When assessing a patient's bowel habits, which of the following descriptions is the best indication of normal bowel elimination?
A) One bowel movement daily in the AM
B) One bowel movement daily in the PM
C) Soft, formed stool
D) Liquid stool
C
Feedback:
Normal bowel elimination should produce soft, formed stool. One bowel movement in the AM or PM may not be a regular bowel pattern for all patients. Liquid stool is not an indication of normal bowel elimination.
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The nurse assessing that the patient with hepatic encephalopathy who has a flapping tremor of the hands will document this condition in the patient's chart as:
A) Asterixis B) Constructional apraxia C) Fetor hepaticus D) Palmar erythema
The pediatric nurse stresses that health promotion activities must be ongoing for which reason(s)? (Select all that apply.)
a. To identify health risks b. To encourage healthy behavior c. To prevent disease d. To improve nutrition e. To prevent accidents
The nurse has developed a plan of care for a 6-year-old with muscular dystrophy. He was recently injured when he fell out of bed at home. Which intervention would the nurse suggest to prevent further injury?
A) Recommend the bed's side rails be raised throughout the day and night. B) Suggest a caregiver be present continuously to prevent falls from bed. C) Encourage a loose restraint to be used when he is in bed. D) Recommend raising the bed's side rails when a caregiver is not present.
Which immunization can cause fever and rash to occur 1 to 2 weeks after administration?
a. HepB b. DTaP c. Hib d. MMR