After a colonoscopy, a client reports that he is experiencing abdominal fullness and cramping. What is the nurse's best action?

A. Insert a rectal tube to assist in passing of flatus.
B. Notify the physician immediately because a bowel perforation is suspected.
C. Have the client consume only liquids for 4 to 6 hours after the test.
D. Explain to the client that this feeling can be expected for several hours after the test.


D
Feelings of abdominal fullness, cramping, and the passing of flatus are normally expected after a colonoscopy.

Nursing

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A nurse is planning the care of a patient who has been admitted to the medical unit with a diagnosis of multiple myeloma. In the patient's care plan, the nurse has identified a diagnosis of Risk for Injury. What pathophysiologic effect of multiple myeloma most contributes to this risk?

A) Labyrinthitis B) Left ventricular hypertrophy C) Decreased bone density D) Hypercoagulation

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According to nurse theorist Jean Watson, the result of the concept of intentionality is:

a. cooperation with the emerging order b. good intentions c. shaping the order to mirror one's desires d. emphasis on curative healing

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Shortly after an adolescent's parents announce a plan to divorce, the teen stops participating in sports, sits alone at lunch, and avoids former friends. The adolescent says, "If my parents loved me, then they would work out their problems."

What nursing diagnosis is most applicable? a. Ineffective coping b. Decisional conflict c. Chronic low self-esteem d. Disturbed personal identity

Nursing

Which vitamin should the nurse encourage a female to take prior to becoming pregnant to help prevent neural tube defects?

A. Thiamine B. Niacin C. Riboflavin D. Folic acid

Nursing