A client is admitted with dysentery caused by Clostridium difficile, or pseudomembranous colitis. To elicit the most helpful information about the cause of the dysentery, the nurse would ask the client
a. "Are you taking any antibiotics?"
b. "Do you ever go barefoot outside your home?"
c. "Does anyone else in your family have bowel problems?"
d. "Have you traveled in any foreign countries lately?"
A
Infection with C. difficile is a bacterial dysentery often seen in clients who have been receiving large doses of antibiotics or who have taken antibiotics over a long period.
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What instruction should the nurse provide to a nursing assistant who is assigned to care for an older patient with a stage I pressure ulcer on the right heel?
1. Apply a dry dressing to the site. 2. Apply a donut under the right heal. 3. Cleanse the area with tepid water without soap. 4. Keep the head of the bed elevated to a 45-degree angle.
The female patient should ideally be in which position for the pelvic examination?
a. Fowler b. Prone c. Lateral supine d. Lithotomy
The nurse identifies the following assessment findings on a client with preeclampsia: blood pressure 158/100; urinary output 50 mL/hour; lungs clear to auscultation; urine protein 1+ on dipstick; and edema of the hands, ankles, and feet
On the next hourly assessment, which of the following new assessment findings would be an indication of worsening of the preeclampsia? A. Blood pressure 158/104 B. Urinary output 20 mL/hour C. Reflexes 2+ D. Platelet count 150,000
According to Piaget, the individual assimilates and accommodates new information during this period
A) Birth B) Organization C) Assimilation D) Adaptation