The physician has prescribed neomycin enemas for a patient with cirrhosis. The patient questions why they are being used. Which response by the nurse is most appropriate?
a. These enemas help prevent infection.
b. These enemas help reduce straining during a bowel movement.
c. These enemas kill intestinal flora.
d. These enemas aid in reducing ascites.
C
Neomycin is occasionally given orally or by enema to decrease the colonic bacteria that break down protein. This treatment lowers the formation of ammonia. The bowel is cleansed by enemas to decrease ammonia production further.
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A nurse is assessing a 10-month-old baby's anterior fontanel and finds it slightly depressed; the fontanel measures 2 inches (5.08 cm). What conclusion and action are most appropriate?
A. Delayed closing; alert health-care provider. B. Fontanel is closing; document findings. C. Large for age; assess for Down's syndrome. D. Sign of dehydration; assess fluid status.
A client with a spinal cord injury was given methylprednisolone in the emergency department. The nurse realizes this medication was provided in order to:
1. Cause an increase in blood glucose level. 2. Improve the ability to be adequately ventilated. 3. Prevent cord damage from ischemia and edema. 4. Improve the level of consciousness.
Kurt Lewin's force-field theory of change is one of the most widely accepted and remains in current use today. The central concepts of this theory of change include
A) the forces that govern intrinsic and extrinsic motivation. B) the relationship between driving forces and restraining forces. C) the forces of resilience and inertia in an organization. D) the relationship between the will for change and the ability to effect change.
The nurse is reviewing the medical history of a patient who is being evaluated for anorexia nervosa. Which characteristic(s) would be consistent with the condition? (Select all that apply.)
a. Weight loss of 2 to 3 pounds in the past month b. Binge eating c. Frequent mood changes d. Absence of three consecutive menstrual periods e. Body weight less than 85% of what is ex-pected for height and weight