The rectal past medical history of all patients should include inquiry about:
a. bowel habits.
b. dietary habits.
c. hemorrhoid surgery.
d. laxative use.
C
Past medical history should include inquiry about hemorrhoids, spinal cord injury, benign pros-tatic hypertrophy (BPH), prostate, colorectal, breast, ovarian, or endometrial cancers, and episi-otomies of fourth-degree lacerations during delivery. Habits are part of the personal and social history; the use of laxatives is part of the history of the present illness.
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A nurse is assisting the physician during a procedure in which a local anesthetic is administered
Within a few minutes of administration of the anesthetic, the patient has a pulse of 54 beats per minute, respirations of 18 breaths per minute, and a blood pressure of 90/42 mm Hg. The nurse should monitor the patient for further signs of: a. heart block. b. anaphylaxis. c. central nervous system excitation. d. respiratory depression.
The patient on dialysis asks why he is receiving aluminum hydroxide gel (Amphojel) for his renal disorder. The nurse explains that Amphojel will:
1. calm the frequent upset stomach experienced by dialysis patients. 2. bind with phosphorus to increase the serum calcium level. 3. increases appetite. 4. correct the pH of the bowel.
The nurse comes into the room of a child who was just diagnosed with a chronic disability. The child's parents begin to yell at the nurse about a variety of concerns. The nurse's best response is
a. "What is really wrong?" b. "Being angry is only natural." c. "Yelling at me will not change things." d. "I will come back when you settle down."
Which is the rationale the nurse provides to the parents of an infant diagnosed with congestive heart failure (CHF) for the prescribed spironolactone?
1. Produces rapid diuresis 2. Blocks reabsorption of sodium and water in renal tubules 3. Spares potassium 4. Promotes vascular relaxation