A nurse is caring for a client who has had a resection of the large intestine. The nurse
knows that this may affect the client's ability to
A) reabsorb water.
B) absorb nutrients.
C) secrete enzymes.
D) break down carbohydrates.
A
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One of the major goals of therapy for a patient with a head injury is to control rising intracranial pressure (ICP). What assessment data would first cause the nurse to suspect rising ICP?
A) Deteriorating level of consciousness B) Brisk pupils with equal reactivity C) Absence of speech secondary to sedative use D) Narrow pulse pressure and hypotension
A outpatient with bipolar disorder takes lithium carbonate 600 mg BID. The patient complains of nausea. To lessen the nausea, the nurse can suggest taking the lithium with:
a. meals. b. an antacid. c. an antiemetic. d. a large glass of juice.
The nurse is caring for a patient who is to be discharged from the hospital on etanercept (Enbrel). Which of the following instructions should the nurse include in the patient teaching?
a. Eat high-fat foods to enhance absorption. b. Avoid live vaccines. c. Avoid all forms of alcohol. d. Practice passive range of motion exercises daily.
The nurse needs to obtain a urine specimen from a client with an indwelling urinary catheter. What should the nurse do when collecting this specimen?
1. Withdraw 30 mL of urine for a routine urinalysis. 2. Perform catheter care before obtaining the specimen. 3. Apply sterile gloves before retrieving the urine specimen. 4. Send the specimen immediately or refrigerate it for later pickup. 5. Clamp the drainage tubing for 30 minutes if there is no urine in the catheter.