A patient with a long history of alcohol abuse has been admitted to an acute medical unit with signs and symptoms of hepatic encephalopathy. His current medication orders include QID doses of oral lactulose
What desired outcomes should the nurse associate with this drug order?
A) Patient will have three to four loose bowel movements each day.
B) Patient will express relief from constipation.
C) Patient will have formed bowel movements that do not contain frank or occult blood.
D) Patient will express an understanding of his current bowel regimen.
A
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The nurse is caring for a critically ill patient. Which action by the nurse could most likely be considered malpractice?
A) Assessing for allergies before administering medications B) Consistent failure to complete adequate hand hygiene C) Strict adherence to the visiting hours policies of the unit D) Encouraging the patient to ask questions of the physician
A home health nurse is making a home visit to an older patient. A nurse conducts a home safety assessment and screens the environment for potential hazards for falls. The nurse recommends that the patient eliminate which of the following?
(Select all that apply.) a. Night-lights b. Railings on the stairway c. Loose carpeting on the floors d. The use of a cane e. Excess clutter
A patient is demonstrating signs of ineffective peripheral tissue perfusion. What intervention would be appropriate for this patient?
1. Encourage patient to reduce level of exercise. 2. Discuss smoking cessation techniques. 3. Keep extremities cool. 4. Assist with pillow placement under knees.
If a low-pitched murmur is suspected with prior assessment, which of the following is the best position for the client when the nurse auscultates the apical site?
a. Sitting up b. Standing c. Lying on the left side d. Dorsal recumbent