The client who had a cesarean section four days ago calls the obstetrician's office to report constipation and excess flatulence leading to abdominal discomfort. The nurse advises the client to:
1. Sit on the toilet and attempt to have a bowel movement.
2. Increase fluid intake and fiber, and walk as much as tolerated.
3. Follow a clear-liquid diet until symptoms subside.
4. Take a laxative or administer an enema.
2
Rationale: The nurse's first suggestions would be to increase fluid and fiber intake and walk as much as tolerated, to help the client to evacuate the bowel. If this is not successful, a laxative, stool softener, or enema may be prescribed by the physician. The nurse does not advise medications because this is prescribing, and is outside the scope of practice.
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The four universal concepts that are central to nursing practice are:
a. person, nurse, health, and environment. b. person, physician, health, and environment. c. person, nurse, health, and culture. d. person, nurse, environment, and culture.
The hospital-based nurse has worked with a client at some length regarding appropriate diet. Based on the family systems theory, which of the following will most likely occur when the client returns home?
a. The family member who prepares food will probably suggest the newly discharged member eat the meals everyone in the family enjoys. b. The family member who prepares food will probably try to modify family meals without obvious change for the family as a whole. c. The family member who prepares food will probably prepare meals based on the diet plan for all the family. d. The family member who prepares food will probably prepare special meals for the newly discharged member.
Which community-based nursing activities indicate the nurse is working in the role of educator? (Select all that apply.)
a. Offers prenatal classes b. Offers a child safety program c. Offers to defend patients' decisions d. Offers creative solutions to local problems e. Offers coordinate resources after discharge
A client's blood pressure is 180/120 mm Hg. How will the client's neurologic system adapt to this increase in blood pressure?
1. Arteries in the brain dilate 2. Cerebrospinal fluid increases 3. Arteries in the brain constrict 4. Cerebrospinal fluid decreases