The nurse assesses a client with abdominal and rectal discomfort, diarrhea, and fever. What initial data source should the nurse use to determine a possible cause of his symptoms?
A) Medical history, for prostatic hypertrophy
B) Nutritional record, for the amount of dietary fiber
C) Defecation record, for frequency and character of bowel movements
D) Medication record, for use of anticholinergic medications
C
Feedback:
The client has at least three indications of a fecal impaction, so it is important to review his defecation record for the date of his last formed stool. This information would supersede the other noted areas of assessment.
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The nurse is giving report to the next shift and is using the situation, background, assessment, recommendation (SBAR) framework for communication. Which of these statements reflects the Background portion of the report?
a. "I'm worried that his gastrointestinal bleeding is getting worse." b. "We need an order for oxygen." c. "My name is Ms. Smith, and I'm giving the report on Mrs. X in room 1104." d. "He is 4 days postoperative, and his incision is open to air."
The nurse is admitting a 51-year-old patient to the medical-surgical unit after a diagnosis of cellulitis of the calf. What factors does the nurse know impact the processes of inflammation, repair, and replacement? Select all that apply
A) Severity of the injury B) Social relationships C) Condition of the host D) Familial support E) Nature of the injury
The Institute of Medicine's (2003) report Health Professions Education: A Bridge to Quality centered on five competencies that health care professionals' training programs should include
Which of the following are some of these competencies? Select all that apply. a. ability to use health information technology b. ability to provide rapid triage of illness and devise effective treatment plans c. ability to provide patient-centered care d. ability to measure the quality of care
The tricuspid valve is _____
a. a semilunar valve b. located between the left ventricle and aorta c. located between the right atrium and right ventricle d. located between the right ventricle and pulmonary artery