The daughter of a dependent older patient reports to the nurse that the patient requires regular soapsud enemas to manage chronic constipation. The nurse responds that
a. an alternative management technique should be discussed.
b. enemas are generally the most effective interventions for the older adult.
c. chronic constipation is best managed with oral medications.
d. her mother's diet is the most likely cause of the constipation.
A
Soapsud enemas lead to mucosal irritation and should not be used. Alternative methods to man-aging constipation include dietary changes and medications when needed.
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The nurse is assessing the patellar reflex on a client and obtains no reflexive activity. The client is alert and oriented. The nurse should do which of the following in this situation?
1. Document the findings as normal. 2. Notify the healthcare provider immediately. 3. Look at the medication records for central nervous system depressants. 4. Retest the reflex after having the client use distraction during the exam.
The clinic nurse talks with Suzy, a pregnant woman at 9 weeks gestation who has just learned of her pregnancy. Suzy's nausea and vomiting are most likely caused by:
Select all answers that apply: A) Increased levels of estrogen B) Increased levels of progesterone C) An altered carbohydrate metabolism D) Increased levels of human chorionic gonadotropin
The nurse explains that in assessing the burn area of a child, the "rule of nines" is not a useful tool because small children have:
a. More fluid loss b. Thinner skin c. Less body fat d. Different body proportions
Which characteristics of abusers should the nurse include in the teaching session for elementary school teachers regarding child abuse? Select all that apply
1. Physical illness 2. Alcoholism 3. Many friends and families nearby 4. Unrealistic expectations for their child 5. The abuser has no relationship to the child.