Mr. D, a 70-year-old widower, was admitted to your medical-surgical unit for respiratory distress secondary to heart failure. He will be discharged soon, so you go to do discharge teaching. However, he appears tired, distracted, and disinterested.
What is your best response?
A. You seem tired right now. Let's postpone the teaching until you feel better. B. Considering what you have been through, getting more information must be overwhelming. C. You seem distracted today. Is there anything that I could do to help? D. Let's proceed with the teaching and when you need to take a break, we will stop.
Question 2
What major complication do you suspect?
The patient is a 54-year-old man with chronic kidney disease (CKD) who has performed continuous ambulatory peritoneal dialysis (CAPD) four times a day, 7 days a week for the past 6 months. During your initial assessment, he reports abdominal pain, nausea with vomiting, and constipation. Assessment findings include diminished bowel sounds, rebound tenderness, and abdominal distention. Vital signs include heart rate:112/min and temperature: 101.8 F.
A. Hemorrhage B. Fibrin clot formation C. Peritonitis D. Exit site infection
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