Which assessment data indicates the patient is experiencing hypoactive bowel sounds?
1) More than 30 clicks per minute
2) More than 40 clicks per minute
3) Less than 5 clicks per minute
4) Less than 20 clicks per minute
ANS: 3
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Byron Blazer, 78 years old, lives alone and is being discharged from the hospital after total hip replacement surgery. His sister is staying with him for 1 week. What care referral would you make for Mr. Blazer?
a. Home health services b. Skilled nursing facility c. Senior center d. Hospice
A female patient who has been prescribed
diazepam (Valium) for anxiety tells you that she and her husband are planning to have a child. What is your best response? a. "Before becoming pregnant your dosage of diazepam will need to be decreased." b. "You should always discuss any changes in your medications and lifestyle with your prescriber." c. "Consult with your prescriber because taking diazepam while pregnant has been associated with birth defects." d. "Diazepam may cause withdrawal effects including miscarriage when taken during pregnancy."
A visiting nurse completes an assessment of the ambulatory client in the home and determines the nursing diagnosis of risk for injury related to decreased vision. Based on this assessment, the cli-ent will benefit the most from:
1. Installing fluorescent lighting throughout the house 2. Becoming oriented to the position of the furniture and stairways 3. Maintaining complete bed rest in a hospital bed with side rails 4. Applying physical restraints
The Big Five personality factor that is weakly associated with leadership is
a. Conscientiousness b. Neuroticism c. Agreeableness d. Sociability