The nurse is assessing the client who complains of intractable abdominal pain. The nurse recognizes that possible causes of this pain include: Standard Text: Select all that apply
1. Mechanical stimulus.
2. Thermal stimulus.
3. Chemical stimulus.
4. Alterations in body tissues.
5. Tissue ischemia.
1,3,4,5
Rationale: Mechanical stimuli include trauma to body tissues, alterations in body tissues, blockage of a body duct, tumors, and muscle spasm, and may be the root of the client's pain.
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Emancipated minors are:
1. Economically self-supporting adolescents under 18 years of age, no longer living at home, and not subject to parental control. 2. Beginning to understand treatment risks. 3. Designated when child and parents do not agree. 4. Declared when there is a potential conflict of interest between the child and parents.
A nurse is planning education for a group of battered women. At which stage of the group's development will the nurse lead a discussion regarding legal solutions and alternative living arrangements?
1. Conflict 2. Orientation 3. Termination 4. Cohesiveness
The primiparous patient has told the nurse that she is afraid she will develop hemorrhoids during pregnancy because her mother did. Which statement would be best for the nurse to make?
1. "It is not unusual for women to develop hemorrhoids during pregnancy." 2. "Most women don't have any problem until after they've delivered." 3. "If your mother had hemorrhoids, you will get them, too." 4. "If you get hemorrhoids, you probably will need surgery to get rid of them."
A client is admitted for complications following a routine diagnostic procedure of the colon. Which type of care plan will most likely be implemented for this client?
1. Informal nursing care plan 2. Formal nursing care plan 3. Standardized care plan 4. Individualized care plan