A client post-hemorrhoidectomy feels the need to have a bowel movement. Which action by the nurse is best?
a. Have the client use the bedside commode.
b. Stay with the client, providing privacy.
c. Make sure toilet paper and the call light are in reach.
d. Plan to send a stool sample to the labora-tory.
B
The first bowel movement after hemorrhoidectomy can be painful enough to induce syncope. The nurse should stay with the client. The nurse should instruct clients who are discharged the same day to have someone nearby when they have their first postoperative bowel movement. Making sure needed items are within reach is an important nursing action too, but it does not take priority over client safety. The other two actions are not needed in this situation.
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Which of the following occurrences reflects the Industrial Revolution's effect on health in Early America?
a. Healthy soldiers were needed to fight in religious wars. b. The focus of medicine shifted from disease cure to disease prevention. c. The Surgeon General's report outlined health objectives for the nation. d. There was a shift of the population from rural to urban settings.
The nurse implements the concepts of the activity theory of aging when instructing the older autoimmune suppressed client to:
a. continue her daily walking routine b. curtail further increases in physical activity c. document preferred end-of-life interventions d. avoid exposing herself to crowds
The nurse understands that anginal pain usually is associated with:
a. stress and exercise. c. smoking tobacco products. b. lack of regular exercise. d. consuming a glass of wine daily.
A postmastectomy client tells the nurse, "The doctor says my arm is so swollen because of lymph fluid. How much lymph fluid do we have?" How should the nurse respond?
1. "Not very much. Most of your swelling is due to your cancer." 2. "The normal amount of lymph fluid in the body is about 3 liters." 3. "The lymph fluid is part of your blood, so it is hard to determine how much you have." 4. "Everyone is different. Some people have lots of lymph fluid and some have very little."