In assessing a patient for a possible colonic obstruction, the nurse is most likely to find the hallmark symptom of
A) diarrhea.
B) abdominal rigidity.
C) abdominal distention.
D) hyperactive bowel sounds.
C
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A 17-year-old girl comes to the health department clinic to renew her oral contraceptive pills. During the physical examination, the nurse observes that the girl has broken blood vessels on her face and her lips are cracked and chapped and her fingers are
callused. What further actions will the nurse perform? (Select all that apply.) A. A weight assessment B. Assessment for depression C. Draw blood for electrolytes D. Discussion about anorexia nervosa E. Discussion about bulimia
The educator of a geriatric, subacute medical unit in a hospital is oriented new staff and teaching orientees' strategies for communicating with older adults with impaired hearing. Which of the following teaching points is most justifiable?
A) "Speak slowly and directly to these clients." B) "Avoid complex or abstract ideas when you're talking." C) "Increase the volume of your speech as much as possible." D) "Choose simple, short words to minimize confusion."
When taking the blood pressure of a client after a parathyroidectomy, the nurse notes that the client's hand has gone into flexion contractions. What is the nurse's interpretation of this ob-servation?
A. Hypokalemia B. Hyperkalemia C. Hyponatremia D. Hypocalcemia
The nurse is administering norepinephrine (Levophed) to a client in shock. What is the most appropriate rationale for administering this medication?
1. To produce vasoconstriction 2. To cause bradycardia and reserve heart function 3. To increase cardiac output 4. To cause the heart's conduction system to work more effectively