Which patient meets the criteria for constipation? You may select more than one answer
1. A patient who has not had a bowel movement in 3 days
2. A patient whose bowel movements are irregular
3. A patient with regular hard and dry stools
4. A patient who has to strain to evacuate a soft stool
5. A patient who strains during more than 25% of bowel movements
Correct Answers: 3, 5
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A child has been transported to the emergency department (ED) after a severe allergic reaction. The ED nurse is evaluating the patient's respiratory status. How should the nurse evaluate the patient's respiratory status? Select all that apply
A) Facilitate lung function testing. B) Assess breath sounds. C) Measure the child's oxygen saturation by oximeter. D) Monitor the child's respiratory pattern. E) Assess the child's respiratory rate.
To begin the clinical breast examination (CBE) for a man, ask him to:
a. recline on the table, with his arms over-head. b. sit with his arms hanging at his sides. c. sit with his hands on his hips. d. stand with his arms clasped behind his back.
A patient has a tonometer test result of 28 mmHg. Which explanation by the nurse about this pressure reading is most accurate?
1. The pressure in the eye has been measured and is too low. Medication will be required to increase the pressure and prevent blindness from retinal damage. 2. The pressure in the inner ear has been measured to evaluate the semicircular canals' function related to nerve damage and is within the normal range. 3. The pressure in the middle ear that builds up with mastoiditis has been measured. The condition needs to be treated with surgical insertion of tubes to drain the fluid behind the tympanic membrane. 4. The pressure in the eye has been measured and is above normal. This condition could lead to possible retinal changes if not treated.
In which of the following patients has the order of priorities for nursing diagnoses changed? Select all that apply
A) a patient in a long-term care facility who had a stroke B) a patient who is recovering from a broken leg C) a patient who insists on using the bathroom instead of a bedpan D) a patient who appears confused after taking pain medication E) a pregnant patient whose contractions are progressing as anticipated F) a patient who has wounds that require stitches as well as a concussion