A patient with renal disease is scheduled for a colonoscopy. Before the procedure, the nurse will anticipate administering:
a. glycerin suppository.
b. magnesium hydroxide (MOM).
c. polyethylene glycol and electrolytes.
d. sodium phosphate.
C
Polyethylene glycol (PEG) plus electrolytes (ELS) is one of two bowel cleansers used before colonoscopy to clear the bowel. PEG-ELS products are preferred, because unlike sodium phos-phate, they are isotonic and do not increase the likelihood of dehydration and electrolyte imbal-ance. Glycerin suppositories and magnesium hydroxide are not used for bowel cleansing.
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The family of a client with chronic gallbladder inflammation and obstructive jaundice asks why the client's skin is itchy. What is the nurse's best response?
A. "Bile salts accumulate on the skin causing it to itch." B. "Liver failure is imminent when metabolic products appear on the skin." C. "The bacteria responsible for inflammation of the gallbladder produce toxins on the skin." D. "The itching is caused by the breakdown of gallstones, which causes a hypersen-sitivity response."
The nurse is caring for a young patient with a large wound on the arm from necrotizing fasciitis. Which statement should the nurse make to support the patient's psychological adjustment to the wound?
1. "I think this wound makes you look dashing.". 2. "What is the best time for you to have your dressing changed?" 3. "I told your mother that she probably shouldn't look at the wound yet.". 4. "Let's let your family participate in the next dressing change.".
A patient has slid down in the wheelchair. The person cannot assist with repositioning. To safely reposition the person:
a. a mechanical lift is used. b. 1 worker is needed. c. 2 workers and an assist device are needed. d. at least 3 workers are needed.
After the nurse has instructed a client with low-back pain about the use of a transcutaneous electrical nerve stimulation (TENS) unit for pain management, the nurse determines that the client has a need for further instruction when the client states
A) "One advantage of the TENS unit is it increases blood flow." B) "I could use the TENS unit if I feel pain somewhere else on my body." C) "I may need fewer pain medications with the TENS unit in place." D) "Wearing the TENS unit should not interfere with my daily activities."