List six conditions that can cause autonomic dysreflexia.
What will be an ideal response?
· Overfull bladder
· Urinary retention
· Urinary infection
· Blocked catheter
· Overfull urinary drainage bag
· Constipation
· Fecal impaction
· Hemorrhoids
· Infection or irritation in the abdomen
· Pressure ulcers
· Prolonged pressure by an object in the chair, from a shoe, from wrinkled clothing, and so on
· Minor injury, such as a cut, bruise, or abrasion
· Ingrown toenails
· Burns, including sunburn
· Pressure on skin from tight or constrictive clothing
· Menstrual cramps
· Labor and delivery
· Overstimulation during sexual activity
· Fractured bones
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At her first prenatal visit, a woman is discussing fetal development with the nurse. The patient asks, "When will my baby actually have a heartbeat?" The nurse should reply, "The heartbeat of an embryo is distinguishable by:
1. "The fourth week.". 2. "The sixth week.". 3. "The eighth week.". 4. "The twelfth week.".
During the admitting assessment process, a client asks, "What is oliguria?" Based on the nurse's knowledge, the best response would be:
1. "Oliguria is a urine output less than 50 mL in 24 hours." 2. "Oliguria is a urine output less than 250 mL in 24 hours." 3. "Oliguria is a urine output less than 400 mL in 24 hours." 4. "Oliguria is a decreased urine output indicative of disease."
Frequently, psychiatric clients are stereotyped by the public. Which of the following is a common stereotype of this client population?
A) Calm B) Self-centered C) Violent D) Wealthy
When educating clients, which of the following parts of the communication process would be most important for the nurse to ensure?
A) Limit setting B) Feedback loop C) Goal direction D) Nonverbal expression