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Author Question: The nurse admits a patient to the postoperative unit following gastric bypass surgery for weight ... (Read 77 times)

cabate

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The nurse admits a patient to the postoperative unit following gastric bypass surgery for weight loss. Based on the patient's history, the nurse determines that the priority nursing diagnosis for this patient is:
 
  a. Risk for infection
  b. Delayed Surgical Recovery
  c. Chronic pain
  d. Risk for Deficient Fluid Volume

Question 2

You are caring for a young adult patient with an intracranial hemorrhage secondary to a closed head injury.
 
  During your assessment, you notice that the patient's respirations follow a cycle progressively increasing in depth, then progressively decreasing in depth, followed by a period of apnea. Which of the following appropriately describes this respiratory pattern?
  a. Biot's breathing
  b. Kussmaul's respirations
  c. Sleep apnea
  d. Cheyne-Stokes respirations



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TheNamesImani

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Answer to Question 1

A
This patient is at increased risk for infection because of a history of obesity and incision into the bowel to perform the surgery; therefore, this is an appropriate diagnosis.
Delayed Surgical Recovery would apply only if complications arose or there was an indication the patient was not recovering appropriately; it does not apply as a risk diagnosis. While the patient's obesity may result in chronic pain due to stress on joints, it is not the priority. Also, there are no data in the scenario to indicate chronic pain. There is no indication of excess bleeding or fluid loss in the question, so Risk for Deficient Fluid Volume would not be appropriate.

Answer to Question 2

D
This respiratory pattern is known as Cheyne-Stokes respirations. It is often associated with damage to the medullary respiratory center or high intracranial pressure due to brain injury.



cabate

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Both answers were spot on, thank you once again




 

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