A nurse is preparing to initiate a behavioral treatment program for a child with encopresis. Which of the following would the nurse most likely implement first?
A) Administration of mineral oil
B) Bowel cleansing
C) Low-fiber diet
D) Sitting on the toilet after each meal
Ans: B
Before initiating behavioral treatment, cleaning out the bowel is usually necessary in many cases. The bowel catharsis is usually followed by administration of mineral oil, which is often continued during the bowel retraining program. A high-fiber diet is often recommended. The behavioral treatment program follows, which involves daily sitting on the toilet for a predetermined period after each meal.
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A) Only some of the atrial impulses are being conducted through the AV node into the ventricles. B) Conduction of the electrical impulse is failing to progress beyond the atria to the ventricles. C) The patient's sinus node is failing to create an impulse. D) Impulses starting in a ventricle are being conducted through the ventricles before the next normal sinus impulse.
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A) Limit weight bearing and exercising B) Monitor color, temperature, and pulses of the affected extremity C) Avoid immobilization of the fracture fragments D) Administer high doses of corticosteroids
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Nurses are often presented with ethical dilemmas when caring for patients and families. Which of the following is an example of an ethical dilemma? Select all that apply. A) All clients are entitled to care, whether they can pay or not, because health care is a right. B) You may have to pay higher insurance premiums to cover the cost of care because you smoke. C) There are free clinics and health programs to serve the poor; they should receive health care there. D) Should the uninsured person, who cannot pay for health care, receive the same care and services as someone who works and pays for insurance?
An adolescent client has a stiff neck, a headache, a fever of 103 degrees Fahrenheit, and purpuric lesions noted on the legs
Although the adolescent's physical needs take priority at the present time, the nurse can expect which to be the most significant psychological stressor forthis adolescent? 1. Separation from parents and home. 2. Separation from friends and permanent changes in appearance 3. Fear of painful procedures and bodily mutilation 4. Fear of getting behind in schoolwork