A patient who has IBS has been taking dicyclomine and reports decreased pain and diarrhea but is now having occasional constipation. The primary care NP should recommend:
a. beginning treatment with an SSRI.
b. beginning therapy with a TCA.
c. over-the-counter (OTC) laxatives as needed when constipated.
d. increasing the amounts of raw fruits and vegetables in the diet.
C
Patients who experience constipation may use OTC laxatives as needed. Antidepressants, such as SSRIs or TCAs, are used long-term to help with pain. Raw fruits and vegetables can increase the likelihood of bloating.
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The nursing instructor is discussing theories to explain sexual dysfunction. The nurse states that behavioral theorists believe sexual dysfunction may be related to learned responses to:
1. Lack of concern with sexual performance. 2. Poor communication skills. 3. Vast sexual experience with a variety of partners. 4. Effective stimulation by a sexual partner.
When a patient became confused and dangerous to himself and others in the setting, restraints were applied, and the patient was confined to bed. What is the nurse's best defense for applying restraints?
1. Consent 2. Self-defense 3. Necessity 4. Privilege
The nurse admits the male client for ambulatory surgery. The client tells the nurse he skipped breakfast but drank a cup of coffee and some juice. Which does the nurse implement next?
1. Ask client to estimate the fluid volume. 2. Instruct client to dress and return home. 3. Notify the anesthesiologist and surgeon. 4. Change or delay surgery for several hours.
The concluding sentence of each paragraph in a literature review
a. describes relevant studies that support the theme of the paragraph. b. identifies the main themes of the paragraph. c. provides evidence to support the topic of the paragraph. d. transitions to the ideas expressed in the following paragraph.