The nurse is contributing to a patient's plan of care. For which patient would the nursing diagnosis of Risk for Constipation be most appropriate?
a. A 37-year-old taking NSAIDs for bursitis
b. A 59-year-old taking narcotics for chronic pain control
c. A 74-year-old taking antibiotics for a urinary tract infection
d. A 67-year-old taking anticoagulant therapy for a history of deep vein thrombosis
ANS: B
Medications, such as narcotics, tranquilizers, and antacids with aluminum, decrease motility of the large intestine and may contribute to constipation. A. C. D. NSAIDs, antibiotics, and anticoagulants are not identified as causing constipation.
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A nurse notes an older adult puts excessive amounts of salt on her food. What intervention by the nurse is best?
a. Teach the adult how salt intake relates to hypertension. b. Ask the older adult why she puts so much salt on food. c. Encourage the older adult to use less salt on her food. d. Explore other herbs and flavor enhancers with the adult.
Which of the following is most indicative of decreased left ventricular preload?
a. Increased PAOP/PAWP b. Decreased PAOP/PAWP c. Increased CVP d. Decreased CVP
The nurse is a member of the emergency preparedness committee, and she learns that anthrax is a bioterrorism threat that could infect and kill large numbers of people
Because of this, the organization should have which of the following on stock to treat anthrax? 1. No treatment available 2. Adrenaline injections 3. Intravenous or oral ciprofloxacin 4. Oral Benadryl
The nurse identifies a priority problem of fatigue and weakness for the patient with heart failure. After ambulating 200 feet down the hall, the patient's blood pressure change is more than 20 mm Hg. How does the nurse interpret this data?
a. The patient is building endurance. b. The activity is too stressful. c. The patient could walk farther. d. The activity is appropriate.