The nurse is teaching a group of patients about the process of a mechanical bowel obstruction. Which example should the nurse include in the teaching?

a. A tumor obstructs the lumen of the bowel.
b. A paralytic ileus causes cessation of pe-ristalsis.
c. The bowel is inflamed by diverticulitis.
d. The bowel motility is slowed by anti-diarrheal drugs.


A
Mechanical obstruction results in blockage of the lumen of the bowel. Examples include tumors, adhesions, strangulated hernia, twisting of the bowel (volvulus), telescoping of one part of the bowel into itself (intussusception), gallstones, barium impaction, and intestinal parasites.

Nursing

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The nurse is determining if the "rule of nines" can be used to estimate the extent of an adult client's burn injuries. For which reason would this approach be questioned? (Select all that apply.)

1. The client is old. 2. The client is thin. 3. The client is short. 4. The client is obese. 5. The client is unconscious.

Nursing

The nurse is reviewing the steps and rationales of collecting a 24-hour urine specimen with a studen

Why does each urine specimen voided by the client have to be recorded? A) Guarantees collection of fresh specimen B) Ensures that all urine is collected and available for substance analysis C) Ensures that the collection begins with an empty bladder D) Guarantees a full 24-hour specimen for this test.

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Which of the following issues would the nurse want to assess at the initial visit for a 70-year-old client who lives at home alone and is being seen for a follow-up visit after an outpatient surgical procedure? (Select all that apply.)

a. Ability to ambulate for about 30 minutes a day b. Problems with constipation or need for laxatives c. Appetite and appeal of food both visually and in taste d. Use of prescription drugs and over-the-counter medications e. Financial resources f. Family involvement in care

Nursing

A patient loses balance, and the nurse holds the patient to avoid a fall. Which kind of touch is this?

Caring Protective Noncontact Task-oriented

Nursing