During a physical assessment, the nurse notes that a patient has bright red blood in the feces. What does the nurse recognize as the most likely cause of this bleeding?
a. Bleeding in the upper intestinal tract
b. Bleeding in the lower intestinal tract
c. Bleeding in the entire intestinal tract
d. Consumption of cranberry juice
ANS: B
Bright red blood in the feces indicates active bleeding from the lower portion of the intestinal tract.
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The nurse applying heat to an injured hip of a patient is careful not to leave the heat on longer than:
1. 15 minutes. 2. 20 minutes. 3. 30 minutes. 4. 1 hour.
When documenting client care, the nurse understands that the most important reason for correct and accurate documentation is which of the following?
A) Legal representation to care B) Conveyance of information C) Assisting in organization of care D) Noting the client's response to interventions
A nurse is taking care of a client in the denial stage of dying. The student nurse is preparing a short postclinical report about the stages of dying and wants to include a brief description of the stages of death
The student nurse has to be able to describe each stage in one word. Which word by the student nurse would best describe the denial stage of dying? A) Rage B) Shock C) Guilt D) Grief
Native Alaskans may need specialized community nursing care related to
1. Exposure to petroleum products 2. Farmer's lung 3. Field sanitation 4. Black lung, chronic obstructive pulmonary disease