A nurse on an acute medical unit has rectally administered a dose of sodium polystyrene sulfonate to a patient. What assessment should the nurse prioritize in the 48 hours following the administration of this drug?
A) Monitoring of serum potassium levels
B) Stool testing for occult blood
C) Fluid balance
D) Hemoglobin, hematocrit, and red blood cells
B
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When assessing the force, or strength, of a pulse, the nurse recalls that the pulse:
a. Is usually recorded on a 0- to 2-point scale. b. Demonstrates elasticity of the vessel wall. c. Is a reflection of the heart's stroke volume. d. Reflects the blood volume in the arteries during diastole.
The nurse is providing sexual education to a group of high school students. What will the nurse explain is the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases?
a. Abstain from sex. b. Use the male condom. c. Use the female condom. d. Use the barrier method.
What does including play in the plan of care for a 5-year-old allow the child to do? (Select all that apply.)
a. Exercise his imagination b. Assume a role and act it out c. Offers an emotional outlet d. Avoid magical thinking e. Interact with other children
The nurse is performing an assessment of a child's biologic family history. Which situation would necessitate the nurse's asking the mother for information should use the term "child's father" instead of "your husband"?
1. Traditional nuclear family 2. Traditional extended family 3. Two-income nuclear family 4. Cohabitating informal stepfamily