The nurse is caring for a patient who has an exacerbation of Crohn's disease. Which nursing action is most important to recommend for inclusion in the patient's plan of care?
a. Administer antigas agents as ordered.
b. Encourage oral fluids.
c. Apply protective ointment to perianal skin.
d. Encourage frequent ambulation.
ANS: B
Preventing dehydration, per Maslow's hierarchy, from diarrhea is important, so fluids are encouraged.
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The main cause of cardiogenic shock is
a. an inability of the heart to pump blood forward. b. hypovolemia, resulting in decreased stroke volume. c. disruption of the conduction system when re-entry phenomenon occurs. d. an inability of the heart to respond to inotropic agents.
The family of a client diagnosed with encephalitis asks the nurse how the disease is treated. The nurse explains that treatment will include:
A) strict isolation to prevent spread. B) use of broad-spectrum antibiotics. C) use of antiviral medications. D) a combination of antibiotics and diuretics.
The nurse is preparing to perform the Rinne test of hearing function. Which action by the nurse is appropriate?
1) Whispers several words to the patient and asks him or her to repeat what was heard 2) Places a vibrating tuning fork in the middle of the head 3) Places a set of earphones over both ears, plays several tones, and asks the patient to identify the sounds heard 4) Uses a tuning fork to compare the length of time the patient hears sound conducted by the mastoid bone versus air conduction
Postmenopausal women are at risk for skeletal changes. When developing a plan of care, a nurse should remember to teach patients that weight-bearing exercises _________________
Fill in the blank(s) with correct word