The nurse is caring for a client with a small bowel obstruction. The client is vomiting foul smelling fecal-like material. What action should the nurse implement?
A. position on the left side with knees drawn up
B. Encourage ice chips sparingly
C. administer anti-emetics every 2 to 3 hours
D. give IV fluids with electrolytes
Ans: D. give IV fluids with electrolytes
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A homecare nurse visits an older female adult at home who has peripheral vascular disease to monitor her status. The nurse determines that the client needs additional teaching when the client states which of the following? (Select all that apply.)
a. "I need to try and elevate my legs above the level of my heart every time I sit down and all night." b. "I really need to try and avoid sitting in one position for a long period of time." c. "I know that I need to wear these com-pression stockings 24 hours a day." d. "I will wash my feet and legs with strong antibacterial soap twice daily." e. "I need to examine my feet daily for any cuts, sores, or openings."
When caring for an older adult client who is experiencing memory loss, the nurse notes that the client emotionally overreacts to situations, appearing as if having temper tantrums when responding to real or perceived frustration
. The nurse recognizes the client is experiencing a catastrophic reaction. When caring for this client, the nurse should a. attempt to keep the client awake for extended periods of time. b. demand the client stop demonstrating inappropriate behavior. c. increase the client's environmental stimuli. d. use distraction to move the client away from the offending environmental stimuli.
The nurse is explaining to the daughter of a client how pain is perceived by the individual. The nurse tells the client's daughter that which of the following is considered the main relay station for sensory information related to pain?
1. Cerebral cortex 2. Limbic system 3. Thalamus 4. Reticular system
An important nutritional goal for patients with cancer or HIV/AIDS is to
a. eat several meals a day. b. avoid use of supplements. c. improve quality of life. d. maintain their usual eating habits.