The nurse is assessing a patient with constipation. Which situation(s) would cause constipation? (Select all that apply.)
a. Diet low in fiber and/or residue
b. Excessive fluid intake
c. Diet low in cheese and yogurt
d. Iron supplements
e. Use of morphine
ANS: A, D, E
Constipation can be caused by diets lacking in adequate residue and/or fiber and fluids or the use of constipating medicines (morphine, codeine, anticholinergic agents). Iron has a constipating effect. Fluid intake helps prevent constipation. Constipation can be caused by excessive intake of constipating foods such as cheese or yogurt.
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The nurse works with clients who have hearing problems. Which action by a client best indicates goals for an important diagnosis have been met?
a. Babysitting the grandchildren several times a week b. Having an adaptive hearing device for the television c. Being active in community events and volunteer work d. Responding agreeably to suggestions for adaptive devices
A 22-year-old male is experiencing hypovolemic shock following a fight in which his carotid artery was cut with a broken bottle. What immediate treatments are likely to most benefit the man?
A) Resolution of compensatory pulmonary edema and heart arrhythmias B) Infusion of vasodilators to foster perfusion and inotropes to improve heart contractility C) Infusion of normal saline or Ringer lactate to maintain the vascular space D) Administration of oxygen and epinephrine to promote perfusion
The nurse in the pediatric emergency department is concerned that a child has been a victim of abuse
According to the 2008 statistics on child abuse and neglect from the Administration for Children and Families, U.S. Department of Health and Human Services, the highest incidence of abuse and neglect were: a. 1–3 years old. c. 8–11 years old. b. younger than 1 year. d. 12–15 years old.
Which international organization develops and maintains a family of international classifications such as the International Classification of Diseases?
a. International Health Terminology Standards Development Organization (IHTSDO) b. World Health Organization (WHO) c. International Medical Informatics Association (IMIA) d. Health Level 7 (HL7)