The nurse can detect no bowel sounds on a patient recovering from bowel surgery. What should the nurse suspect is occurring in this patient?
A. Paralytic ileus
B. Hyperactive bowel sounds
C. Borborygmi
D. Atonic bowel
Answer: A
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When administering an intramuscular (IM) injection of a medication that could stain the client's tissue, you should administer the drug using:
1. an air lock. 2. the Z-track technique. 3. a tuberculin syringe. 4. normal saline.
The LPN/LVN is caring for a postoperative appendectomy patient. When assessing the patient for pain, the nurse documents that the patient reports pain rating an "8" on a scale of 0 to 10
According to Sister Callista Roy's adaptation model, a patient experiencing pain would be an example of a. focal stimuli. b. contextual stimuli. c. residual stimuli. d. physiological stimuli.
Which of the following situations will cause difficulties when a nurse tries to persuade a community to accept a particular intervention?
a. The solution is oriented to the future, not the present. b. Powerful groups in the community may not be committed to this intervention. c. The intervention is inconsistent with cultural, ethnic, or religious beliefs. d. The intervention may need more tax dollars than have currently been funded.
The parents bring their 3-year-old son to the emergency department after he ingested some of his mother's medicine. Which assessment would be of critical importance for this child?
A) Assessing mental status and skin moisture and color B) Evaluating the effectiveness of the child's breathing C) Noting the child's pulse rate and quality D) Auscultating all lung fields for signs of edema