What statement made by the client would indicate the possibility of intestinal obstruction?
A. "My stools have become firmer and harder."
B. "I am able to pass urine only in small amounts at a time."
C. "My abdomen appears to have become enlarged."
D. "I seem to be full after eating only a few bites."
C
Abdominal distention is a hallmark sign of intestinal obstruction.
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During the admission process, the nurse receives orders for the patient to have arterial blood gases (ABGs) drawn. Which finding from the patient's history may cause concern?
a. Taking ginkgo biloba for the last 6 months b. Having an increased hematocrit (Hct) level during the last physical exam c. Being diabetic for 10 years d. Having a decreased white blood cell (WBC) count
An 84-year-old female resident with dementia in an extended-care facility rapidly paces the halls and the common areas from right after breakfast to bedtime. What should be included in the nursing plan of care?
a. Restrain the resident from pacing. b. Apply a bracelet that sounds an alarm if the resident leaves the building. c. Encourage rest by asking her to sit and have a glass of juice or a snack. d. Pace with her and engage her in conversations.
The nurse working with female patients assesses each for exposure to the many forms of violence against women, which include (Select all that apply.)
a. femicide. b. fraud. c. isolation. d. name calling. e. sexual coercion.
Serving midmorning snacks is not a priority if you are very busy.
Answer the following statement true (T) or false (F)