The nurse is caring for several clients complaining of constipation. A digital rectal examination can be safely performed on the client with a diagnosis of:
1. Transurethral resection of the prostate gland.
2. Myocardial infarction.
3. Increased intracranial pressure.
4. Hiatal hernia repair.
4
Rationale: Digital rectal examination is contraindicated in clients with a transurethral resection of the prostate gland (increased bleeding), myocardial infarction (vagal stimulation could cause arrhythmia), and increased intracranial pressure (will cause increase in pressure) so the only client that can have a digital rectal disimpaction safely performed is the one with a hiatal hernia repair.
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Which of these factors set the stage for nursing reforms that led to the establishment of the Nightingale Training School of Nurses in 1860?
a. public outcry over the limited resources available to the many people who were sick and indigent b. religious influence in surrounding countries c. social conditions and the need for nurses d. the proliferation of factories and the deteriorating health of laborers
A big challenge in gathering a health history on an older individual is that the majority of older adults:
A) Are ready to die. B) Want attention for their symptoms. C) Are not truthful about their symptoms. D) Have multiple health problems.
The client receiving a neuroleptic agent for nausea should be instructed to:
a. divide the dosage in half if the medication makes her feel dizzy. b. rise slowly from a reclined or sitting position. c. stop taking the medication, if narrow-angle glaucoma develops. d. drink at least eight 8-ounce glasses of water a day.
The nurse who is collecting data from the client notes that the client's left-sided eyelid is drooping. The nurse documents that the client is exhibiting which of the following conditions?
1. Ptosis 2. Arcus senilis 3. Abnormal corneal reflex 4. Blockage of the lacrimal duct