A patient, admitted with fatigue, dyspnea, and a hemoglobin level of 8.6 mg/dL, tells the nurse that he occasionally has dark smelly stools but they "go away" in a few days
Which of the following should the nurse suspect is occurring with this patient? 1. upper gastrointestinal bleed
2. lower gastrointestinal bleed
3. chronic gastrointestinal bleed
4. digestion disorder
3
Rationale: The patient with a chronic gastrointestinal bleed may exhibit recurrent episodes of melena or hematochezia. Patients may have no signs or symptoms of acute blood loss, but may present with manifestations associated with anemia, such as fatigue, dyspnea, and low red blood cell count and hemoglobin. There is not enough information to suggest that the patient is experiencing an upper or lower gastrointestinal bleed. There is also not enough information to support a digestion disorder.
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a. Fetal movement felt by the woman. b. Amenorrhea. c. Breast changes. d. Visualization of fetus by ultrasound.
When the nurse reads an article and uses the findings of a study to improve the quality of the patients for whom she cares, she is implementing the role of:
a) teacher b) manager c) research consumer d) advocate
A patient is recovering from a bronchoscopy. What care should the nurse provide to this patient?
Select all that apply. 1. Instruct the patient to avoid eating and drinking until the gag reflex returns. 2. Report dark blood–tinged respiratory secretions to the physician. 3. Notify the physician with any breathing difficulty. 4. Administer pain medications immediately following the procedure. 5. Instruct the patient on use of incentive spirometry to use following the procedure.
At change-of-shift report, the nurse learns the medical diagnoses for four patients. Which patient should the nurse assess most carefully for development of hyponatremia?
a. Vomiting all day and not replacing any fluid b. Tumor that secretes excessive antidiuretic hormone (ADH) c. Tumor that secretes excessive aldosterone d. Tumor that destroyed the posterior pituitary gland