An elderly patient asks the nurse how to treat chronic constipation. What is the best recommendation the nurse can make?
A) Take a mild laxative, such as magnesium citrate, when necessary.
B) Take a stool softener, such as docusate sodium (Colace), daily.
C) Administer a tap-water enema weekly.
D) Administer a phospho-soda (Fleet) enema when necessary.
Ans: B
Feedback: Stool softeners taken daily promote absorption of liquid into the stool, creating a softer mass. They may be taken on a daily basis without developing a dependence. Dependence is an adverse effect of daily laxative use. Enemas used daily or on a frequent basis can also lead to dependence of the bowel on an external source of stimulation.
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The act of purging or purification of emotions is known as ____________________
ANS:
The charge nurse is overheard yelling at a new graduate who mixed a tube feeding with the incorrect volume of water. What would be the expected outcome from this exchange?
1. The other staff will make sure that no errors occur. 2. The human resources department will be contacted. 3. The new graduate will hesitate to report errors in the future. 4. The charge nurse will create a guide sheet for all staff to use
Your patient complains of hoarseness yet denies smoking, alcohol use, and recent upper respiratory infection. Which question is appropriate to examine the aggravating factors?
a. "Does drinking fluids or warm drinks help alleviate the hoarseness?" b. "Do you have any pain in your neck or throat?" c. "Have you been singing, yelling, or talking excessively recently?" d. "Is your hoarseness continuous, or does it come and go?"
When assessing a client from a Freudian developmental perspective, the nurse determines that he is functioning in the latency stage based on which of the following behaviors?
A) He frequently bites the other children at preschool. B) He has not yet developed adequate bowel control. C) He is beginning to develop inner control over aggressive impulses. D) He has developed the capacity for object relations.