Patients should be advised not to overuse laxatives, because the smooth muscle in the colon can lose its tone. What condition should the nurse warn the client can occur if this happens?
1. Chronic constipation
2. Chronic diarrhea
3. Chronic nausea
4. Frequent vomiting
Correct Answer:
Rationale 1: Patients should be advised not to overuse laxatives, because the smooth muscle in the colon can lose its tone. Chronic constipation is the result.
Rationale 2: Overusing laxatives causes chronic constipation.
Rationale 3: Overusing laxatives causes chronic constipation.
Rationale 4: Overusing laxatives causes chronic constipation.
Global Rationale: Patients should be advised not to overuse laxatives, because the smooth muscle in the colon can lose its tone. Chronic constipation is the result. Overusing laxatives does not lead to chronic diarrhea, chronic nausea, or frequent vomiting.
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Of the following hospital situations, which one demonstrates the need for further action and improved policies to maintain the confidentiality of client medical information?
A) The nurse logs off the computer after accessing the laboratory record of a client. B) Reports of client radiology tests are faxed to a fax machine that is shared by the payroll department of the hospital. C) Employees who have expired passwords for computer access must contact their supervisor for permission to obtain new passwords from the information technology department. D) A physician is given a password to access computerized client records. The information technology department keeps record logs of when and who has accessed the client records.
A patient newly diagnosed with chronic obstructive pulmonary disease (COPD) is prescribed inhaled pirbuterol (Maxair) every 6 hours. The nurse instructs the patient to take additional drug doses during which specific times or conditions?
a. At bedtime b. When feeling especially nervous c. When feeling especially breathless d. If the peak expiratory flow rate is 80% or greater than his or her personal best
Two nurses, one male and one female, were discussing client assignments. Which of the following best illustrates gender differences between these two colleagues?
a. Male: "I think the client needs to have a nursing assistant assigned on a one-to-one basis." Female: "I agree with you." b. Male: "I think the client is experiencing a loss related to the fact that he is no longer the breadwinner of the family." Female: "I think the client is grieving." c. Male: "I wonder if the client has expressed to his family his feelings of loss." Female: "I think he is dealing with his feelings." d. Male: "I plan to care for the client as part of my assignment—he will confide in me because I am a male." Female: "I am just as competent to care for the client as you are."
Which public health entities are often regulated by the U.S. federal government? (Select all that apply.)
A) Food B) Medications C) School health D) Devices E) Environment