A nurse suspects a patient is developing a bowel obstruction a few days postoperatively. Auscultation of the abdomen finds
1. Low-pitched, hypoactive bowel sounds in all quads.
2. Hypoactive bowel sounds in all four quads.
3. Bowel sounds are high pitched and hyperactive in right lower quad (RLQ) and right upper quad (RUQ), and hypoactive in left upper quad (LUQ) and left lower quad (LLQ).
4. Bowel sounds are hypoactive in RUQ and active in RLQ, LUQ, and LLQ.
ANS: 3
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The nurse is preparing a care plan for a client. Which area of health risk appraisal should the nurse include in the diagnosis and planning? Select all that apply.
A. Occupation. B. Immunization history. C. Laboratory results. D. Medical diagnosis. E. Sexual activity.
A nurse is assisting a client in using simple relaxation techniques. Which of the following would the nurse do first?
A) Have the client assume a relaxed position. B) Advise the client to let the sensations happen. C) Ensure a quiet, undisruptive environment. D) Instruct the client to take an initial slow, deep breath.
Barriers to patient education the nurse considers in implementing a teaching plan include which factor?
a. Family resources b. High school education c. Hunger and pain d. Need perceived by patient
Of those questions listed below, numbers ____________________ are appropriate for symptom analysis of a client with benign prostatic hyperplasia
(Your answer should appear as numbers separated by commas and spaces [e.g., 1, 2, 3, 4].) 1. "How often have you found that you stopped and started again several times when you urinated?" 2. "How often have you had to urinate again less than two hours after you finished urinating?" 3. "How often have you been incontinent of urine?" 4. "How often have you had constipation due to the enlarged prostate?" 5. "How often have you had to push or strain to begin urination?" 6. "How often have you had to get up during the night