A nurse is working with a client who experiences constipation. The
nurse recognizes that additional education is needed when the client
states the following:
,a) "I should plan for routine physical activity to help improve my bowel
habits."
b) "I plan to drink at least 1,500ml of fluids per day to help promote a
regular bowel movement."
c) "Fiber is a really important aspect of my diet that I should plan to
incorporate more often."
d) "I plan to take my stimulant laxative every day for at least the next 6
months to make sure it's working." - CORRECT ANSWER ; d) "I plan to
take my stimulant laxative every day for at least the next 6 months to
make sure it's working."
Which of the following does not need to be irrigated?
Colostomy
Ileostomy - CORRECT ANSWER ; Ileostomy
A patient with a long-standing history of diabetes mellitus is voicing
concerns about kidney disease. The patient asks the nurse where urine is
formed in the kidney. The nurse's response is the:
,Which physiologic factor can place an 83 year old client at risk for acute
kidney injury?
Decline in glomerular function
Decreased abdominal muscle control
Loss of urinary sphincter control
Consumption of caffeine - CORRECT ANSWER ; Decline in glomerular
function
The nurse identifies the diagnosis Impaired Urinary Elimination in an
older adult client admitted after a stroke. Impaired Urinary Elimination
places the patient at risk for which complication?
A nurse is caring for an elderly client who has nearly fallen twice while
getting out of bed to go to the bathroom. The nurse has instructed the
client not to get up without assistance. The client tells the nurse about
feeling a need to get to the bathroom when the urge to void occurs and
feeling a need to rush. Which strategy should the nurse utilize to
minimize the client's risk of falling?
a) Obtain an order for an indwelling catheter
, b) Require that a family member stay with the client
c) Check on the client every 2 hours and offer toileting assistance
d) Obtain an order for restraints to prevent injury - CORRECT ANSWER
; c) Check on the client every 2 hours and offer toileting assistance
Which body fluid lies in the spaces between the cells?
On assessment of a patient with acute renal failure, the nurse finds the
following: distended neck veins, cool and pale skin, and crackles in the
lungs. The nurse should suspect the patient is experiencing
A senior student nurse delegates the task of intake and output to a new
nursing assistant. The student will verify that the nursing assistant
understands the task of I&O when the nursing assistant states:
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