The nurse evaluates that an expected outcome for the analysis of gastric secretions is:

A. Inability of client to discuss rationale for test
B. Negative occult blood
C. The presence of clumps or clots
D. The presence of brown "coffee-ground" secretions


B
B. Expected outcome following completion of procedure is the test for occult blood is negative.
A. Client will discuss purpose and benefits of testing stool for blood.
C and D. Observe specimen. If frank red blood is observed or coffee-ground materials seen, report these findings immediately.

Nursing

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Upon review of the history a patient ordered to receive vasopressin for bleeding esophageal varices, the nurse calls the physician to question the use of this medication when she reads that the patient has a history of:

A) Diabetes mellitus B) Chronic kidney disease C) Arthritis D) Coronary artery disease

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The nurse is caring for a client who is hard of hearing. Which intervention best helps the client with communication?

a. Speaking loudly and adding extra inflec-tions to the tone of voice b. Bending over the client so that he or she can see the nurse's lips more easily c. Closing the door to the room and making sure that lighting is adequate d. Asking the client's spouse to answer questions that are not heard by the client

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A client diagnosed with Parkinson's disease is prescribed to take levodopa. The nurse should instruct the client about possible side effects which include:

A) orthostatic hypotension and confusion. B) acute hypertension and glycosuria. C) diarrhea. D) bradycardia.

Nursing

Which factor is most likely to delay a member of a minority group from seeking needed medical care? (Select all that apply.)

a. Access to medical insurance b. Ability to speak English as a second language c. Availability of primary physicians for referrals d. Amount of support provided by ethnic community e. Familiarity of the community where care is being offered

Nursing