An expected anal or rectal finding late in pregnancy is the presence of:
a. cysts.
b. hemorrhoids.
c. hypertrophy.
d. polyps.
B
Hemorrhoids are an expected variation late in pregnancy.
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A nurse cares for older clients who have traumatic brain injury. What should the nurse understand about this population? (Select all that apply.)
a. Admission can overwhelm the coping mechanisms for older clients. b. Alcohol is typically involved in most traumatic brain injuries for this age group. c. These clients are more susceptible to systemic and wound infections. d. Other medical conditions can complicate treatment for these clients. e. Very few traumatic brain injuries occur in this age group.
Of the following observations, which is the most objective measure of improvement in your patient with anorexia nervosa?
A. She eats all of her food on the tray at lunch. B. She gains 2 pounds from last week. C. She weighs herself daily. D. She tells you her friends are bringing her special foods.
Which outcome statement for client ambulation after surgery should the nurse use in a plan of care?
1. Client receives instruction about safe ambulation techniques. 2. Client ambulates without difficulties within 48 hours of surgery. 3. Client ambulates according to the provider's activity prescription. 4. Client ambulates to the nurses' station four times daily within 2 days.
A 12-year-old adolescent boy who was hospitalized with complications of diabetes is concerned that his 9-year-old sister is taller than he is and asks the nurse why he is so short compared to his sister. The nurse's best response would be:
a. "When we get your diabetes under control, you may see yourself having a major growth spurt." b. "You may have inherited the genetic makeup for being short, while your sister got the tall genes." c. "Since she does not have diabetes, she is able to take in more food and put her food intake to maximum use." d. "Girls may begin their growth spurt as early as age 7-1/2, while boys typically start a growth spurt by age 13."