The patient asks the nursing assistant for a bedpan. When the patient is finished, the nursing assistant notifies the nurse that the patient has bright red streaking of blood in the stool. What is this most likely a result of?
A) Diet high in red meat
B) Upper GI bleed
C) Hemorrhoids
D) Cancer of the large intestine
Ans: C
Feedback: Lower rectal or anal bleeding is suspected if there is streaking of blood on the surface of the stool. Hemorrhoids are often a cause of anal bleeding.
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The mother of a 2-year-old child becomes very anxious when the child has a temper tantrum in the medical office. The appropriate nursing response to the mother would be to say:
1. "What do you usually do or say during a temper tantrum?" 2. "Let's ignore this behavior. It will stop sooner." 3. "Pick up and cuddle your child now, please." 4. "This is definitely a temper tantrum. I know exactly what you are feeling right now."
The nurse is performing patient education for a woman who will soon begin treatment of hyperlipidemia with simvastatin (Zocor). The patient has asked the nurse if there are any "bad side effects" that she should be aware of
Which of the following statements should underlie the nurse's response? A) Many patients experience gastrointestinal upset with statins, which can be partially alleviated by taking the drug with food. B) The patient may experience a dry cough, especially at night, for the first few weeks after starting to take the simvastatin. C) The patient will have to schedule regular blood work to closely monitor her kidney function for the duration of treatment. D) Most patients tolerate statins well, with minor muscle aches being among the most common adverse effects.
A client, scheduled to be admitted through outpatient services for surgery with general anesthesia, should be instructed in which of the following?
a. Shave the surgical area the night before surgery. b. Have only toast and tea for breakfast the morning of surgery. c. Be sure to wear any dentures or dental appliances. d. Do not eat or drink anything after midnight before the surgery.
Which condition is most likely to have a nursing diagnosis of fluid volume deficit?
A. Appendicitis B. Pancreatitis C. Cholecystitis D. Gastric ulcer