Which instructions should the nurse give to the patient complaining of constipation? Select all that apply
a. Drink at least eight glasses of water or fluid per day.
b. Include a minimum of four servings of meat per day.
c. Gradually increase your fiber intake to 25 grams per day.
d. Exercise at least 60 minutes per day as you feel necessary.
e. Use the restroom when you feel the urge to defecate.
ANS: A, C, E
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The perinatal nurse listens as the patient describes her labor and emergency cesarean birth. Providing an opportunity to review this experience may assist the patient in doing which of the following?
A. Decreasing her ambivalence about her labor and birth B. Developing more positive feelings about her labor and birth C. Initiating her role development in the "letting-go" stage D. Understanding the various demands associated with the maternal role
What is the rationale for careful intake and output for patients with pulmonary alterations?
a. Fluid retention occurs with tachypnea. b. Hemodilution may cause deleterious hypernatremia. c. Fluid volume excess can lead to right-sided heart failure. d. Excessive fluid losses may lead to dehydration and hypovolemic shock.
A client tells the nurse about passing out after following a fasting diet for 5 days. Which acid-base imbalance would the nurse expect to assess in this client?
1. Respiratory acidosis 2. Respiratory alkalosis 3. Metabolic acidosis 4. Metabolic alkalosis
The home health nurse asks a child's mother many questions as part of the assessment. The mother answers many questions, then stops and says, "I don't know why you ask me all this. Who gets to know this information?" The nurse should take which action?
a. Determine why the mother is so suspicious. b. Determine what the mother does not want to tell. c. Explain who will have access to the information. d. Explain that everything is confidential and that no one else will know what is said.