Methylnaltrexone is used to treat constipation in:
1. Patients with functional constipation
2. Patients with irritable bowel syndrome-associated constipation
3. Children with encopresis
4. Opioid-associated constipation
4
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A client who was involved in a motor vehicle accident is admitted through the emergency department. He has an IV of 0.9% NS @ 100 mL/hr, BP 92/58, and complains of weakness, fatigue, and abdominal pain
On assessment, the nurse discovers that Mr. Reynolds is nauseated and just vomited 560 milliliters of green emesis with flecks of "coffee grounds." The nurse delegates client care activities to the nursing assistive personnel. Which activity should the nurse keep? A. Taking and recording vital signs every 15 minutes B. Recording accurate intake and output C. Obtaining a baseline weight to guide therapy D. Increasing the IV rate to 250 mL/hr if the blood pressure drops to 85/50
A child, aged 11 years, stays home from school to care for his siblings while his mother works
because the family cannot afford a babysitter. The home is cluttered and dirty when the community mental health nurse visits to investigate the child's school absences. When the parents arrive home from work the child's father behaves angrily. He orders his wife and son about. He finds fault with the son, asking him twice "Why are you such a stupid kid?" The wife tells the nurse she has difficulty disciplining the children and gets frustrated easily. The nurse's goal is to continue to gather assessment data. The remark or question that would create a block is a. "Tell me how you punish your children.". b. "When your baby cries, how do you get him to stop?" c. "Caring for five small children must be difficult.". d. "Do you or your husband ever beat the children?"
According to Tanner's sexual maturity rating for female breast development, in an adolescent female between the ages of 14 and 17, the presence of a secondary mound of tissue over the breast formed by the areola and nipple normally coincides with
a. the peak of the height spurt. b. the onset of menarche. c. the end of the height spurt. d. hormonal fluctuations occurring at the beginning of the menstrual cycle.
Which activity is an example of a nursing intervention with a population aggregate at the primary level of prevention?
a. preparing and presenting a class on relaxation techniques to mental health workers b. taking a field trip to the grocery store to practice shopping skills with ill clients c. screening a group of clients for hypertension at the community mental health center d. presenting medication information to a group of clients with long-term mental illness