A nurse is caring for a patient with inflammatory bowel changes and has identified a nursing diagnosis of "Diarrhea related to inflammatory changes in the bowel." What would be an appropriate intervention for this diagnosis?
A) Use a heat or cold pack for pain relief.
B) Ensure adequate hydration and electrolyte replacements.
C) Provide periods of rest by clustering care.
D) Gather resources for home care and daily activities.
B
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What therapeutic effect will the nurse assess for in the male patient taking anabolic steroids?
A) Thinning of the skin B) Body hair loss C) Increase in red blood cells (RBCs) and hemoglobin D) Gynecomastia
A patient has arrived at the emergency department with complaints of chest pain and is suspect-ed of having an acute myocardial infarction (AMI)
Review the following criteria, and select the one that should be used to determine whether this patient is a candidate for thrombolytic therapy. a. Chest pain lasting 2-4 hours, ST-segment elevation of 0.1 mV in at least one ECG lead b. Chest pain lasting 1-6 hours, ST-segment elevation of 0.1 mV in at least three contiguous ECG leads c. Chest pain lasting 0.5-6 hours, ST-segment elevation of 0.1 mV in at least two contiguous ECG leads d. Chest pain lasting 0.5-4 hours, ST-segment elevation of 0.1 mV in at least two contiguous ECG leads
A 4-year-old patient receives a diagnosis of anemia. The pediatric nurse caring for the patient knows that for most children, anemia is not a disease; rather, it is a symptom of other diseases and is caused by:
A) increased production of white blood cells. B) decreased destruction of white blood cells. C) decreased production of red blood cells. D) decreased destruction of red blood cells.
When collecting a sputum specimen for culture and sensitivity, the nurse demonstrates correct technique for this procedure by which of the following actions?
1. starting prescribed antibiotics one hour prior to specimen collection 2. performing endotracheal suction if the client cannot cough deeply enough to bring up sputum 3. collecting sputum at the end of the day for best results 4. swabbing the back of the throat and placing specimen in a wide-mouth container.