What is the most effective intervention to prevent constipation in a patient who recently sustained a fractured femur and is currently in traction?
a. Get the patient up and to the bathroom at least twice each day.
b. Administer enemas each day until the pa-tient has a bowel movement.
c. Administer pain medication to prevent pain during defecation.
d. Encourage a high-fiber diet and increased amounts of fluids.
D
Inactivity, decreased fluid intake, and a lack of adequate fiber in the diet can combine to cause constipation. Activity is not an option for this patient, but encouraging a high-fiber diet and in-creased fluids can help prevent or relieve constipation.
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The nurse presented a program regarding objectives related to the overall health of eyes that are addressed in Healthy People 2020. Which client statement made by an adult participant in the program indicates an adequate understanding of these objectives?
1. "My 4-year-old doesn't need his vision screened." 2. "I'm going to call my eye doctor and ask that she performs a dilated eye exam." 3. "My mom has been complaining of dry eyes, but I knew it was all in her head." 4. "I didn't know that Asians have the highest risk for developing glaucoma."
The nurse instructs a school-age patient and the parents on continuous cycling peritoneal dialysis. Which statement indicates that teaching has been effective?
A) "The solution should be infused cold.". B) "Redness and warmth around the tube insertion site is expected.". C) "We should notify the health care provider if the drainage is cloudy.". D) "Weight gain and a productive cough are expected with the treatments.".
The patient has a peripheral infusion for the administration of antibiotics. Which action is most effective for the nurse to use to detect an intravenous (IV) therapy–related infection?
a. Use clean technique for dressing changes. b. Palpate the insertion site through the dressing. c. Change the IV tubing at 12-hour intervals. d. Routinely apply an antimicrobial to the IV site.
The nurse is teaching a client from a culture that is "present oriented" about a dressing change that should be performed twice a day. How should the nurse address the cultural issue?
1. Allow the client to select the times the dressing will be changed. 2. Instruct the client to change the dressing after breakfast and before going to bed. 3. Explain that the client should complete the dressing change at 10 AM and 4 PM. 4. Suggest that the dressing change can be performed whenever the client chooses, as long as it gets done twice daily.