A patient with a history of myocardial infarction has developed constipation. Which of the fol-lowing laxatives would be most appropriate for this patient?
a. Sodium phosphate (Fleet Phospho-Soda)
b. Bisacodyl (Dulcolax)
c. Docusate sodium (Colace)
d. Magnesium citrate (Citrate of Magnesia)
ANS: C
Stool softeners such as docusate are used to prevent constipation in patients who should avoid straining at stool. These patients include those with myocardial infarction or those who have had rectal surgery.
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Which option most closely demonstrates the concept of shared governance in a health care organization?
1. The nurse makes the decision to increase the frequency of output measurement on a postoperative client. 2. The nurse complains to a co-worker that there is not enough staff on duty for the patient acuity this shift. 3. The nurse is asked to serve on one of the strategic planning committees of the hospital. 4. The nurse is asked to be chairperson of a fundraising committee.
The primary reason for differences in health status in the United States is
A. Ethnic groups, especially minorities. B. Geographic location. C. Noncompliant patients. D. Poverty or socioeconomic status. E. Sexual behavior.
A client arrives in the emergency department in a crisis state. The client demonstrates signs of profound anxiety and is unable to focus on anything but the object of the crisis and the impact on herself. The nurse plans to focus the initial assessment on which client factor?
A. Sources of support B. The object of the crisis C. The client's coping mechanisms D. The physical condition of the client
Which individual listed below would be at the greatest risk for developing heart disease?
1. 35-year-old with diabetes mellitus and prehypertension 2. 75-year-old with Parkinson's disease and normal blood pressure 3. 52-year-old with osteoporosis and stage 1 hypertension 4. 68-year-old with stage 2 hypertension and recent myocardial infarction