Which enema is very irritating to the bowel's mucous lining?
a. Saline enema
b. Soapsuds enema
c. Tap-water enema
d. Oil-retention enema
B
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The nurse identifies the following assessment findings on a client with pre-eclampsia: blood pressure 158/100; urinary output 50 mL/hour; lungs clear to auscultation; urine protein 11 on dipstick; and edema of the hands, ankles, and feet
On the next hourly assessment, which of the following new assessment findings would be an indication of worsening of the pre-eclampsia? 1. Blood pressure 158/104 2. Urinary output 20 mL/hour 3. Reflexes 21 4. Platelet count 150,000
After administering medication to a client subcutaneously, the nurse removes the needle at the same angle at which it was inserted. Which of the following explains the nurse's action?
A) Verifies correct injection of the drug B) Minimizes tissue trauma to the client C) Prevents needle-stick injuries D) Helps to control placement of the needle
The nurse is providing anticipatory guidance for parents of a preschooler regarding sex education. What is a recommended guideline when dealing with this issue?
A) Be prepared to thoroughly cover a topic before the child asks about it. B) Before answering questions, find out what the child thinks about the subject. C) Expand upon the topic when answering questions to prevent further confusion. D) Provide a less than honest response to shelter the child from knowledge that is too advanced.
Objective symptoms are those that you
A. think are correct. B. are told about by the patient. C. use your senses to detect. D. suspect may be true.