Which of these symptoms, if stated by a patient, indicates to the nurse correct understanding of manifestations of a gastrointestinal (GI) tract infection?
a. Vomiting
b. Cloudy urine
c. Flank pain
d. Constipation
ANS: A
The symptoms of GI tract infections may include nausea, vomiting, diarrhea, cramping, and anorexia. Patients may have frequent episodes of emesis and diarrhea and need to be monitored for signs of dehydration resulting from the loss of fluid.
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An inexperienced nurse who is new to the ICU is examining the eyes of a comatose patient with traumatic brain injury who is on a ventilator. In doing so, she turns the patient's head sharply to one side
After she is finished, she leaves the patient's head turned to the side. A more experienced nurse sees this and cautions the new nurse not to turn the patient's head so sharply or leave it in that position. What is the best rationale for the more experienced nurse's admonition? A) Compression of the jugular vein leading to increased intracranial pressure B) Lack of a patent airway C) Lack of dignity for the patient D) Cramping of neck muscles
A patient is aphasic from a recent stroke. The nurse is taking a multidisciplinary approach to this patient's care. Who would be most appropriate for the nurse to collaborate with regarding the patient's aphasia?
a. Interpreter b. Speech therapist c. Physical therapist d. Mental health nurse specialist
For the client with compulsive hand washing, which outcome indicator can be used to evaluate that
social interaction is occurring? The client a. asks for anxiolytic medication when anxiety increases. b. spends time talking to staff and clients in the lounge area. c. decreases the amount of time spent hand washing. d. sleeps 7 to 8 hours nightly.
What is the best nursing response to the parent of a child with asthma who asks if his child can still participate in sports?
a. "Children with asthma are usually restricted from physical activities." b. "Children can usually play any type of sport if their asthma is well controlled." c. "Avoid swimming because breathing underwater is dangerous for people with asthma." d. "Even with good asthma control, I would advise limiting the child to one athletic activity per school year."