The nurse is preparing a client for discharge home. The client has been treated for an impaction due to chronic constipation. The client is trying to understand the high-fiber diet the physician has ordered
The nurse teaches the client that adding a particular "food" can act as a laxative and is easily added to the daily meals. Which of the following is that "food"? A) All whole wheat products C) All dried fruit for snacks
B) Substituting beans for meat D) Unprocessed wheat bran
D
Feedback:
Coarse, unprocessed wheat bran is most effective as a laxative. It can be incorporated into the diet by adding it to other dishes. The other choices are also high in fiber; however, they don't elicit the same response.
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When checking the patient's back, the nurse pushes her thumb into the patient's sacrum. An indentation remains. The nurse charts that the patient has
a. sacral compromise. c. pitting edema. b. delayed skin turgor. d. dehydration.
During the integument health history, the nurse asks the patient about prescription medications, immunizations, and diagnosed illnesses. What will this information provide to the nurse?
A) History of physical abuse B) Patient's risk for skin cancer C) Patient's risk for pressure ulcer formation D) Systemic diseases that have skin manifestations
The nurse provides counseling to a patient who reports taking kava to treat anxiety-related symptoms. Which statement by the patient indicates understanding of the teaching?
a. "I may take kava with lorazepam (Ativan)." b. "I may develop a serious skin disorder while taking kava." c. "I should avoid alcohol while taking kava." d. "I should avoid St. John's wort and valerian while taking kava."
The nurse is aware that which client would best be able to handle a three-point gait using crutches?
A. A 76-year-old client who complains of pain in both knees. B. A 25-year-old client with a broken right ankle. C. A 19-year-old client with a broken right tibia and a sprained left foot. D. A 55-year-old client with a fractured left patella and a right foot laceration.