A client who recently experienced a brain attack (cerebrovascular accident, CVA) and who has limited mobility complains of constipation. What is most important for the nurse to determine when collecting information about the constipation?
a. Presence of distention
b. Extent of weight gained
c. Amount of high-fiber food consumed
d. Length of time this problem has existed
Answer: d. Length of time this problem has existed
First, the nurse should establish when the client last defecated because the client may have perceived constipation. Abdominal distention may or may not be observed with constipation. Weight gain has no relationship to constipation. Although lack of bulk in the diet can lead to constipation, particularly in clients with limited activity or an inadequate fluid intake, the lack of bulk in the diet is not the most significant information to obtain at this time.
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Drug-induced pruritus is distinguished because it
A. Occurs soon after a new drug is taken B. Usually is a generalized rash C. May occur right after the drug is taken or months later D. Usually involves localized circumscribed lesions
Tom is an 18-year-old high school student who came to the clinic with complaints of frequent urination. He has been feeling more tired than usual. He reports losing 13 pounds unintentionally in the past three months, and is more hungry than usual
Lab results showed no bacteria or white blood cells in the urine, but ketones were present. The CBC was normal with no elevation in white blood cells. A metabolic profile was normal except for glucose which was 132. At his follow-up visit the nurse should ask about: 1. Recent weight gain, sexual activity, and frequent thirst. 2. A family history of diabetes, recent weight gain, and blurred vision. 3. Recent weight loss, frequent thirst, and increased hunger. 4. A family history of diabetes, lack of thirst, and recent weight loss.
Which of the following theories was founded on general systems theory, stress theory, and stress and coping theory?
A) The Neuman Systems Model B) The Self-Care Deficit Model C) Patient-Centered Approaches to Nursing D) The Principles and Practice of Nursing
Which is the priority outcome for the client with type 1 diabetes mellitus prescribed propranolol (Inderal)?
A. The client will maintain blood glucose within normal limits. B. The client will decrease the required number of calories/day. C. The client will maintain adequate peripheral circulation. D. The patient will perform activities of daily living.