The nurse lists the contributing factors to developing a hernia, which include: (Select all that apply.)
a. heavy lifting.
b. chronic cough.
c. straining with defecation.
d. ascites.
e. strenuous sexual activity.
A, B, C, D
The most common locations for a hernia are in areas where the abdominal wall is normally weaker and more likely to allow a segment of intestine to protrude. These include the center of the abdomen at the site of the umbilicus and the lower abdomen at the points where the inguinal ring and the femoral canal begin. The most common contributing factors in the development of a hernia are straining to lift heavy objects, chronic cough, straining to void, straining at stool, and ascites. Sexual activity is not usually a cause for herniation.
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The client with darkly pigmented skin is on bed rest. Which client assessment does the nurse monitor for an early indication of a pressure ulcer? (Select all that apply.)
1. Skin irritation 2. Dull, tight area 3. Regional edema 4. Regional induration 5. Darkened skin color 6. Increased temperature
The nurse admits a patient who has a diagnosis of an acute asthma attack. Which statement indicates that the patient may need teaching regarding medication use?
a. "I have not had any acute asthma attacks during the last year." b. "I became short of breath an hour before coming to the hospital." c. "I've been taking Tylenol 650 mg every 6 hours for chest-wall pain." d. "I've been using my albuterol inhaler more frequently over the last 4 days."
Which evaluation principle requires the program to be rooted in the real community and based on assessment of the community?
A) Strengthen programs B) Use multiple approaches C) Design evaluation to address real issues D) Create a participatory process
When would a nurse use an ecomap?
a. When assessing a family's biological risks b. When considering a family's economic risks c. When discussing a family's lifestyle risks d. When examining a family's social risks