A nurse is required to observe the characteristics of stool eliminated by a client as part of routine data collection. The nurse notices that the client has dark, tarry stool. What is the most likely cause of this observation?
A) Hemorrhage in the stomach
B) Esophageal varices
C) Presence of microorganisms
D) Bleeding in the rectum
A
Feedback:
Hemorrhage high up in the gastrointestinal tract, such as in the stomach or esophageal varices leads to a dark, tarry stool. A bright red streak in the stool indicates the presence of blood as a result of bleeding in the rectal or anal area. Presence of microorganisms gives a yellowish or greenish color to the stool.
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A supervisor is reviewing the documentation of the nurses in the unit. The documentation that most accurately and correctly contains all the required parts for a narrative entry is the entry that reads:
1. "1630 Catheterized using an 8 French catheter, 45 ml clear yellow urine obtained, specimen sent to lab, squirmed and cried softly during insertion of catheter. Quiet in mother's arms following catheter removal. M. May RN" 2. "1/9/05 2 P.M. g-tube accessed, positive air gurgle over stomach: 5 ml air injected, 10 ml residual stomach contents returned to stomach, Pediasure formula hung on Kangaroo pump infusing at 60 mL/hr for 1 hour. Child grunting intermittently throughout procedure. K. Earnst RN" 3. "4:00 Trach dressing removed with dime-size stain of dry serous exudate. Site cleansed with normal saline. Dried with sterile gauze. New sterile trach sponge and trach ties applied. F. Luck RN" 4. "Feb. '05 Portacath assessed with Huber needle. Blood return present. Flushed with NaCl sol., IV gammaglobulins hung and infusing at 30mL/hr. Child smiling and playful throughout the procedure. P. Potter, RN"
A nurse subscribing to Neuman's system model would explain to a patient that illness is caused by
a. disharmony between the patient and the patient's environment. b. disorganization and dysfunction, leading to imbalances in the system. c. losing the ability to successfully negotiate differing social roles. d. structural disturbances that limit the patient's self-care abilities.
A patient seems bewildered when he confides in the nurse that all of his friends and leisure time have been centered on a drug culture. Which would be the best response by the nurse?
a. "What other sort of activities might you enjoy?" b. "You will need to get new friends." c. "Returning to those activities will get you back here and in trouble." d. "You need to get a hobby."
Which action would address demographic disparity in health care for the Hispanic population?
A. Increase the number of Hispanics entering the health care professions. B. Require all health care providers to learn Spanish. C. Decrease the numbers of current students in health care education programs to increase the numbers for Hispanic students. D. Provide Hispanic health care workers for Hispanic clients.