For which patient is the rectal route for administering pain medication contraindicated?
a. 4-year-old child c. patient who is nau-seated
b. patient who is im-munocompromised d. patient who has dys-phagia
B
The rectal route is contraindicated in patients with diarrhea, lesions of the rectum or anus, or for immunosuppressed patients. The rectal route is effective when patients are nauseated and vomiting or when they are unable to eat normally.
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What is the role of the atrioventricular node in a person with normal heart rate (60 to 100 bpm) and why?
A) Acts as primary pacemaker, to establish the heart rate B) Accelerates conduction of atrial action potentials so that all ventricular cells contract almost simultaneously C) Delays conduction of atrial action potentials so that all ventricular cells contract almost simultaneously D) Pumps sodium out of the myocardial cell and potassium into it to cause cell membrane depolarization
A nurse has been counseling a client with generalized anxiety disorder to increase the client's
anxiety self-control. The client has identified several stressful situations that cause physical and psychological manifestations of anxiety. The indicator the nurse should monitor relative to the Nursing Outcomes Classification outcome of anxiety self-control is a. plans coping strategies for stressful situations. b. identifies situations that precipitate hostility. c. refrains from destroying property. d. identifies alternatives to aggression.
As a nurse manager, you notice that Maria, a Hispanic nurse aide, is visibly upset
When you ask her if something is wrong, she becomes tearful and says, "Why is it that when John and I work together in giving patients care, he jokes about my being "a little fat Mexican"? The nurse man-ager's best response is, "Do you think he: a. Is sensitive to your culture?" b. Wants to learn more about you?" c. Has been hurt and wants to hurt others?" d. Is stereotyping you without thinking?"
A client with acute kidney injury is placed on a fluid restriction. To determine whether outcomes related to fluid balance are being met, the nurse assesses for which finding?
a. Absence of lung crackles b. Decreased serum creatinine level c. Decreased serum potassium level d. Increased muscle strength