A patient is on postoperative day 2 after a nephrectomy. The nurse is aware that the most effective way to increase her peristalsis is
a. ambulation.
b. an enema.
c. encouraging hot liquids.
d. administering a laxative.
A
Encouraging activity (turning every 2 hours, early ambulation) assists GI activity.
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A nurse is caring for an 80-year-old patient with COPD and suspects right-sided heart failure after assessing and recording the data. What should decrease with right-sided heart failure?
a. Blood pressure b. Urine output c. Respirations d. Heart rate
Models have been developed to explain the issues encountered by people with disabilities. One of these models is the interface model. What does the interface model promote?
A) The view that people with disabilities function effectively B) The belief that disabling conditions do not have disabling effects C) The view that those people with disabling conditions function at a level below the "normal" population D) The belief that people with disabling conditions are incapable and irresponsible
An 89-year-old client recently lost his wife of 69 years to cancer. He reports "I had the strangest thing happen to me last night. I woke up and saw my wife sitting in her chair." The nurse's best response would be:
a. "How long have you been hallucinating?" b. "Hallucinations are often caused by disturbance in brain chemicals." c. "Hearing or seeing things that are not real can be a normal response to extreme stress." d. "I recommend you speak to your doctor to review your medications."
A client has been diagnosed with cancer. The nurse plans an assessment based on the awareness that cancer can spread through which component of the lymphatic system?
1. Lymph vessels 2. Tonsils 3. Thymus gland 4. Spleen