25. Francis, with pancreatitis, may exhibit Cullen's sign on physical examination.

Which
of the following symptoms best describes Cullen's sign?
a. aundiced sclera ! symptom of "aundice, yellow coloring comes from bilirubin,
#ilirubin is a yellowish pigment found in bile, a fluid made by the li$er
http%&&www.nlm.nih.go$&medlineplus&ency&article&'''2('.htm
http%&&www.nlm.nih.go$&medlineplus&ency&article&'')*+,.htm
b. #luish discoloration of the left flan- area ! turner.s sign, present in periotonitis
http%&&boo-s.google.com.ph&boo-s?id/d012)hum3aoC4pg/56789624lpg/5678
9624d:/#luish;discoloration;of;the;left;flan-;area4source/bl4ots/a<C=8
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c. 9ain that occurs with mo$ement
d. #luish discoloration of the periumbilical area 8 correct answer
0he diffusion of blood along periumbilical tissues produces the discoloration around
the na$el.
http%&&www.rightdiagnosis.com&sym&bluish=discoloration=around=the=umbilicus.htm
<r. C. I. is a 5'8year8old client who has had a hemorrhoidectomy.
2@. 6fter surgery, ma"or goal of nursing care for <r. I should be to%
a. 9romote peristalsis8 0he wa$eli-e muscular contractions in tubular structures,
especially organs of the digesti$e system such as the esophagus and the intestines.
9eristalsis is characteri>ed by alternate contraction and relaxation, which pushes
ingested food through the digesti$e tract towards its release at the anus. Fou can.t
defecate because you "ust undergone surgery, and contraindicated because you need
your anus to heal first, and not to mention it would be $ery painful.
http%&&www.thefreedictionary.com&peristalsis
b. 9re$ent hypostatic pneumonia8 9ulmonary congestion due to the stagnation of blood
in the dependent portions of the lungs in old persons or in those who are ill and lie in
the same position for long periods.
http%&&medical8dictionary.thefreedictionary.com&hypostatic;pneumonia
c. ?imit pain 8 correct answer
0he nurse monitors the patient for pain, regardless of whether she is expressing pain
$erbally or not. 6 rise in blood pressure, pulse and respiratory rate may indicate pain.
Juarding of the surgical area, sweating, grimacing or moaning during sleep are other
indicators the nurse is alert for.
9ain is to be expected after hemorrhoid surgery, especially when ha$ing a bowel
mo$ement or urinating.
http%&&www.li$estrong.com&article&()2+278nursing8responsibilities8
hemorrhoidectomy&
http%&&surgery.about.com&od&proceduresa>&ss&1emorrhoid8Kurgery=*.htm
d. 9re$ent emboli formation8 embolism LC<8bo8li>8umM is a bloc-age in the
bloodstream, caused by a blood clot, air bubble, fatty tissue, or other substance that
plugs a blood $essel.
http%&&www.humanillnesses.com&original&C8Ja&Cmbolism.htmlGix>>2Eg1db:B>
2+. <r. I has been started on Kit> #ath and will ha$e to continue them at home%
a. #efore exercise
b. 6fter exercise
c. 3pon arising and at bedtime
d. 6fter bowel mo$ements 8 correct answer
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Jet away8 holiday parade
Words8 between the trees
Iothing personal8 holiday parade
5un away8 cartel
Natican 5oulette8 2a$e <elillo
<anic <onday8 5elient -
0he perfect mista-es ! cartel
2ri$e away8 holiday parade
We could lo$e8 Joot