A 22-year-old female patient with an exacerbation of ulcerative colitis is having 15 to 20 stools daily and has excoriated perianal skin. Which patient behavior indicates that teaching regarding maintenance of skin integrity has been effective?
a. The patient uses incontinence briefs to contain loose stools.
b. The patient asks for antidiarrheal medication after each stool.
c. The patient uses witch hazel compresses to decrease irritation.
d. The patient cleans the perianal area with soap after each stool.
c. The patient uses witch hazel compresses to decrease irritation.
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You assess a patient a few days after experiencing spiritual distress to evaluate the effects of your interventions. Which observation is the best indication that the patient's spiritual distress is resolving?
a. The patient is smiling, appears relaxed, and tells a few jokes. b. The patient reports that her minister came by and prayed with her. c. The patient states that she accepted spiritual support from her minister who visited today. d. The patient states that she sleeps soundly after reading her Bible each night.
A patient, being treated for hypovolemia because of traumatic injuries, has a blood pressure of 110/60 mmHg. Which of the following should the nurse do to validate this clinical finding?
1. evaluate hemoglobin level 2. assess neck veins and urine output 3. check serum potassium level 4. measure oxygen saturation with oximetry
A parent asks the pediatric nurse, "How tall is the average 6-year-old boy, and how much does the average 6-year-old boy weigh?" After advising the parent that each child is unique and growth is affected by many factors, the nurse would give the
average height and weight for a 6-year-old boy as: a. 36 inches tall and 37 pounds c. 50 inches tall and 54 pounds b. 46 inches tall and 45 pounds d. 60 inches tall and 63 pounds
Which type of atypical antipsychotic would be more likely to cause the development of an infection in a patient?
A. Olanzapine B. Clozapine C. Aripiprazole D. Risperidone