A client has undergone a total abdominal hysterectomy. The nurse is providing routine postoperative care including assessment of bowel sounds as well as the client's intake and output
The nurse also monitors the client for tenesmus, which can be described as: a. abdominal distention
b. postoperative constipation
c. profound postoperative nausea and vomiting
d. spasmodic contraction of the anal or bladder sphincter
D
Tenesmus is the spasmodic contraction of the anal or bladder sphincter, causing pain and a persistent urge to empty the bowel or bladder.
You might also like to view...
The nurse is collecting data for a patient who has osteogenesis imperfecta. Which of the following signs and symptoms would the nurse expect? (Select all that apply.)
a. Blue, purple, or gray tint to sclera b. Increased height c. Triangle-shaped face d. Thickening of skin tissue e. Brittle or discolored teeth f. Scoliosis
The nurse identifies that the newborn is jaundiced within the first 24 hours of birth, with jaundice occurring over bony prominences of the face and the mucous membrane. What type of jaundice does this represent?
a. Physiological b. Normal c. Pathologic d. Transitory
The parents of a 2-year-old child who sustained severe head trauma from falling out a second-story window are arguing in the pediatric intensive-care unit (PICU) and are blaming each other for the child's accident
The best nursing diagnosis for this family is 1. Parental Role Conflict related toprotecting the child. 2. Hopelessness related to the child'sdeteriorating condition. 3. Anxiety related to the critical-careunit environment. 4. Family Coping:Compromised,relatedto the child's critical Injury.
A clinic nurse is assessing a child who takes methylphenidate (Ritalin) for the treatment of attention-deficit/hyperactivity disorder (ADHD). The nurse knows that a potential side effect from the prolonged use of methylphenidate (Ritalin) is:
A) Psychosis. B) Decreased intelligence. C) Sore throat. D) A decrease in rate of growth and development.