The nurse is planning care for a newly admitted bed-bound older adult client. Which nursing diagnosis would be most appropriate for this client?
A) Risk of Bowel Incontinence
B) Disturbed Body Image
C) Risk of Diarrhea
D) Risk of Constipation
Answer: D
Lack of activity, like being bed-bound, is a major contributor to constipation. Lack of movement slows bowel movements. Lack of sphincter control, not bed rest, contributes to bowel incontinence. Diarrhea would come from a GI upset triggered by diseases, medication, or diet. Disturbed Body Image would affect a client who has undergone a bowel diversion.
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Which of the following responses by the nurse is most appropriate when a client asks, "What contraceptive do you think I should use?"
a. "I can discuss the various methods so you can decide what is best for you." b. "Because you are younger than 40, you should use oral contraceptives." c. "The male condom is probably the easiest for you to use." d. "Ask your doctor. She will know what is best for you."
A client is receiving drugs through a PCA infusion pump. When teaching the client about this therapy, which of the following would the nurse include?
A) Pain relief should occur 1 hour after pushing the control button. B) The control button and the button to call the nurse are the same. C) The control button activates administration of the drug. D) The machine delivers the drug every time the control button is used.
A patient asks a nurse about the effects of chronic alcohol use on the heart. The nurse's best response would be which statement?
a. "Chronic alcohol use affects the liver more adversely than it does the heart." b. "Drinking more than two drinks a day protects the heart from atherosclerosis." c. "Long-term alcohol use can damage the heart and cause heart failure." d. "Over time, alcohol use can lower your blood pressure."
Which of the following food groups is freely permitted on a tyramine-restricted diet?
1. Milk 2. Grain 3. Meat 4. Vegetable