The nurse is auscultating bowel sounds and hears two bowel sounds over 5 minutes. How should the nurse document this finding?
a. Absent bowel sounds
b. Hyperactive bowel sounds
c. Hypoactive bowel sounds
d. Normal bowel sounds
ANS: C
Hypoactive bowel sounds are bowel sounds that are infrequent (normal is 5 to 30) over a 5-minute period and can occur in patients with a paralytic ileus or following abdominal surgery.
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Which statements by a terminally ill patient provide information to the nurse relevant to spiritual assessment? Select all that apply
a. "I feel an inner peace with my decision to use hospice services.". b. "I prepared advance directives to spare my children the need to make difficult decisions.". c. "Listening to hymns helps deepen my relaxation and the relief I get from my pain medication.". d. "I plan to use these last weeks to experience the process of dying as fully as I experienced the richness of living.". e. "I can trust the health care provider to prescribe enough medication to keep me comfortable in the days to come.".
A high school student starts vomiting and goes to see the school nurse. The student asks the nurse what part of his brain makes him vomit. What area of the brain will the nurse tell the student must be stimulated for vomiting to occur?
A) Chemoreceptor trigger zone (CTZ) B) Forebrain C) Hypothalamus D) Thalamus
A nurse is caring for a client who has been diagnosed with tuberculosis (TB). Which of the fol-lowing medications would the nurse most likely administer?
a. Isoniazid b. Nevirapine c. Amodiaquine d. Bacille Calmette-Guérin (BCG)
Co-trimoxazole (Bactrim, Septra) has a half-life of 8 to 12 hours. Based on this information, the nurse decides to administer the drug at which time(s) each day?
a. 9:00 AM b. 8:00 AM and 8:00 PM c. 8:00 AM, 12:00 PM, 4:00 PM, and 8:00 PM d. 8:00 AM, 12:00 PM, 4:00 PM, 8:00 PM, and 12:00 AM