Which interventions does the nurse expect to implement when caring for a patient with diverticulitis? Select all that apply
a. Laxatives and enemas are ordered
b. IV fluids to prevent dehydration
c. Broad spectrum antibiotics
d. Teach the patients to refrain from lifting or straining
e. Keep the patient NPO if symptoms are severe
Answer:
b. IV fluids to prevent dehydration
c. Broad spectrum antibiotics
d. Teach the patients to refrain from lifting or straining
e. Keep the patient NPO if symptoms are severe
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The role of the LPN/LVN in the assessment phase of the nursing process is to:
1. Identify client strengths and promote health maintenance. 2. Collect data and observe and report client status to the RN. 3. Develop an individualized care plan. 4. Observe or measure client responses to nursing interventions.
The nurse assesses several spider angiomas across the chest and lower abdomen of a 60-year-old patient. The patient reports that these lesions have developed within the last several months. Which nursing statement is indicated?
1. "We should check your blood glucose.". 2. "Do you take any vitamin supplements?" 3. "These commonly occur with aging.". 4. "We should check you for a bladder infection.".
The nurse is working with a client who is in cervical traction. How much should the head of the bed be elevated?
a. 20-30 degrees c. 70-90 degrees b. 45-60 degrees d. 95-120 degrees
Eleven months after being treated for breast cancer, a client reports difficulty sleeping and the associated fatigue while denying any other signs/symptoms. The nurse recognizes that the client may be experiencing:
1. Situational depression 2. Normal remission symptoms 3. Post-traumatic stress disorder 4. Delayed effects of chemotherapy drugs