The nurse is teaching a client about the structures of the GI tract. Which structures should the nurse include in the teaching session?(Select all that apply.)
1. Stomach
2. Liver
3. Large intestine
4. Pancreas
5. Gallbladder
1, 3
Rationale 1: The stomach is part of the GI tract.
Rationale 2:Liver is incorrect because it is one of the accessory organs of digestion, which include the liver, gallbladder, and pancreas.
Rationale 3: The GI tract includes the large and small intestines.
Rationale 4:Pancreas is incorrect because it is one of the accessory organs of digestion, which include the liver, gallbladder, and pancreas.
Rationale 5:Gallbladder is incorrect because it is one of the accessory organs of digestion, which include the liver, gallbladder, and pancreas.
Global Rationale: The GI tract includes the stomach and large and small intestines. The liver, gallbladder, and pancreas are all accessory organs of digestion.
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The nurse is teaching a female patient with stress incontinence how to perform pelvic floor muscle exercises (PFMEs). Which of the following statements indicates that the patient understands the procedure?
a. "I will practice by stopping and starting my urine flow." b. "I will hold each contraction for 20 seconds." c. "I will perform 30 to 45 contractions each morning." d. "I will keep the contraction and relaxation times equal."
When do patients and residents need fresh drinking water?
a. Every day b. Every 8 hours c. Every shift and whenever the pitcher is empty d. With each meal and at bedtime
Which of the following statements is most accurate about mental health assessments?
A) A mental health assessment should be done only when overt symptoms indicating a thought disorder are present. B) One purpose of doing a mental health assessment is to establish a therapeutic alliance with the client. C) Data from a mental health assessment will be used to confer a specific mental health condition so a targeted referral can be made. D) Areas of mental health assessment include only an assessment of mood, thought process, and cognition.
The description of a health condition primary resolved by nursing interventions or therapies is known as
a. a nursing diagnosis. c. nursing outcomes. b. nursing interventions. d. the nursing process.