Which of the following nursing interventions would be a priority for the client with Crohn's disease who has developed a fistula?
A. Positioning the client to allow gravity drainage of the fistula
B. Monitoring the client's hematocrit and hemoglobin
C. Recording pulse oximetry readings every 4 hours
D. Maintaining adequate nutrition
D
The client with Crohn's disease is already at risk for malabsorption and malnutrition. Malnutrition impairs the healing of the fistula and immune responses; therefore, maintaining adequate nutrition is a priority for this client. The client will require 3000 calories/day to promote healing of the fistula.
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The nurse is caring for a client who has heard about alternative therapies and asks the nurse what types of treatment naturopathy uses in client care. The nurse's best explanation would be that naturopathy includes which of the following?
1. Acupressure 2. Hypnosis 3. Hydrotherapy 4. Magnet therapy
The nurse is exposed to the client's blood and body fluids via an accidental used needlestick. Which would be appropriate nursing documentation of the event?
1. Document "Nurse stuck by used needle" in the client's medical record. 2. Document "Accidental exposure of nurse to blood and body fluid" in the client's medical record. 3. There is no need to document the exposure as long as the nurse takes the proper actions and notifies the charge nurse. 4. Completion of an incident report.
Violence in the prison population, especially sexual assault, is common. Nurses must be aware of the complex histories of the prison population. The majority of women who experience violence in prison:
1. Are violent themselves 2. Have committed homicides 3. Have a history of experiencing multiple types of abuse as a child and as an adult 4. Are in prison for child abuse
A nurse has just completed his required simulation to assess certain advanced skills. What does the nurse expect to happen next?
A) Receiving documented observations in a simulated medical record B) Debriefing with a designated instructor C) Discussing the results with other nurses D) Preparing for the next simulation