An elderly client who is wheelchair bound following a cerebrovascular accident is being assessed by the nurse. The nurse notes the client has seepage of stool from the anus. The nurse knows this is indicative of
A) Constipation
B) Diarrhea
C) Fecal impaction
D) Intestinal infection
Ans: C
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The nurse is caring for a client with acid-base imbalance in collaboration with the health care team. The information that needs to be conveyed to the team includes:(Select all that apply) Standard Text: Select all that apply
1. Continued urinary output 2. Changes in level of consciousness 3. pH greater than 7.45 4. Imbalance of I&O 5. Baseline vital signs
Which of the following nursing statements exemplify the cognitive process that must be completed by a nurse prior to caring for clients diagnosed with a substance-related disorder? (Select all that apply.)
1. "I am easily manipulated and need to work on this prior to caring for these clients." 2. "Because of my father's alcoholism, I need to examine my attitude toward these clients." 3. "I need to review the side effects of the medications used in the withdrawal process." 4. "I'll need to set boundaries to maintain a therapeutic relationship." 5. "I need to take charge when dealing with clients diagnosed with substance disorders."
The nurse is caring for an infant with abdominal contents protruding out approximately at the location of the umbilicus. What is the primary mechanism used to differentiate between omphalocele or gastroschisis?
1. With omphalocele, the abdominal contents are covered with a sac; with gastroschisis, the abdominal contents are not covered by a sac. 2. With omphalocele, the abdominal contents are not covered with a sac; with gastroschisis, the abdominal contents are covered by a sac. 3. With omphalocele, the abdominal contents protrude to the right of an intact umbilical cord; with gastroschisis, the abdominal contents protrude into the base of the umbilical cord. 4. With omphalocele, the abdominal contents protrude into the base of the umbilical cord; with gastroschisis, the abdominal contents protrude to the right of an intact umbilical cord.
The nurse will collaborate with a ___________ to develop a nutritional plan for a patient identified as being at nutritional risk
Fill in the blank(s) with correct word