Which teaching points are included in a care plan for a patient who is taking laxatives for constipation? (Select all that apply.)
a. Drink between 1500 and 2000 mL of fluids every day.
b. Avoid bulk foods such as whole grain bread and vegetables.
c. Use the bathroom right away when you feel the urge to have a bowel movement.
d. Try to get some regular exercise each day to prevent constipation.
e. Take your laxative with at least 4 ounces of water so it can be effective.
A, C, D
Adequate fluid intake (1500 to 2000 mL), bulk foods in the diet, and regular daily exercise are important strategies to prevent constipation. Patients should be taught to use the bathroom right away when the urge to have a bowel movement occurs. At least 9 ounces of fluid should be giv-en with oral laxatives so that they can be safe and effective.
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What are the two agencies that require all health care facilities to have detailed all-hazard preparedness plans (select two that are correct)?
a. Patient Protection and Affordable Care Act b. Health Insurance Portability and Accoun-tability Act c. TJC d. National Response Plan
You are the nurse caring for a 51-year-old male who has just been diagnosed with stage IV colon cancer
You note the patient now has an increased blood pressure and heart rate. His respiratory rate has increased. You spend time talking with this patient and you note that his vital signs are now back in the normal range. What would you note has happened? A) Cortisol levels are decreasing. B) Endocrine activity has increased. C) The patient is adapting to noxious stressors. D) The sympathetic response has been activated.
A client who is diagnosed with bulimia would be most likely to manifest the psychosocial alteration of
a. denial. b. depression. c. self-mutilation. d. social withdrawal.
The client states, "I get into trouble because I respond violently without thinking. That usually gets me into a mess." Which nursing reply would be most therapeutic to address this client's problem?
A. "Everybody loses their temper. It's good that you know that about yourself." B. "I'll bet you have some interesting stories to share about overreacting." C. "Let's explore methods to help you stop and think before taking action." D. "It's good that you are showing readiness for behavioral change."