The nurse is teaching self-care measures for a client who has hemorrhoids. Which nursing intervention does the nurse include in the plan of care for the client?
a. Instruct the client to use dibucaine (Nu-percainal) ointment whenever needed.
b. Teach the client to choose low-fiber foods to make bowels move more easily.
c. Tell the client to take his or her time on the toilet when needing to defecate.
d. Encourage the client to dab with moist wipes instead of wiping with toilet paper.
D
The client should be instructed to use wet wipes and dab the anal area after defecating to avoid further irritation. Dibucaine can be used only for short periods of time because long-term use can mask worsening symptoms. Clients with hemorrhoids require high-fiber foods. The client should not be encouraged to strain at stool or to spend long periods of time on the toilet, because this increases pressure in the rectal area, which can make hemorrhoids worse.
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The parents of a set of fraternal twins are concerned about the differences in the growth and development between the children. The principle of growth and development that will best explain this to the parents is:
1. The sequence of each stage is predictable, although the time of onset, length of the stage, and the effects of each stage vary with the person. 2. Each developmental stage has its own characteristics. 3. Development becomes increasingly differentiated. 4. Certain stages of growth and development are more critical than others.
Comparing the adverse effects of the antiplatelet drug clopidogrel (Plavix) with those of aspirin, the nurse should draw which of the following conclusions?
a. Clopidogrel causes less GI bleeding than aspirin. b. Rash commonly occurs with aspirin but not with clopidogrel. c. Clopidogrel poses a greater risk of intracranial hemorrhage than aspirin does. d. Clopidogrel carries an higher risk for neutropenia and granulocytopenia than does aspirin.
A nurse assesses a client with diabetes mellitus and notes the client only responds to a sternal rub by moaning, has capillary blood glucose of 33 g/dL, and has an intravenous line that is infiltrated with 0.45% normal saline
Which action should the nurse take first? a. Administer 1 mg of intramuscular glucagon. b. Encourage the client to drink orange juice. c. Insert a new intravenous access line. d. Administer 25 mL dextrose 50% (D50) IV push.
A nurse notes a perineal laceration that extends into the rectal mucosa after a woman gives birth to a full-term baby. How does the nurse document this information?
A. First-degree laceration B. Second-degree laceration C. Third-degree laceration D. Fourth-degree laceration