The nurse is caring for a client with Crohn's disease and colonic strictures. Which assessment finding requires the nurse to consult the health care provider immediately?
a. Distended abdomen
b. Temperature of 100.0° F (37.8° C)
c. Traces of blood in the stool
d. Crampy lower abdominal pain
A
The presence of strictures predisposes the client to intestinal obstruction. Abdominal distention may indicate that the client has developed an obstruction of the large bowel, and the client's pro-vider should be notified right away. Low-grade fever, bloody diarrhea, and crampy abdominal pain are common symptoms of Crohn's disease.
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A) a parent needs to be at the child's bedside at all times. B) children should not be undressed without a parent present. C) family members should be included in the patient's care. D) All of the above are correct.
A patient is being monitored with continuous pulse oximetry. Under what circumstance would the nurse question the accuracy of the pulse oximetry reading?
A) The patient is a victim of a fire in an enclosed space. B) Cardiac monitor pattern shows normal sinus rhythm. C) Extremities are warm and dry with intact pulses. D) Respiratory rate and pulse rate are elevated.
While analyzing a patient's lipid panel, the nurse focuses on one value that will increase the patient's risk of developing atherosclerosis. This laboratory value would be:
1. low density lipoprotein 2. high density lipoprotein 3. total cholesterol level 4. triglyceride level
Which of the following statements about the sleep patterns of toddlers should the nurse incorporate into a teaching plan for parents?
A) Getting the child to sleep can be difficult B) Most toddlers fall asleep easily C) Nightmares are rare in toddlers D) Slow-wave sleep is less than in adults