What can a nurse do to encourage a normal bowel movement in an older adult?
a. Encourage the patient to decrease fluid intake.
b. Provide a warm beverage at breakfast.
c. Administer a mild laxative at bedtime.
d. Provide a warm shower each morning.
ANS: B
Warm beverages at breakfast frequently stimulate the urge to defecate.
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A patient has been scheduled for cardiovascular computed tomography (CT) with contrast. To prepare the patient for this test, what action should the nurse perform?
A) Keep the patient NPO for at least 6 hours prior to the test. B) Establish peripheral IV access. C) Limit the patient's activity for 2 hours before the test. D) Teach the patient to perform incentive spirometry.
The nurse is performing a damp-to-damp dressing change, and is removing the old dressing. Part of the dressing is adhered to the tissue. Which action by the nurse is the most appropriate?
1. Removing that part of the dressing quickly, to reduce the pain 2. Wetting the dressing with alcohol to release the section adhered to the wound 3. Wetting the dressing with tap water to release the section adhered to the wound 4. Wetting the dressing with sterile saline to release the section adhered to the wound
Before taking a magnetic resonance image (MRI), a patient asks why metal objects and the MRI machine are such concerns. What is the best explanation by the nurse regarding the MRI ma-chine? (Select all that apply.)
a. Causes metal objects to spark, similar to a microwave b. Deactivates the battery in a pacemaker c. Causes metal to heat up and burn the pa-tient d. Does not transmit clear data if metal is present e. Attracts any metal into the MRI chamber
The patient is 12 hours postoperative for a CABG. The patient's vital signs include: T 103° F, HR 112, RR 22, BP 134/78 mm Hg, and O2 sat 94% on 3L/NC. The nurse suspects that the patient has developed
a. infection and notifies the physician immediately. b. infection, which is common postoperatively, and monitors the patient's condition. c. cardiac tamponade and notifies the physician immediately. d. delirium caused by the elevated temperature.