In counseling a client with ulcerative colitis for 25 years about health maintenance plans, the nurse would include the advice that the client should
a. avoid red meat.
b. obtain genetic counseling.
c. reduce physical exercise.
d. schedule regular proctoscopic examinations.
D
Cancer of the colon is more common among clients with ulcerative colitis than in the general population. The other three options are not relevant to the health maintenance of a client with ulcerative colitis.
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A patient has been admitted to the emergency department for a suspected drug overdose. His respirations are shallow, with an irregular pattern, with a rate of 12 respirations per minute
The nurse interprets this respiration pattern as which of the following? a. Bradypnea b. Cheyne-Stokes respirations c. Hypoventilation d. Chronic obstructive breathing
An older adult client tells the nurse, "My life has been a waste." The nurse recognizes this statement as demonstrating which aspect of psychosocial development?
a. Ego integrity b. Ego despair c. Lack of generativity d. Isolation
Assessment of hearing loss in infants requires alertness to subtle signs. What generally alerts parents to a possible hearing loss in their infant?
1. failure to awaken or startle at the sound of a sudden loud noise 2. difficulty discriminating consonants 3. delayed reaction to speech 4. garbled speech sounds
A nurse assesses a client with atrial fibrillation. Which manifestation should alert the nurse to the possibility of a serious complication from this condition?
a. Sinus tachycardia b. Speech alterations c. Fatigue d. Dyspnea with activity