A patient reports taking attapulgite (Kaopectate) for diarrhea over the past 4 days. What is your best action?
a. Send a stool specimen to the lab for analysis including culture, sensitivity, and parasites.
b. Instruct the patient to notify nursing staff for episodes of diarrhea and save the stool for occult blood check.
c. Check the patient's blood pressure, heart rate, respiratory rate, and oxygen saturation.
d. Teach the patient that antidiarrheal drugs should not be taken for more than 2 days unless instructed to by their prescriber.
ANS: D
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A home health care nurse has been working with a patient who has the nursing diagnosis Spiritual Distress. After a few weeks of implementing the care plan, what method is best for the nurse to determine if goals have been met?
a. Ask the patient to what extent he/she feels goals have been met. b. Ask the patient to rate the distress on a scale of 1-10. c. Assess for objective data to support goal attainment. d. Determine if the patient thinks the interventions are helpful.
The nurse caring for an older adult client diagnosed with dementia bathes the client and changes the wound dressing. Prior to leaving the room, which action by the nurse is the most appropriate?
1. Raise the side rails. 2. Place the head of the bed in the semi-Fowler's position. 3. Place the bed in the low position. 4. Remove the footboard from the bed.
Four days after a client's surgery, the nurse assesses a collagen mass under the client's suture line as an indication of
a. abscess. b. edema. c. healing ridge. d. infection.
Most food absorption occurs in the:
a. Stomach b. Small intestine c. Liver d. Large intestine