A nurse is performing an assessment on a patient who has not had a bowel movement in 3 days. The nurse would expect which other assessment finding?
a. Hypoactive bowel sounds
b. Jaundice in sclera
c. Decreased skin turgor
d. Soft tender abdomen
A
Three or more days with no bowel movement indicates hypomotility of the GI tract. Assessment findings would include hypoactive bowel sounds, a firm distended abdomen, and pain or discomfort upon palpation.
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The continuum of qualitative analysis styles ranges from a systematic style to an intuitive and interpretive style
A) True B) False
The clinic nurse is providing information to a pregnant woman at 15 weeks gestation who has asked when she should expect to feel fetal movement. The most appropriate gestational age that a woman will first experience fetal movement is from:
A) 15–18 weeks B) 17–20 weeks C) 18–21 weeks D) 20–24 weeks
Which assessment of a 62-year-old patient who has just had an intravenous pyelogram (IVP) requires immediate action by the nurse?
a. The heart rate is 58 beats/minute. b. The patient complains of a dry mouth. c. The respiratory rate is 38 breaths/minute. d. The urine output is 400 mL after 2 hours.
You are the nurse working with parents and their newborns on a postpartum unit there the newborns room with the mother. The parents of one of the babies learns that their newborn has mental retardation
You notice these parents going through the stage of denial and then demonstrating anxiety. You realize that this anxiety: a. must be reduced as soon as possible and you need to calm the family immediately b. serves a purpose in alerting the family that something is amiss and in generating needed energy to deal with the situation c. will keep the family from completing the stages of adjusting to the child having mental retardation d. is related to the loss of their dream of a perfect child and how other people will be disappointed in them