The nurse determines a patient requires a fecal impaction removal. Which assessment result justifies the nurse's finding?
a. The patient exhibits rebound tenderness.
b. The patient experiences hard stool that cannot be passed.
c. The patient has a history of fecal impac-tion.
d. The patient denies having a bowel move-ment today.
B
The nurse determines that the patient who is unable to pass hard stool requires fecal removal after other methods, including suppositories and enemas, have been unsuccessful. Rebound tenderness is a clinical indicator consistent with peritonitis. However, normal pain and tenderness can indicate stool impaction. A patient history of fecal impaction affects prevention strategies for impaction, including exercise, fluids, high-fiber diet, and maintaining a bowel ritual and regular bowel habits. Lack of a bowel movement for a day does not necessarily indicate constipation.
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After teaching a group of nursing students about antidiabetic drugs, the instructor determines that the teaching was successful when the students identify
which of the following as producing the glucose-lowering effects by delaying the digestion and absorption of carbohydrates in the intestine? Select all that apply. A) Glimepiride (Amaryl) B) Metformin (Glucophage) C) Pioglitazone (Actos) D) Miglitol (Glyset) E) Acarbose (Precose)
A patient's admission vital signs were blood pressure 128/64 mmHg; heart rate 86 beats per minute, respirations 16, and temperature 98.6°F. The patient has spiked a temperature of 101.6°F. Which change in heart rate would the nurse anticipate?
1. Increase to 116 beats per minute 2. Increase to 100 beats per minute 3. Decrease to 76 beats per minute 4. Increase or decrease of no more than 5 beats per minute
Congenital anomalies can occur with the use of antiepileptic drugs, including (select all that apply)
a. Cleft lip b. Congenital heart disease c. Neural tube defects d. Gastroschisis e. Diaphragmatic hernia
Before performing Leopold maneuvers, what would the nurse do? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Have the client empty her bladder. 2. Place the client in Trendelenburg position. 3. Have the client lie on her back with her feet on the bed and knees bent. 4. Turn the client to her left side. 5. Have the client lie flat with her ankles crossed.