A patient is on strict bedrest for 5 days. During this time, she has not had a bowel movement, although she normally passes stool daily. She describes feeling bloated and uncomfortable
A nursing diagnosis that would best address a patient who is on bed rest is Constipation related to:
a. Change in previous pattern
b. Immobility
c. Dietary intake
d. Change in environment
B
Immobility slows peristalsis, which leads to constipation, gas, and difficulty evacuating stools from the rectum. Based on the scenario, this nursing diagnosis would specifically address the patient's condition.
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Mental health is said to be influenced by which of the following factors? (Select all that apply.)
a. Diet and nutritional intake b. Inherited characteristics c. Activities of daily living d. Childhood nurturing e. Life circumstances
The correct method for taking an adult's temperature, using a tympanic thermometer, is to:
A) Pull the helix up and back. B) Pull the helix down and back. C) Pull the helix horizontally to straighten the ear canal. D) Not move the canal out of normal anatomical position.
Discussing the client's follow-up dietary needs immediately after the surgery when the client is experiencing discomfort is an error in:
1. Pacing 2. Intonation 3. Timing and relevance 4. Denotative meaning
Which assessment of a patient who is 1 day postsurgery to repair a hip fracture requires immediate nursing intervention?
a. Patient ate 40% of clear liquid breakfast. b. Patient's oral temperature is 98.9° F. c. Patient states, "I did not realize I would be so tired after this surgery." d. Patient reports severe pain 30 minutes after receiving pain medication.