This topic contains a solution. Click here to go to the answer

Author Question: Treatment for a client with bleeding esophageal varices has been unsuccessful and the physician ... (Read 76 times)

dalyningkenk

  • Hero Member
  • *****
  • Posts: 598
Treatment for a client with bleeding esophageal varices has been unsuccessful and the physician decides to insert a Sengstaken-Blakemore tube. The nurse brings which of the following items to the bedside so that it is available at all times?
 
  1. An obturator
  2. A Kelly clamp
  3. An irrigation set
  4. A pair of scissors

Question 2

The client with acquired immunodeficiency syndrome (AIDS) and Pneumocystis jiroveci infection has been receiving pentamidine (Pentam 300). The nurse caring for the client monitors the client most closely for signs of:
 
  1. Nausea
  2. Fatigue
  3. Infection
  4. CD4+ cell count



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

amandalm

  • Sr. Member
  • ****
  • Posts: 306
Answer to Question 1

4

Rationale: When the client has a Sengstaken-Blakemore tube inserted, a pair of scissors must be kept at the client's bedside at all times. The client must be observed for sudden respiratory dis-tress, which occurs if the gastric balloon ruptures, moving the entire tube upward. If this occurs, all balloon lumens are cut and the tube is removed. An obturator and Kelly clamp would be kept at the bedside of a client with a tracheostomy. An irrigation set may be kept at the bedside but is not the priority item.

Answer to Question 2

3

Rationale: Adverse effects of pentamidine (Pentam 300) include leukopenia, thrombocytopenia, and anemia. The client should be monitored routinely for signs and symptoms of infection. The client also should have ongoing monitoring of a number of parameters because of the nature and side effects of the medication, including complete blood cell count, liver function, blood glucose, blood urea nitrogen, and serum creatinine, calcium, and magnesium levels.




dalyningkenk

  • Member
  • Posts: 598
Reply 2 on: Jul 22, 2018
YES! Correct, THANKS for helping me on my review


softEldritch

  • Member
  • Posts: 334
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

Did you know?

For pediatric patients, intravenous fluids are the most commonly cited products involved in medication errors that are reported to the USP.

Did you know?

When blood is exposed to air, it clots. Heparin allows the blood to come in direct contact with air without clotting.

Did you know?

Nearly all drugs pass into human breast milk. How often a drug is taken influences the amount of drug that will pass into the milk. Medications taken 30 to 60 minutes before breastfeeding are likely to be at peak blood levels when the baby is nursing.

Did you know?

The first war in which wide-scale use of anesthetics occurred was the Civil War, and 80% of all wounds were in the extremities.

Did you know?

The top 10 most important tips that will help you grow old gracefully include (1) quit smoking, (2) keep your weight down, (3) take supplements, (4) skip a meal each day or fast 1 day per week, (5) get a pet, (6) get medical help for chronic pain, (7) walk regularly, (8) reduce arguments, (9) put live plants in your living space, and (10) do some weight training.

For a complete list of videos, visit our video library