A nurse assesses a client with irritable bowel syndrome (IBS). Which questions should the nurse include in this client's assessment? (Select all that apply.)
a. "Which food types cause an exacerbation of symptoms?"
b. "Where is your pain and what does it feel like?"
c. "Have you lost a significant amount of weight lately?"
d. "Are your stools soft, watery, and black in color?"
e. "Do you experience nausea associated with defecation?"
ANS: A, B, E
The nurse should ask the client about factors that may cause exacerbations of symptoms, including food, stress, and anxiety. The nurse should also assess the location, intensity, and quality of the client's pain, and nausea associated with defecation or meals. Clients who have IBS do not usually lose weight and stools are not black in color.
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A mother is placing her child into the bathtub. The child immediately jumps out of the tub and begins to cry, stating his feet are "burning."
The nurse in the emergency department knows that the child's response is based on which of the following pathophysiological principles listed below? A) Children react much quicker to contact with hot water than adults. B) The tactile sensation occurs well in advance of the burning sensation. The local withdrawal reflex reacts first. C) It takes a long time for thermal signals to be processed before the brain can send a signal through the spinal cord and tell the foot to withdraw. D) The thermal processing center is located on the rapid conducting anterolateral system on the same side of the brain as the injury.
The emergency department has treated two patients in the last day with symptoms that may be H5N1. The nurse manager is updating staff on the pathophysiology of this disease. The manager would evaluate education as effective if which statement was made by a staff member?
1. It is thought that H5N1 is a nonhuman virus that has crossed species. 2. H5N1 is more common in patients also infected with HIV. 3. H5N1 is typically found in swine. 4. H5N1 is related to respiratory syncytial virus (RSV), so young children will be the most likely patients.
Percutaneous umbilical cord sampling (PUBS), also called cordocentesis, involves the aspiration of fetal blood from the umbilical cord for prenatal diagnosis or therapy. Major indications include (select all that apply)
a. Rh disease b. Fetal well-being c. Infection d. Lung maturity e. Karyotyping
A client is being started on scopolamine (Transderm Scop) for vertigo. What does the nurse tell the client regarding this medication?
a. "You may drive your car while taking this medication." b. "Concentration on your college courses will not be affected." c. "It is recommended that you limit activi-ties requiring a detailed focus." d. "You should be able to continue your job as a crane operator."