The nurse assesses that a patient has a severe fecal impaction. Which action taken by the nurse addresses this problem?
a. Administering laxatives
b. Providing a high-fiber diet
c. Performing a digital removal
d. Administering an enema
C
Prevention is the key to fecal impaction. However, once it occurs, digital removal of stool is the only alternative. Once the impaction is cleared, a high-fiber diet, increased activity, and adequate hydration may all reduce the likelihood of recurrence.
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A nurse is working with a family who is caring for their mother at home. They complain that the strain of caring for her 24 hours a day is exhausting them. What is the nurse's best suggestion?
1. They place their mother in a nursing home 2. They hire a housekeeper 3. They obtain respite care to give them a break 4. They go into family therapy
A nurse is caring for four patients on a general pediatric unit. The nurse identifies risk for impaired skin integrity as a nursing diagnosis for all four. Which patient's skin should the nurse assess first?
A. Adolescent 4 hours postoperative after appendectomy B. School-age child just back from a tonsillectomy C. Teen eating in a chair 1 week post-burn D. Toddler with broken femur in skeletal traction
The nurse is providing instruction regarding nitroglycerin for angina to the client who will be discharged. The nurse should explain that the medication should be taken at the first indication of pain because:
1. Pain will cause tissue damage. 2. Pain indicates decreased blood flow to the heart. 3. Pain in the legs could indicate overactivity. 4. Nitroglycerin constricts blood vessels and increases blood pressure.
Which of the following is a dermatophyte infection of the fingernails or toes?
A) Pediculosis B) Tinea pedis C) Onychomycosis D) Onychocryptosis