The nursing instructor informs a student nurse that a client she is caring for has a chronic neurologic condition that decreases the client's peristalsis. What nursing diagnosis is the most likely risk for this client?
A) Constipation
B) Diarrhea
C) Deficient fluid volume
D) Excessive fluid volume
Ans: A
Peristalsis is defined as the contractions of the circular and longitudinal muscles of the intestine. Decreased peristalsis will result in constipation because the movement of the fecal mass will occur at a slower rate and more fluid will be absorbed in the colon.
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A 54-year-old patient reports that she smokes a pack and a half of cigarettes daily and has been smoking since she was 16 years old. The nurse would record a smoking history of ______ pack-years
Fill in the blank(s) with correct word
Which statement made by the client who is at continuing risk for dehydration indicates adequate understanding of measures to take to prevent mild dehydration from becoming more severe?
A. "I will weigh myself daily." B. "When I feel light-headed, I will drink a glass of water." C. "I will decrease my fluid intake if my urine output increases." D. "If I forget to take my diuretic one day, I will take twice the dose the next day."
A hospitalized patient has a blood pressure of 145/96 mm Hg. The nurse caring for this patient notes that the blood pressure the day before was 132/98 mm Hg The patient reports ambulatory blood pressure readings of 136/98 and 138/92 mm Hg. The patient has a history of a previous myocardial infarction and has adopted a lifestyle that includes use of the DASH diet and regular exercise. What will the nurse do?
a. Notify the provider and discuss ordering a beta blocker for this patient. b. Notify the provider and suggest a thiazide diuretic as initial therapy. c. Order a diet low in sodium and high in potassium for this patient. d. Recheck the patient's blood pressure in 4 hours to verify the result.
A 26-month-old child displays negative behavior, refuses toilet training, and often shouts, "No!" when given direction
The nurse's counseling with the parent should be based on the premise that the child is engaged in which of Erikson's psychosocial crises? a. Trust versus Mistrust b. Initiative versus Guilt c. Industry versus Inferiority d. Autonomy versus Shame and Doubt