While assessing a patient who is hospitalized and bedridden, the nurse notices that the patient has been incontinent of stool. The stool is loose and gray-tan in color. The nurse recognizes that this finding indicates which of the following?
a. Occult blood
b. Inflammation
c. Absent bile pigment
d. Ingestion of iron preparations
ANS: C
The presence of gray-tan stool indicates absent bile pigment, which can occur with obstructive jaundice. The ingestion of iron preparations and the presence of occult blood turns the stools to a black color. Jellylike mucus shreds mixed in the stool would indicate inflammation.
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An elderly patient is being treated after taking too much cardiac medication. The patient states, "I didn't mean to do it. I can't see as well as I used to and can't see the writing on the medication labels
" What intervention by the discharge planning nurse would help prevent this from occurring again? A) Transfer the patient to the nursing home where she will have her medications administered to her. B) Call the patient's family and tell them they must administer the medications to the patient when they are scheduled. C) Make a home health referral for evaluation of resources and medication dispensing. D) Encourage the health care provider to prescribe less toxic medication for this patient.
Following a hurricane, the disaster team chooses to use a collaborative model to assess the needs of the community. Each team member is given a community analysis and assigned the task to create a tentative plan of action
Why would the use of a collaborative model hamper the progress of the assessment and plan in a disaster? (Select all that apply.) A) Individual decision-making creates bias. B) Assessment is time-consuming. C) Approach to problem solving is linear. D) Approaches must be preestablished. E) Collaboration is limited.
The average length of the normal menstrual cycle is
a. 21 to 45 days c. 20 to 31 days b. 18 to 30 days d. 24 to 33 days
Which nursing diagnosis should the nurse set as a priority for a laboring client?
a. Risk for anxiety related to upcoming birth b. Risk for imbalanced nutrition related to NPO status c. Risk for altered family processes related to new addition to the family d. Risk for injury (maternal) related to altered sensations and positional or physical changes