A nurse is required to observe the characteristics of stool eliminated by a client as part
of routine data collection. The nurse notices a bright red streak in the stool. What is the
most likely cause of this observation?
A) Hemorrhage in the stomach
B) Esophageal varices
C) Presence of micro-organisms
D) Bleeding in the rectum
D
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A client's family members are concerned that telling the client about a new finding of cancer will cause extreme emotional distress. They approach the nurse and ask if this can be kept from the client. What actions by the nurse are most appropriate?
(Select all that apply.) a. Ask the family to describe their concerns more fully. b. Consult with a social worker, chaplain, or ethics committee. c. Explain the client's right to know and ask for their assistance. d. Have the unit manager take over the care of this client and family. e. Tell the family that this secret will not be kept from the client.
The nurse is caring for a patient who is undergoing an exercise stress test. Prior to reaching the target heart rate, the patient develops chest pain. What is the nurse's most appropriate response?
A) Administer sublingual nitroglycerin to allow the patient to finish the test. B) Initiate cardiopulmonary resuscitation. C) Administer analgesia and slow the test. D) Stop the test and monitor the patient closely.
A 26-week pregnant woman of normal body mass index (BMI) is being given nutritional counseling. The nurse should recommend the client increase her daily caloric intake by
a. 100 to 150 calories per day c. 500 to 650 calories per day b. 200 to 300 calories per day d. 600 to 700 calories per day
Which of the following interventions would be performed by the occupational therapist as a member of the home health care team? Select all that apply
A) Evaluate the client's functional level. B) Provide muscle-strengthening exercises. C) Educate client and family about promoting self-care in ADLs. D) Provide assistance with securing needed equipment. E) Implement the plan of care designed by the nurse.