Shush

a nurse is providing teaching to a client who has a new colostomy. which of the following information should the nurse include in the teaching ?

'you may experience a small amount of bleeding around the stoma"

a nurse is assisting a group of clients in an outpatient clinic. for which of the following clients should the nurse anticipate a scheduling a base line screening colonoscopy

51 yr old being seen for annual PExam

a nurse is providing teaching about ileostomy care to a client. which client statement indicates a need of further teaching

I will be certain to take a enteric coated medications

a nurse is providing information about pain control for a client who has acute pain following abdominal surgery. which of the following client statements indicates an understanding of pain control

I will call for pain meds before the previous dose wears off

a nurse on a medical unit is assessing four clients for urinary retention. which of the following clients have manifestations of urinary retention?

a client who reports urinary frequency with small amounts

a nurse is caring for a client who has urinary incontinence. which of the following actions should the nurse implement to prevent the development of skin break down?

apply a moisture barrier ointment to the skin

a nurse is caring for a client who has a prescription for a stool test for guaic. the nurse understand the purpose of this test is to check the stool for?

blood

a nurse is reviewing the providers prescriptions for a client experiencing a paralytic ileus following an appendectomy. which of the following actions should the nurse expect to take?

insert a nasogastric tube

A nurse is caring for a client who is prescribed bed rest. The plan of care indicates that the client should perform isometric exercises every 2 hrs. which of the following actions should the nurse take as directed by the plan of care?

instruct the client t tighten muscle groups for a short period then relax

a nurse is caring for a client who has not voided in 8 hrs following the removal of an indwelling urinary catheter. which of the following actions should be taken

perform a bladder scan

a nurse is working with an assistive personal (AP_ while caring for a client who is 1 day post op. which task should the nurse take responsibility to complete

removing the abdominal dressing

a nurse is assessing a client who is experiencing hypertrophy(enlarged prostate )which of the following findings associated with urinary retention should the nurse expect

reports of feeling pressure, distended bladder, voiding 30 ml frequently

a nurse is caring for a client who needs a stool specimen collected. which of the following actions should the nurse take when obtaining the specimen ?

send the specimen to the lab immediately

a nurse is administering a cleansing enema to a client who reports mild cramping the clients asks the nurse to stop the enema to allow him to go to the bathroom which of the following actions should the nurse take

slow the flow of the enema solution briefly

a nurse in a long term facility is caring for an older client who has dementia and begins to have frequent episodes of urinary incontience. after the provider determines no medical cause which of the following interventions should the nurse initiate

take the client to the bathroom every 2 hrs

a nurse removes an indwelling catheter that a client has had in place for 2 days. the nurse should assess the client for which of the following expected outcomes after Cath removal

temporary urinary retention

a nurse is caring for 4 patients who have drainage tubes. which of the following clients should the nurse recongize as being at risk for electrolyte imbalances

the client who has an NG tube to suction

a nurse is caring for a client who is post op. the nurse should base her pain management interventions primarily on which of the following methods of determining the intensity of clients pain

the clients self report of pain severity

a nurse is teaching a client who is pre op for a colectomy. the client asks the nurse why he needs a large-bore NG tube. which statement is correct.

the tube will remove gas and fluid from your stomach

a nurse is caring for a client and observes the clients urine is cloudy and has an unpleasant odor. the nurse should recongize that these findings are associated with

urinary tract infections

for which of the following findings should the nurse notify the provider

urine output of 600ml in the past 24 hrs

a nurse is caring for a client who has an indwelling urinary catheter and a prescription for urine specimen for culture and sensitivity which of the following action should the nurse do first

withdraw 3-5 ml of urine from the port