Constipation is a problem for many older adults. The medical management to prevent constipation includes (Select all that apply):
a. Decreasing physical activity
b. Decreasing fluid intake
c. Nutritional diet high in fiber
d. Increasing fluid intake
e. Increasing daily activity
f. Decreasing strict daily routines
C, D, E
Inactivity and changes in diet and fluid intake can contribute to constipation. A nutritional diet high in fiber and bulk-forming foods can promote normal elimination. Increasing fluids to 8 to 10 glasses per day will be beneficial in preventing constipation. A daily bowel routine will also benefit elimination.
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You are doing discharge teaching with a patient who developed a pulmonary embolism after total knee surgery. The patient has been converted from heparin to sodium warfarin (Coumadin) anticoagulant therapy
What should the nurse tell the client? A) Coumadin will continue to break up the clot over a period of weeks. B) It is important to take the same brand of medicine. C) Anticoagulant therapy usually lasts 4 to 6 weeks. D) He should take a vitamin supplement containing vitamin K.
When the home health nurse suggests a grief resolution group to the older widow, the widow furiously states, "I don't want or need any help! I want my husband back!" What stage of grief would this be characteristic of?
a. Shock b. Searching c. Disorientation d. Reorganization
The nurse is caring for a patient in restraints. Which of the following pieces of information about restraints requires nursing documentation in the medical record? (Select all that apply.)
a. The patient states that her gown is soiled and needs changing. b. Attempts to distract the patient with television are unsuccessful. c. The patient has been placed in bilateral wrist restraints at 0815. d. One family member has gone to lunch. e. Bilateral radial pulses present, 2+, hands warm to touch f. Released from restraints, active range-of-motion exercises complete
Which assessment finding is considered normal for a school-age client?
1. Tonsils are large and seem to fill the throat. 2. Child is complaining of sore throat and drooling 3. White patches are observed on the tonsils. 4. Throat appears red, and child has a low-grade fever