Prior to obtaining a stool specimen for occult blood, the patient should receive which of the following instructions by the nurse?
a. Avoid red-colored gelatin for 3 days. c. Eat no meats for 3 days.
b. Eat fish for 3 days. d. Avoid red-colored beverages for 3 days.
C
The patient should be placed on a 3-day diet free of meat, poultry, and fish to decrease the possibility of a false-positive test. Fresh fruits and vegetables, such as melons, turnips, horseradish and others, can also cause a false positive.
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The nurse is caring for a client with an indwelling catheter. When emptying the urine collection bag, the nurse notes the urine is cloudy with moderate amounts of sedimentation and a foul odor
Based on these assessment findings, what does the nurse suspect? 1. Urethral irritation 2. Bladder atrophy 3. Urinary tract infection 4. Kidney infection
A client at a health care facility who underwent an open appendectomy describes to the nurse that he feels like something has "given way"
On inspecting the surgical wound, the nurse notes a pinkish drainage on the dressing and a visible separation between the two sides of the incision. What intervention should the nurse perform in this case? A) Position the client to put the least strain on the operated area. B) Place sterile dressings moistened with normal saline over the area. C) Inform the head nurse immediately about the client's condition. D) Inspect and palpate the wound to determine the extent of the secretion.
A woman just delivered a healthy term newborn. Upon assessing the umbilical cord, the nurse would identify which of the following as normal? (Select all that apply.)
A) One vein B) Two veins C) One artery D) Two arteries E) One ligament F) Two ligaments
_____ occurs when the critical illness is so severe that the patient or family becomes overwhelmed
a. Anxiety b. Spiritual distress c. Stress overload d. Hopelessness