After administration of the sodium polystyrene (Kayexalate), it is important for you to
monitor H.J.'s:
a. Level of consciousness
b. Urine output
c. Bowel sounds
d. Peripheral pulses
c
The most serious adverse effect of the use of sodium polystyrene is colonic necrosis and other
fatal gastrointestinal adverse events, such as bleeding and perforation; therefore the nurse should
monitor H.J.'s bowel sounds and pattern of bowel movements.
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When examining a patient who has undergone a left simple mastectomy, the nurse should do which of the following?
a. examine the right breast first b. omit palpating the lymph nodes on the left side because they were removed c. turn her to her right side before palpation d. omit palpating the left nipple because it was removed
The nursing student began a case study paper by writing, "J.P., a 65-year-old Asian male, was admitted to the intensive care unit at Southwest Hospital." What is the significance of this statement?
1. It is incomplete, as the date and time of admission should be included. 2. It is a good description of the patient to begin the paper. 3. It violates Health Insurance Portability and Accountability Act regulations. 4. It is incomplete, as the patient's physician's name should be included.
A client is suspected of having a hydatidiform mole. What should the nurse expect to assess in this client? Select all that apply
1. Elevated blood pressure 2. Absence of fetal heart tones 3. Frequent urination and thirst 4. Dark brown vaginal drainage 5. Larger than gestational age fundal height
Place Tuckman's stages of team development in order. Choice
1. Forming Choice 2. Performing Choice 3. Norming Choice 4. Storming