The nurse questions the order for a bulk-forming laxative for the person who is near death because the patient would need a minimum fluid intake of _______ to tolerate this type of drug
a. 1000 ml.
b. 1500 ml.
c. 2000 ml.
d. 2500 ml.
ANS: C
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During a home visit, the nurse notices that an older adult woman is caring for her bedridden husband. The woman states that this is her duty, she does the best she can, and her children come to help when they are in town
Her husband is unable to care for himself, and she appears thin, weak, and exhausted. The nurse notices that several of his prescription medication bottles are empty. This situation is best described by the term: a. Physical abuse. b. Financial neglect. c. Psychological abuse. d. Unintentional physical neglect.
A 16-year-old girl is being seen at the clinic for gastrointestinal complaints and weight loss. The nurse determines that many of her complaints may be related to erratic eating patterns, eating predominantly fast foods, and high caffeine intake
In this situation, which is most appropriate when collecting current dietary intake information? a. Scheduling a time for direct observation of the adolescent during meals b. Asking the patient for a 24-hour diet recall, and assuming it to be reflective of a typical day for her c. Having the patient complete a food diary for 3 days, including 2 weekdays and 1 weekend day d. Using the food frequency questionnaire to identify the amount of intake of specific foods
The fetal heart rate baseline is 140 bpm. When contractions begin, the fetal heart rate drops suddenly to 120, and rapidly returns to 140 before the end of the contraction. Which nursing intervention is best?
1. Assist the client to change from Fowler's to left lateral position. 2. Apply oxygen to the client at 2 liters per nasal cannula. 3. Notify the operating room of the need for a cesarean birth. 4. Determine the color of the leaking amniotic fluid.
Which nursing intervention will assist in preventing respiratory complications in the client with Parkinson's disease?
A. Keeping an oral airway at the bedside. B. Ensuring a fluid intake of at least 3 L/day. C. Teaching the client pursed-lip breathing techniques. D. Maintaining the backrest elevation at greater than 30 degrees.