The nurse observes a continual oozing of stool from the rectum of a patient who has been immobilized following surgery. The nurse recognizes that this condition most likely a result of which of the following?
a. Diarrhea
b. Flatulence
c. Fecal impaction
d. The Valsalva maneuver
C
An obvious sign of impaction is the inability to pass a stool for several days, despite a repeated urge to defecate. Continuous oozing of liquid stool after several days with no fecal output may indicate an impaction. Loss of appetite, abdominal distention and cramping, nausea and/or vomiting, and rectal pain also occur. Diarrhea is an increased frequency in the passage of loose stools. Flatulence is a sense of bloating and abdominal distention usually accompanied by excess gas. The Valsalva maneuver occurs when pressure is exerted to expel feces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway.
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The nurse is teaching the student nurse how to perform a physical assessment based on the child's developmental stage
Which of the following statements accurately describes a recommended guideline for setting the tone of the examination for a school-age child? A) Keep up a running dialogue with the caregiver, explaining each step as you do it. B) Include the child in all parts of the examination; speak to the caregiver before and after the examination. C) Speak to the child using mature language and appeal to his or her desire for self-care. D) Address the child by name; speak to the caregiver and do the most invasive parts last.
In addition to the client's religion and family situation, which of these factors should the nurse recognize as the MOST important influence affecting the client in a nurse-client interaction?
a. gender and gender orientation b. visual and hearing ability c. educational background and employment status d. self-awareness and level of compliance
Structures that are assessed when palpating both sides of the scrotum include the testicle and
a. epididymis and spermatic cord. c. prostate gland and seminal vesicles. b. vas deferens and bulbourethral glands. d. urethral meatus.
Where are the acini cells located?
A) Nipple B) Lobules of the breast C) Lactiferous ducts D) Breast sinus