The nurse is performing a focused assessment of the client's gastrointestinal status. Appropriate data to collect would include: Standard Text: Select all that apply
1. Bowel sounds.
2. Appetite.
3. Range of motion.
4. Characteristics of emesis.
5. Presence of wheezing.
1,2,4
Rationale: Auscultation of bowel sounds in all four quadrants is appropriate data to collect and document.
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The LPN/LVN is preparing a client for surgery. The LPN/LVN has the following responsibility with the preoperative consent:
1. Witnessing the client's signature 2. Medicating the client prior to signing the form 3. Encouraging the client to read about the procedure so it is understood 4. Signing the consent for the client who is not clear about the procedure
The most appropriate nursing diagnosis for the child with acute glomerulonephritis is
a. Risk for Injury related to malignant process and treatment b. Deficient Fluid Volume related to excessive losses c. Risk for Imbalanced Fluid Volume related to a decrease in plasma filtration d. Excess Fluid Volume related to fluid accumulation in tissues and third spaces
A patient reports that she has decided to follow a vegetarian diet. The nurse would discuss methods of obtaining enough of which important element in the diet?
1. Calories 2. Iron 3. Fat 4. Protein
A patient was prescribed sertraline (Zoloft) for the treatment of depression and anxiety. The patient's spouse calls the clinic and reports the patient is increasingly moody and seems "disconnected with life." What is the best response by the nurse?
1. "Try giving him some diphenhydramine (Benadryl) to see if that helps him relax." 2. "Bring him to the clinic for assessment today.." 3. "Hold his medication today and see if his mood improves." 4. " "Double the daily dose of sertraline (Zoloft) and call us back in three days."