The nurse assesses the postoperative patient who had abdominal surgery and finds a complete absence of bowel sounds caused by what reflex?
A) Gastrocolic reflex
B) Renointestinal reflex
C) Intestinal–intestinal reflex
D) Somatointestinal reflex
C
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After the intestinal irritation that occurs with handling the bowel during abdominal surgery, the risk of paralytic ileus is high because of the intestinal–intestinal reflex. The gastrocolic reflex increases GI movement when food is in the stomach. The renointestinal reflex slows GI activity in response to renal capsule swelling. The somatointestinal reflex slows GI activity in response to tight stretching of skin across the abdominal wall.
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Nightingale believed that nursing education should:
1. never stop. 2. focus only on science. 3. be taught by physicians. 4. be based in military education. 5.
A patient tells the nurse that his food simply does not have any taste anymore. The nurse's best response would be:
a. "That must be really frustrating." b. "When did you first notice this change?" c. "My food doesn't always have a lot of taste either." d. "Sometimes that happens, but your taste will come back."
The young prenatal patient with gestational diabetes mellitus (GDM) says, "I am frightened that I will have to deal with insulin injections for the rest of my life." What is the best response by the nurse?
a. "After delivery your doctor will prescribe oral hypoglycemic medication to control your disease. Pills are so much simpler than insulin injections." b. "Have you considered an insulin pump?" c. "After a while those insulin injections won't seem so bad." d. "It will most likely resolve 6 weeks or so after the baby is born."
The nursing (therapeutic) process is a purposeful and organized approach designed for
1. accounting for costs. 2. solving client problems. 3. determining clients' DRGs. 4. delivering therapeutic care.