Which assessment finding will need intervention and is related to the client's use of aluminum hydroxide (Amphojel)?

a. Client has not had a bowel movement in 3 days.
b. Client has had one loose stool this week.
c. Client is complaining of gastric upset.
d. Client has trace edema in feet.


Answer: a. Client has not had a bowel movement in 3 days.

Nursing

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A community health nurse obtains a client's informed consent for care. This is derived from which value?

A) Self-interest B) Well-being C) Equity D) Self-determination

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A client has a percutaneous endoscopic gastrostomy (PEG) tube in place. Which of these actions must the nurse take when caring for this client?

a. Rotate the PEG tube daily. b. Keep the PEG tube pinned to the client's gown at all times. c. Minimize flushing of the PEG tube. d. Cleanse the skin around the client's PEG tube with hydrogen peroxide.

Nursing

A client is undergoing a series of diagnostic tests. He insists nothing is wrong with him except a

chest cold that he "can't shake off." His wife says he smokes and coughs a lot, has lost 15 pounds, and is easily fatigued. The defense mechanism the client is using is a. regression. b. displacement. c. denial. d. projection.

Nursing

The ethics committee at the hospital has asked the nurse on the unit to be on the hospital committee

The nurse attends the first meeting and has been instructed on the use of the ethical decision-making process proposed by Fowler, which includes care and contextualism as well as what other perspective? A) Double effect B) Patient advocacy C) Principalism D) Beneficence

Nursing