A patient has a fecal impaction. Which portion of the colon will the nurse assess?
a. Descending
b. Transverse
c. Ascending
d. Rectum
ANS: D
A fecal impaction is a collection of hardened feces wedged in the rectum that cannot be expelled. It results from unrelieved constipation. Feces at this point in the colon contain the least amount of moisture. Feces found in the ascending, transverse, and descending colon still consist mostly of liquid and do not form a hardened mass.
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A new nurse is always asking questions, even when there does not seem to be a problem, much to the annoyance of some of the new nurse's co-workers. The nurse manager's best response to this situation is to
a. explain to co-workers this is a characteristic of critical thinking. b. suggest the nurse work more closely with a preceptor. c. talk with the nurse and suggest asking fewer questions. d. tell the staff that all new nurses go through this phase.
An older adult patient admitted to the intensive care unit with acute respiratory injury from aspiration is at risk for developing critical illness polyneuropathy (CIP). What information does the nurse provide to this client's family?
1. Prevention of this condition is important because very few persons experience complete recovery. 2. Tight control of blood glucose may help prevent this condition. 3. The major concern with this illness is impairment of the patient's ability to breath. 4. If this condition develops intensive antibiotic therapy will be necessary.
A nurse is interested in practicing in a faith-based community; when researching the role of the parish nurse, the nurse finds that:
a. certification is available at a basic level after a qualifying examination is completed and a set number of practice hours have been worked, as defined by the state's nurse practice act. b. this advanced practice role focuses on health promotion and disease prevention. c. this role has no set standards or scope of practice but instead follows the doctrine of the denomination being served. d. this role is recognized by the American Nurses Association (ANA) as a specialty with a defined set of practice guidelines.
If the evaluation component of the nursing process shows that the goal has not been achieved: a. another goal is formulated. b. work on the goal is stopped. c. the interventions are revised and modified asnecessary
d. none of the above.