What key point does the nurse include in teaching an SCI patient about bowel and bladder retraining? select all that apply
A.) ensure the patient gets a sufficient quantity of fluid each day
B.) instruct the patient about the purpose of stool softeners
C.) teach the patient about high fiber foods
D.) teach the patient that continence is dependent upon spinal cord healing
E.) digital rectal stimulation is essential for regular bowel movement
Answer:
A.) ensure the patient gets a sufficient quantity of fluid each day
B.) instruct the patient about the purpose of stool softeners
C.) teach the patient about high fiber foods
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A pediatric nurse confronts many challenges when providing medications to children and infants. Which of the following principles is most appropriate when administering medication to children?
A) If a child is resistant to taking the medication, the nurse should tell the child that it is candy. B) Measurement by teaspoons is as accurate as milliliters. C) If a drug is not supplied in liquid form, the nurse can always crush the pill. D) Assess the child's weight prior to initial drug administration.
In the emergency department, a patient's vital signs are: BP 66/40 mm Hg; pulse 140 beats/min; respirations 8 breaths/min and shallow
The nursing diagnosis is Ineffective breathing pattern related to depression of respiratory center secondary to narcotic overdose. Select the priority outcome. a. Within 4 hours, vital signs will stabilize, with BP above 90/60 mm Hg, pulse less than 100 beats/min, and respirations at or above 12 breaths/min. b. The patient will correctly describe a plan for home care and achieving a drug-free state before release from the emergency department. c. Within 6 hours, the patient's breath sounds will be clear bilaterally and throughout lung fields. d. The patient will demonstrate effective coping skills within 1 week of hospitalization. e. The patient will identify community resources for treatment of substance abuse.
A patient comes to the clinic for a checkup and shares upcoming plans to go on a vacation cruise. The patient asks for a medication to prevent sea sickness. The nurse practitioner orders scopola-mine
The nurse provides education and tells the patient to be aware of the potential side effects, which include a. nausea and vomiting. b. blurred vision and drowsiness. c. itching and diarrhea. d. hearing loss and salivation.
During palpation of a client's testes, the nurse notes a small, hard lump on the anterior aspect of one testis. The nurse's most appropriate action would be to
a. do nothing, since this is a normal finding. b. palpate the groin for an associated hernia. c. perform transillumination of the scrotum. d. recommend the client take antibiotics.