The nurse is caring for a client postoperative repair of a bowel obstruction. The nurse's priority of care is:
1. Encouraging mobility.
2. Auscultating bowel sounds.
3. Monitoring intake and output.
4. Promoting weight loss.
2
Rationale: The client's plan of care will be determined, in large part, by return of normal bowel motility assessed by auscultating bowel sounds in all quadrants. Intake and output, and mobility, are important concerns, but neither is the priority concern. Weight loss needs would be determined by the client's current weight, which is not indicated in the question stem.
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A pregnant woman has been brought to the emergency department by the rescue squad with symptoms of heat exhaustion after competing in an outdoor race on a hot day
Before discharge, the nurse teaches about appropriate exercise during pregnancy. The husband asks if the woman's having heat exhaustion will harm the baby. Which response by the nurse is most accurate? A. "Definitely; that's why pregnant women should not do aerobic exercise." B. "Fetal temperature depends on mom's temperature, so the fetus may be affected." C. "The baby is in a fluid environment and won't get overheated." D. "Yes, but if we rapidly cool mom down, there won't be any problems."
A woman aged 48 years comes to the clinic because she has discovered a lump in her breast. After diagnostic testing, the woman receives a diagnosis of breast cancer
The woman asks the nurse when her teenage daughters should begin mammography. What is the nurse's best advice? A) Age 28 B) Age 35 C) Age 38 D) Age 48
A patient comes into the emergency department with acute shortness of breath and copious secretions. The patient states the problem started a few hours after arriving at work
Which of the following is the most likely cause of the patient's acute respiratory problem? 1. Reaction to the agent used to clean the carpeting in the office 2. Environmental air temperature of 72 degrees 3. Received annual flu vaccine 1 week ago 4. Did not finish breakfast but had a protein bar for a snack
What are acceptable forms of identification at the testing center? (Select all that apply.)
a. U.S. driver's license b. U.S. state-issued identification c. Credit or debit card with photo identifica-tion. d. Passport e. U.S. military identification f. School or university picture identification