A client tells the nurse that at times she is incontinent of stool. Which condition is most likely to cause fecal incontinence in a normally continent individual?
a. Diarrhea
b. Ignoring the initial urge to defecate
c. Sphincter weakness
d. Eating large meals quickly
ANS: A
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The patient is on a ventilator and has a heartbeat, but is brain dead. What should the nurse do?
a. Provide a private area to discuss organ donation. b. Explain that as long as the heart is beating, the patient is alive. c. Inform the family that the organs will be harvested when he is off the ventilator. d. Stress the importance of leaving the patient on the ventilator to harvest the corneas.
A patient had chest tube insertion for a pneumothorax. External suction was discontinued yesterday. This morning the nurse assesses tidaling in the water-seal chamber. What nursing action is indicated?
1. Collaborate with the healthcare provider regarding need to reinstitute the external suction. 2. Check the connections between the chest tube and the drainage system. 3. No action is necessary as this is an expected occurrence. 4. Have the patient cough forcefully.
Furosemide is added to a treatment regimen for heart failure that includes digoxin. Monitoring for this combination includes:
1. Hemoglobin 2. Serum potassium 3. Blood urea nitrogen 4. Serum glucose
Megan, a 21-year-old junior college student, has been frustrated by her unsuccessful attempts to gain entry to the nursing program at the local university despite her strong academic record and work experience
Which of the following factors has most contributed to the limited number of seats available in many nursing programs? A) Technological developments that have decreased the projected need for nurses B) The tendency of practicing nurses to delay retirement until after the age of 65 years C) The high cost to educational institutions of providing nursing education D) The negative image of nursing in the media and popular culture