The nurse is digitally removing the impacted feces of a client. What client complaints would indicate immediate stopping of the procedure?
1 . Pain
2 . Headache
3 . Nausea
4 . Rectal bleeding
A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4
C
Feedback:
Stop the procedure immediately if the client complains of pain, faintness, or nausea, or if noting any untoward effect, such as bleeding.
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The T4/T8 ratio of a client with AIDS is decreasing. What is the correct interpretation of this finding?
A. The T4 cells (CD4+ cells) are increasing in number. B. The T4 cells (CD4+ cells) are decreasing in number. C. The T8 cells (CD8+ cells) are increasing in number. D. The T8 cells (CD8+ cells) are decreasing in number.
A client is scheduled for an ECG single-photon emission-computed tomography (SPECT). She asks why they are doing this test. The nurse explains that: Select all that apply
1. SPECT images display three views of the heart instead of on a single plane. 2. SPECT images are high resolution and have better separation of overlapping myocardial segments, which provides more specific information about cardiac muscle function. 3. SPECT images can be correlated with the ECG to assess ventricular wall motion, which assesses the effectiveness of the heart muscle. 4. SPECT is an accurate depiction of the electrical activity of the heart. 5. SPECT gives specific information about percent of coronary artery occlusion.
An IV medication in 25 mL is started at 8:10 a.m. to run at 45 mL/hr. Calculate the infusion time and the completion time
What will be an ideal response?
The nurse is instructing a client diagnosed with type 2 diabetes mellitus on daily foot care. Which of the following statements indicate the client needs further instruction?
1. "I will check my feet every day." 2. "I will cut my toenails with scissors." 3. "I will keep my appointments with my podiatrist." 4. "I will make sure my shoes fit."