An elderly patient who is wheelchair bound following a cerebrovascular accident is being assessed by the nurse. The nurse notes the patient has seepage of stool from the anus. The nurse knows this is indicative of
A) Constipation
B) Diarrhea
C) Fecal impaction
D) Intestinal infection
Ans: C
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During your assessment of a patient for doll's eyes phenomenon, you observe that the patient's eyes remain fixed. This response most likely indicates
a. a normal finding. c. injury to cranial nerves III, IV, and VI. b. damage to the lower brainstem. d. hematoma formation behind his eyes.
The distinction between therapeutic imagery and guided imagery is that in guided imagery the:
a. practitioner leads the subject b. process has a positive outcome c. subject directs the process d. thoughts are not directed
The removal of a toddler's clothing and application of monitoring equipment after anesthesia is administered will
A) Minimize blood loss B) Ensure temperature control C) Provide baseline vital signs D) Allow sufficient relaxation
Which of the following is NOT a part of the procedure for collecting a clean-catch specimen?
A) obtain antiseptic solution for cleansing purposes B) insert a sterile catheter C) cleanse the genital area D) catch the urine after the patient begins to void