During an admission physical assessment, a nurse questions a patient about bowel elimination habits. The nurse's goal is
1. To assess the need for a laxative.
2. To maintain the patient's normal elimination habit.
3. To collect all pertinent patient data.
4. To determine whether further gastrointestinal testing is necessary.
ANS: 2
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The nurse is caring for a client who had a recent laryngectomy. Which of the following is reflected in the nursing plan of care?
A) Develop an alternate method of communication. B) Encourage oral nutrition on the second postoperative day. C) Maintain the client in a low-Fowler's position. D) Assess the tracheostomy cuff for leaks.
The nurse is teaching a patient how to calculate how long the metered-dose inhaler (MDI) canister can be used. If the canister contains 200 puffs and the patient administers 2 puffs 3 times each day, how long will the canister last?
a. 33 days b. 34 days c. 66 days d. 100 days
All of the following might indicate a pseudosinusoidal pattern as opposed to a sinusoidal pattern, except:
A. Recent administration of narcotics to mother B. Accelerations in FHR C. Moderate variability D. Frequency of oscillations of two to five cycles/min
A client is taking aminophylline-theophylline ethylenediamine (Somophyllin). For what should the nurse monitor the client?
a. Drowsiness b. Hypoglycemia c. Increased heart rate d. Decreased white blood cell count