Which statement by the patient would indicate a need for further instruction regarding prevention of constipation?
a. "I eat bran flakes or oatmeal every day to add bulk to my diet."
b. "Since I started eating three servings of fruit a day, I haven't been constipated."
c. "I'm never constipated. I take a gentle laxative every night."
d. "My daily walks have kept my bowels working regularly."
ANS: C
Long-term laxative use may cause the body to become so dependent on laxatives that the patient is unable to have a normal elimination pattern without medication.
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Which of the following could result in the nurse being found negligent?
1. The nurse, while driving to work, passes the scene of an accident with obvious injury but does not stop. 2. The nurse administers the wrong medication to a client, who suffers no ill effect. 3. The nurse initiates a care plan to prevent skin breakdown and documents thoroughly, but the client develops a pressure ulcer anyway. 4. The client with a history of dementia and wandering crawls over the side rail and falls, and breaks her hip.
A client's intake was the following:
1 1/4 cup of coffee (1 cup = 8 oz) 4 oz cranberry juice 1 1/2 bowls of chicken broth (1 bowl = 6 oz) 3 1/2 glasses of water (1 glass = 6 oz) The client voided urine as follows: 260 mL, 180 mL, 500 mL, and 425 mL Calculate the client's I&O in mL. a. Intake: _____ mL b. Output: _____ mL
A patient with HIV has been diagnosed with Candida albicans. The nurses can anticipate the physician will order medication to be taken over how many days?
a. 10 days b. 7 days c. 14 days d. 2 days
The nurse in the postanesthesia care area is concerned that a patient recovering from a subtotal thyroidectomy is experiencing postoperative complications. What findings led the nurse to come to this conclusion?
Select all that apply. 1. hoarse voice 2. restlessness and irritability 3. blood pressure 92/56 mmHg 4. heart rate 116 beats per minute 5. high-pitched, squeaky sound with breathing