Which client should not have a temperature assessed rectally?
A) Client with ALS
B) Client with cancer
C) Client with diarrhea
D) Client with a herniated disc
Ans: C
Feedback:
The rectal route is contraindicated in clients with diarrhea, those who have undergone rectal surgery, those with rectal diseases, and those with cancer who are neutropenic.
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The nurse is contributing to the plan of care for a patient who has systemic lupus erythematosus and recommends including Disturbed Body Image. Which of the following would be the appropriate long-term patient outcome for this diagnosis?
a. Verbalizes feelings about body changes b. Returns to previous social involvement c. Uses normal coping mechanisms d. Engages in diversional activities.
A patient who was admitted after receiving a blow to the head begins to show signs of shock. How should the patient be positioned?
a. With the head lower than the body b. Flat with the legs elevated c. Flat on the back d. In a side-lying position
The nurse desires to provide care according to the American Nurses Association Code of Ethics. Which of the following is the primary ethical responsibility of the nurse when providing client care?
1. To do no harm 2. To do good 3. Protect the clients' right to make their own decisions 4. To tell the truth
The fabrication of experiences or situations recounted in a plausible way to cover gaps in the memory is known as:
a. anhedonia. b. autism. c. confabulation. d. delusion.