The nurse provides a client with information about a high-fiber diet to reduce constipation. Fiber should be increased gradually to prevent:
a. nausea.
b. abdominal bloating and discomfort.
c. peripheral edema.
d. bowel incontinence.
ANS: B
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A patient suddenly develops a wide QRS complex tachycardia. The patient's heart rate is 220 beats/min and regular; blood pressure is 96/40 mm Hg; and respiratory rate is 22 breaths/min, and the patient is awake without complaint except for
palpitations. Which of the following interventions would be best to try first? a. Adenosine 6 mg rapid IV push c. Verapamil 0.5 mg IV push b. Lidocaine 1 mg/kg IV push d. Digoxin 0.25 mg IV push
A client with a history of heavy alcohol use is brought to an emergency department (ED) by family members who state that the client has had nothing to drink in the last 48 hours
When the nurse reports to the ED physician, which client symptom should be the nurse's first priority? 1. Hearing and visual impairment 2. Blood pressure of 180/100 mm Hg 3. Mood rating of 2/10 on numeric scale 4. Dehydration
The nurse is examining a patient's lower leg and notices a draining ulceration. Which of these actions is most appropriate in this situation?
a. Washing hands, and contacting the physician b. Continuing to examine the ulceration, and then washing hands c. Washing hands, putting on gloves, and continuing with the examination of the ulceration d. Washing hands, proceeding with rest of the physical examination, and then continuing with the examination of the leg ulceration
The nurse knows that a patient may develop sensorineural hearing loss as a result of ototoxic drugs. Which patient would be at highest risk for this type of hearing deficit?
1. A patient with methicillin-resistant Staphylococcus aureus (MRSA) on high doses of vancomycin (Vancocin) 2. A patient on low-dose aspirin to prevent stroke 3. A patient on steroids (Prednisone) for chronic spondylolisthesis 4. A patient using atorvastatin (Lipitor) to prevent heart disease and stroke