The nurse assesses the postpartum client who has not had a bowel movement by the third postpartum day. Which nursing intervention would be appropriate?
1. Encourage the new mother, saying, "It will happen soon."
2. Instruct the client to eat a low-fiber diet.
3. Decrease fluid intake.
4. Obtain an order for a stool softener.
4
Explanation: 4. Obtaining an order for a stool softener is the correct intervention by the third day. In resisting or delaying the bowel movement, the woman may cause increased constipation and more pain when elimination finally occurs.
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A clinic nurse is working with a patient who has a long-standing diagnosis of polycythemia vera. How can the nurse best gauge the course of the patient's disease?
A) Document the color of the patient's palms and face during each visit. B) Follow the patient's erythrocyte sedimentation rate over time. C) Document the patient's response to erythropoietin injections. D) Follow the trends of the patient's hematocrit.
A patient with suicidal impulses is placed on suicide precautions. Which measures will the nurse incorporate into the plan of care? Select all that apply
a. Allow no glass or metal on meal trays. b. Remove all potentially harmful objects. c. Maintain continuous one-on-one nursing observation. d. Check the patient's whereabouts every 15 minutes, and make frequent verbal contacts. e. Keep the patient within visual range while he or she is awake, and check every 15 to 30 minutes while asleep.
The student nurse observing a surgical procedure begins to feel lightheaded and nauseated. Which of the following should the student do at this time?
1. Tell someone she does not feel well. 2. Leave the operating room immediately. 3. Nothing since this feeling will pass. 4. Immediately sit down on the floor.
On the eve of an important business meeting, Steve presents with symptoms of a severe allergy. Steve can ill-afford to appear sedated or under medication during this meeting, so he asks the doctor to prescribe a suitable antihistamine. Which of the following drugs is the doctor most likely to prescribe?
A. Chlorpheniramine B. Promethazine C. Hydroxyzine D. Diphenhydramine