarian cancer are high because:

Correct Answer is ["A"]

Explanation

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