A patient who has cerebral palsy is wheelchair dependent and receives enteral nutrition via a gastrostomy tube. The patient has infrequent, hard bowel movements despite using a high-fiber formula and receiving 1500 mL of fluid per day
The NP should order: a. bisacodyl (Dulcolax).
b. docusate sodium (Colace).
c. polyethylene glycol (MiraLAX).
d. sodium phosphate (Fleets) enema.
C
Fluids, fiber, and exercise, which help most people, are not applicable to people who are wheelchair bound. Other individuals with congestive heart failure are unable to tolerate these mechanisms. Osmotic laxatives, such as polyethylene glycol are used to manage long-term constipation. It is essential for clinicians to know their patients and assess what is reasonable for them to do.
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A grieving young widow cries out, "Why was my husband killed? Why wasn't it me?" What is the nurse's best response?
a. Stating "You need to be strong for your children." b. Silently placing her hand on the widow's arm. c. Asking if there is anyone the widow needs to have notified. d. Stating "You are feeling overwhelmed about your husband's death."
The nurse is developing a plan of care for a client who is in the "taking-in" phase after delivering a healthy baby boy. Which of the following should the nurse include in the plan?
a. Provide the client with a nutritious meal. b. Teach baby care skills like diapering. c. Discuss the pros and cons of circumcision. d. Counsel her regarding future sexual encounters.
A patient has severe pruritus from hepatitis B. Which of the following nursing measures would provide the greatest level of patient comfort?
A) Use hot water to increase vasodilation. B) Use cold water to decrease itching sensation. C) Give tepid water baths. D) Avoid lotions and creams.