A patient presents with massive colonic dilation in the absence of mechanical obstruction, with electrolyte imbalance. Which of the following would be the most appropriate initial nursing intervention for this patient?
A) Administer a laxative.
B) Encourage the patient to walk around his room.
C) Monitor the patient's heart.
D) Prepare the patient for colonoscopy.
B
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How many milliliters of full-strength Sustacal are needed to prepare 300 mL of a 3/4-strength Sustacal solution?
1. 225 mL 2. 450 mL 3. 900 mL 4. 950 mL
While providing care, the nurse suspects that a preterm infant is developing respiratory distress. What did the nurse most likely assess in this patient? (Select all that apply.)
A) Grunting B) Nasal flaring C) Intercostal retractions D) Oxygen saturation 96% E) Increasing respiratory rate
The nurse assesses the postpartum patient who has not had a bowel movement by the third postpartum day. Which nursing intervention would be appropriate?
1. Encourage the new mother to be patient, saying, "It will happen soon." 2. Instruct the patient to eat a low-fiber diet. 3. Decrease fluid intake. 4. Obtain an order for a stool softener.
Which symptoms are expected to be seen in a patient with insomnia? (Select all that apply.)
a. Difficulty falling asleep b. Sleeping too much c. Waking often during the night d. Feeling unrested after sleep e. Uncontrollable urge to sleep f. Sleepwalking at least once per week g. Nightmares most of the night