A nurse is caring for a patient who is scheduled for a colonoscopy and whose bowel preparation will include polyethylene glycol electrolyte lavage prior to the procedure
The presence of what health problem would contraindicate the use of this form of bowel preparation?
A) Inflammatory bowel disease
B) Intestinal polyps
C) Diverticulitis
D) Colon cancer
Ans: A
Feedback:
The use of a lavage solution is contraindicated in patients with intestinal obstruction or inflammatory bowel disease. It can safely be used with patients who have polyps, colon cancer, or diverticulitis.
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A patient who is legally blind is being admitted to the hospital. The patient informs the nurse that she needs to have her guide dog present during her hospitalization. What is the nurse's best response to the patient?
A) "Arrangements can be made for your guide dog to be at the hospital with you during your stay." B) "I will need to check with the care team before that decision can be made." C) "Because of infection control, your guide dog will likely not be allowed to stay in your room during your hospitalization." D) "Your guide dog can stay with you during your hospitalization, but he will need to stay in a cage or crate that you will need to provide."
A client diagnosed with NCD is disoriented and ataxic and wanders. Which is the priority nursing diagnosis?
1. Disturbed thought processes 2. Self-care deficit 3. Risk for injury 4. Altered health-care maintenance
A patient is currently being stimulated by the parasympathetic nervous system. What effect will this nervous stimulation have on the patient's bladder?
A) The parasympathetic nervous system causes urinary retention. B) The parasympathetic nervous system causes bladder spasms. C) The parasympathetic nervous system causes urge incontinence. D) The parasympathetic nervous system makes the bladder contract.
A client has been admitted to the cardiac unit with exacerbation of heart failure symptoms. The nurse has given him a nursing diagnosis of decreased cardiac output related to heart failure, as evidenced by a poor ejection fraction, weakness, edema, and decreased urinary output. Which of the following nursing interventions is the most appropriate in this situation?
a. Administer stool softeners as ordered b. Administer IV fluid boluses to increase urinary output c. Increase activity by encouraging ambulation d. Maintain the client in the Trendelenburg position while in bed