A client who has had rectal surgery has been prescribed a sitz bath. Which is most important for the nurse to monitor during the procedure?
A) Lowered blood pressure
B) Reduced bleeding
C) Loss of sensation
D) Reduced body temperature
A
Feedback:
The nurse should monitor the client for lowered blood pressure. Vasodilation from heat application over a large area of the body may cause low blood pressure. A sitz bath is contraindicated in clients with severe bleeding, because heat application increases bleeding. A sitz bath does not cause a loss of sensation or reduce body temperature.
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A client is experiencing constipation due to an antihyperlipidemic drug. The client asks the nurse how to manage this problem. Which suggestion would be most appropriate? Select all that apply
A) Stop taking the antihyperlipidemic medication. B) Increase your fluid intake. C) Eat foods rich in dietary fiber. D) Be sure to exercise every day. E) Use a stool softener.
Decorticate rigidity is characterized by hyperflexion and adduction of the arms and
a. flexion of the legs and plantar flexion of the feet. b. hyperextension, internal rotation, and plantar flexion of the legs. c. extension and external rotation of the legs. d. hyperflexion and adduction of the legs.
When examining the strengths, limitations, and capacity of an organization and the community to support the establishment and viability of a nursing center, a nurse is completing a
a. Data collection b. Feasibility study c. Focus groups d. Community forums
A pregnant client who swims 3 to 5 times per week asks the nurse if she should stop this activity. What is the appropriate nursing response?
1. "You should discontinue your exercise program immediately." 2. "You should increase the number of times you swim per week." 3. "You should decrease the number of times you swim per week." 4. "You should continue your exercise program because it would be beneficial."