Which of the ff is a critical task of a nurse during the uterosigmoidostomy procedure for treating a malignant tumor?

Correct Answer: A

Rationale: During a uterosigmoidostomy procedure for treating a malignant tumor, a critical task of the nurse is to inspect for bleeding or cyanosis. Bleeding can be a potential complication during surgery and needs to be promptly identified and managed by the nurse. Cyanosis, which is a bluish discoloration of the skin due to lack of oxygen, can indicate a lack of blood flow to the tissues. Both bleeding and cyanosis are serious issues that require immediate attention to prevent further complications and ensure the client's safety and well-being. Therefore, assessing and monitoring for these signs are crucial tasks for the nurse in this situation.

Correct Answer: C

Rationale: The correct answer is C) 3200 ml. To calculate the total IV fluid intake over 24 hours, we add up the volumes of the different fluids. D5W 1000 ml + normal saline 500 ml + D5NS 1500 ml = 3000 ml. Adding the antibiotic piggyback in 50 ml D5W every 8 hours, we get 150 ml in 24 hours. Therefore, the total IV fluid intake is 3000 ml + 150 ml = 3200 ml. Option A) 3150 ml is incorrect because it does not include the additional 50 ml of antibiotic piggyback every 8 hours, making the total less than 3200 ml. Option B) 3650 ml is incorrect because it includes the incorrect calculation of adding the antibiotic piggyback every 8 hours multiple times, leading to an inflated total volume. Option D) 3750 ml is incorrect as it overestimates the total IV fluid intake by including incorrect calculations and multiple counts of the antibiotic piggyback volume. Understanding IV fluid calculations is crucial for pediatric nursing as precise administration is vital for patient safety. Nurses must accurately calculate and monitor IV fluid intake to prevent dehydration or fluid overload in pediatric patients undergoing treatments like the Whippie procedure for cancer of the pancreas.

Correct Answer: C

Rationale: When a person loses 0.5 kg of weight, it is commonly assumed that most of the weight loss is due to fluid loss. The approximate fluid loss for every 0.5 kg of weight loss is around 500 ml. This estimation is based on the fact that 1 kg of body weight is approximately equivalent to 1 liter of fluid. Therefore, for a 0.5 kg weight loss, the fluid loss would be approximately 500 ml (0.5 liters).

Correct Answer: C

Rationale: Chronic respiratory acidosis is a condition where there is an excess of carbon dioxide (CO2) in the blood due to inadequate exhalation of CO2. This typically occurs as a result of hypoventilation, which is characterized by breathing at an abnormally slow rate or shallow depth. In patients with long-standing lung disease, the ability to effectively exchange gases in the lungs is compromised, leading to a buildup of CO2 in the bloodstream and subsequent respiratory acidosis. Hyperventilation, on the other hand, would result in a decrease in CO2 levels in the blood, while the loss of acid or base by the kidneys is related to metabolic acidosis or alkalosis, not respiratory acidosis. Therefore, in this case, the primary problem causing chronic respiratory acidosis is hypoventilation.

Correct Answer: C

Rationale: 1. Setting up a visit from a well-adjusted laryngectomee should be the first priority. This action will provide emotional support and guidance from someone who has gone through a similar experience, which can be extremely beneficial for the new laryngectomee in adjusting to their new situation and learning coping strategies.