The nurse is administering a tap water enema to the client. The tap water is hypotonic and may cause circulatory overload
For which symptoms of circulatory overload should the nurse carefully monitor the client during and after the enema is administered? A) Increased respiratory rate
B) Elevated blood pressure
C) Weak thread pulse
D) Decreased oxygen saturation
B
Feedback:
Common symptoms of circulatory overload are elevated blood pressure and bounding pulse, not decreased oxygen saturation or increased respiratory rate.
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A patient wants to lose 17 pounds. The nurse is aware that the most successful long-term weight loss programs are which of the following?
a. Programs that get the weight off quickly b. Programs that include awareness of portion sizes c. Programs that focus on reducing bad carbohydrates d. Programs that use purchased premeasured food
Nurses on the midnight shift are experiencing difficulty with receiving materials from the central supply department. Last night a patient was admitted to the unit from the emergency department with a heart dysrhythmia
The nurse requested that a temporary pacemaker kit be placed in the unit as a standby in case the patient required its use. The central supply unit did not comply until the patient required its emergent use. The nurse was stressed. This is an example of which type of stress? a. Operational failures b. Overload of role c. Resistant resources d. Role conflict
While collecting data on reproductive history, the client discloses early menarche, early sexual engagement, chlamydia infection, and treatment for gonorrhea
The nurse knows that this client is at highest risk for the development of which of the following? A) Sexually Transmitted Infections B) Breast cancer C) Fibroid tumor or myoma D) Cervical cancer
A primary prevention strategy to reduce child abuse and neglect is
1. Counseling parents suspected of abusing their children and teaching them stress-reduction techniques. 2. Parenting education to improve parent/child relationships. 3. A program to educate the community on how to spot children who have been abused and how/where to report them. 4. Providing support services such as crisis hotlines and respite care.