A patient comes into the emergency department with suspected appendicitis. What should the nurse do for this patient?
A. Provide a hot water bottle to place over the abdomen.
B. Prepare to administer a biscodyl (Dulcolax) suppository.
C. Provide with clear water to drink.
D. Inspect the abdomen and assess bowel sounds.
Answer: D
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A nurse ensures that a patient does not have questions regarding the upcoming surgical procedure and verifies that the signature on the consent form is the patient's signature. Which ethical principle is this nurse demonstrating?
A. Autonomy B. Beneficence C. Fidelity D. Justice
A client has sat in stony silence in the day room for 20 minutes after her appointment with her
psychiatrist. She appears tense and vigilant. The nurse sees the client abruptly stand up and pace back and forth across the day room, clenching and unclenching her fists, then stop and stare intently into the face of the psychiatric technician seated at a table. The assessment that can be made is that the client is a. working off angry feelings. b. attempting to use relaxation strategies. c. exhibiting clues to potential aggression. d. using withdrawal.
Valliant (1979) discusses the "ubiquity of stress." This refers to ideas such as:
a. In a current and rapidly changing society, stress can be viewed as a positive. b. Eustress is counterproductive. c. The overwhelmed can functionally regress. d. Dream therapy has been found to be an effective treatment of overwhelming stress.
Which is the most accurate description of the nursing diagnosis of spiritual distress?
A. The client reports no church affiliations. B. The client struggles to identify meaning and purpose in life. C. The client reports seeing the spirit of his deceased wife. D. The client reports that meditation helps him feel connected spiritually.