The 68 year old client is scheduled for intestinal surgery does not have clear fecal contents after 3 tap water enemas. Which intervention should the nurse implement first?
1. Notify the surgeon of the client's status
2. Continue giving enemas until clear
3. Increase the client's fluid IV rate
4. Obtain STAT serum electrolytes
1. Notify the surgeon of the client's status
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A patient with personality disorder seemed intelligent to the nurse. He said all the right things to please the nurse but often failed to follow through. One evening he was brought back late from a pass, acutely intoxicated
The nurse seemed dismayed and remarked, "I thought he was making such good progress.". Which phenomena are likely illustrated in the nurse's response? Select all that apply. a. Successful manipulation by the patient b. Naiveté on the part of the nurse herself c. Guilt for having supported the patient's pass d. Failure by the nurse to remain objective e. An incompletely formed therapeutic relationship f. Honest disappointment that the patient regressed
The purpose of the health history is to identify:
A) Actual health problems. B) Potential health problems. C) Discharge needs. D) All of the above.
The nurse completes client teaching about medication self-administration. Which does the nurse ask the client to do for evaluation of the client's psychomotor ability?
1. Prepare a weekly diet plan. 2. Perform glucose monitoring. 3. Explain a medication's purpose. 4. Discuss feelings about self-care.
A nurse identifies lice during a child's scalp assessment. The nurse teaches the parents about hair care. Which information from the parents indicates the nurse needs to follow up?
a. We will use lindane-based shampoos. b. We will use the sink to wash hair. c. We will use a fine-toothed comb. d. We will use a vinegar hair rinse.