The nurse has taught self-care measures to a client with an anal fissure. Which action by the client requires the nurse to do additional teaching?
a. Taking warm sitz baths several times daily
b. Administering daily enemas to prevent constipation
c. Using bulk-producing agents to aid eli-mination
d. Self-administering anti-inflammatory suppositories
B
The client should not use enemas to promote elimination, but rather should rely on bulk-producing agents such as psyllium hydrophilic mucilloid (Metamucil). The other actions are appropriate.
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When caring for a long-term bedridden obese patient who has a nursing diagnosis of "Risk for infection related to obesity," the nurse should assess for the moist red lesions of Candida albicans, especially on the:
1. scalp, behind the ears. 2. abdominal skin folds. 3. shaft of the penis. 4. sacrum and bony prominences.
The nurse is preparing to administer 10 a.m. medications to a group of clients on a medical–surgical unit. Which medications will bypass the first-pass effect of the liver?
Standard Text: Select all that apply. 1. Topical nitroglycerin 2. Sublingual nitroglycerin 3. Rectal diazepam 4. Buccal nitroglycerin 5. IV diazepam
A nurse recalls the most common cardiac valve disease in the United States is:
a. mitral valve prolapse. b. pulmonary stenosis. c. tricuspid valve prolapse. d. aortic stenosis.
Explain why T.Q. is at greater risk for developing infections than his classmates
What will be an ideal response?