A nurse is developing a bowel-training program for a client after a stroke. Which interventions are appropriate for inclusion in the plan?
A. Providing privacy and time for defecation
B. Assisting the client into a sitting position
C. Limiting the amount of fiber in the client's diet
D. Providing a cool drink before defecation time
E. Initiating defecation measures every day at the same time
F. Administering a cathartic suppository a half-hour before defecation time
Answer:
A. Providing privacy and time for defecation
B. Assisting the client into a sitting position
E. Initiating defecation measures every day at the same time
F. Administering a cathartic suppository a half-hour before defecation time
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You are leading an effort to implement a clinical decision support system. In order to improve the patient specificity of your CDS rules, you would:
a. make sure that rules cannot be changed once they are implemented. b. give the results of the rules directly to the patient. c. store rules in a knowledge base and allow clinician experts to review and update the rules. d. ensure that the rules were written in the most up-to-date programming language available.
Which entry in nursing documentation is considered nonjudgmental in reporting findings?
A. The client is confused. B. The client is uncooperative. C. The client demonstrates deceitful behavior. D. The client does not recognize family members.
Which of the following statements describe the proper technique for auscultating heart sounds? Select all that apply
a. Auscultate in an orderly fashion starting at the aortic area and proceeding to pulmonic, tricuspid, and mitral areas. b. Listen for S1 first in all landmark areas, then proceed to listening for S2 in all landmark areas. c. Use the diaphragm of the stethoscope for normal sounds the bell of the stethoscope to detect any extra sounds. d. Rotate the starting point of landmarks at each patient assessment to detect any changes.
A client has been diagnosed as having acute pain disorder associated with psychological factors
She became suddenly incapacitated by pain 3 months ago and has since been unable to provide her three children with an optimal level of parental support. The children report that "Dad tries, but things aren't as good as they were before Mom got sick." These data suggest the need to complete the nursing diagnosis: 1. Risk for loneliness 2. Decisional conflict 3. Interrupted family processes 4. Risk for delayed development