What description of a child's stool characteristic leads the nurse to suspect intussusception?
a. Currant jelly
b. Black and tarry
c. Green liquid
d. Greasy and foul-smelling
ANS: A
Bowel movements of blood and mucus that contain no feces ("currant jelly" stools) are common about 12 hours after the onset of the obstruction.
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The nurse is evaluating a client in the intensive care unit to identify improvement in the client's condition. Which outcome does the nurse note as the result of inadequate compensatory mechanisms?
A) Liver dysfunction B) Organ damage C) Weight loss D) Unsteady gait
The nurse is preparing intravenous medications for administration. Which of the following should the nurse be aware of when preparing these medications?
a. A heparin or saline lock provides continuous venous access without the need for a continuous IV. b. When giving IV push medications into a continuous infusion line, allow the fluid in the primary line to continue dripping. c. When giving IV piggyback medications, the primary solution should be higher than the secondary solution. d. Wear gloves when administering an IV pig-gyback medication.
A client with pancreatic carcinoma complains of severe abdominal pain radiating to the back. The healthcare provider prescribes a narcotic analgesic for pain relief
What should the nurse take into account when administering pain relief medications? A) Dosage will not change with change in route of administration. B) Titration of the drug dosage is not necessary on discontinuation. C) Pain medication is unaffected by tolerance to other medications. D) Dosage of pain medication should be increased gradually.
A client whose spouse recently died is having difficulty falling asleep and does not want to take any prescription medications to induce sleep. Which response by the nurse is the most appropriate?
Standard Text: Select all that apply. 1. "Walking 2–3 miles or engaging in some other exercise every morning can enhance sleep." 2. "There are alternative methods to treat insomnia, such as yoga, meditation, and massage therapy." 3. "Eating a large meal at bedtime will help induce sleep." 4. "Avoid caffeinated beverages, nicotine, and alcohol immediately prior to bedtime." 5. "Count sheep after lying down in order to enhance sleep."