A patient is receiving scheduled prn narcotics for severe pain related to a musculoskeletal injury. The nurse finds that the patient's abdomen is distended and bowel sounds are hypoactive. Because the nurse suspects that the patient is having a medication side effect, which question does the nurse ask the patient?
a) Are you having nausea and vomiting?
b) When was your last bowel movement?
c) Does your abdomen hurt?
d) Ar you having diarrhea or loose stool?
Answer: b) When was your last bowel movement?
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The nurse is teaching experienced postpartum nurses about home care visits. Which statements indicate that teaching was effective? Select all that apply
1. "I should tell the family to put any guns or knives away." 2. "It is best to wear professional street clothes to visits." 3. "If I encounter a crime in progress, I should leave the area." 4. "Jewelry is a good way to demonstrate my professionalism." 5. "Ignoring my ‘gut' feelings might lead to an unsafe situation." Correct
When planning discharge teaching with a patient who has undergone a total mastectomy with axillary dissection, the nurse knows to instruct the patient that she should report what sign or symptom to the physician immediately?
A) Fatigue B) Temperature greater than 98.5ºF C) Sudden cessation of output from the drainage device D) Gradual decline in output from the drain
Which of the following statements best represents therapeutic communication when a student discovers a client crying in bed?
a. "I am the nurse who will be doing your treatments today." b. "Will you listen to me so I can help you get better?" c. "This is what is going to happen during surgery." d. "Can we talk about what seems to be bothering you?"
A community health nurse is utilizing telehealth. Which of the following best describes the ra-tionale for its use?
a. Enables clients to get nursing care in their homes b. Substitutes for health department deliv-ered care c. Improves access to care in rural areas d. Replaces face-to-face care for those who cannot afford it