A nurse in an emergency department is caring for a client who has abdominal pain.
Exhibits

A nurse is providing teaching to a client who has constipation. Which of the following information should the nurse include?
(Select all that apply.)

Increase intake of low fiber foods.

Avoid drinking hot liquids.

Include probiotic foods in the daily diet.

Increase fluid intake to 1500 mL daily.

Increase daily exercise.

Answer and Explanation

Correct Answer : C,D,E

A.   Increasing the intake of high-fiber foods, not low-fiber ones, as fiber helps to soften stools and promote bowel movements.
B.   Drinking warm or hot liquids can stimulate bowel movements, so they should not be avoided.
C.   Including probiotic foods in the diet can help maintain a healthy gut flora, which is beneficial for digestion and preventing constipation.
D.   It is crucial to increase fluid intake, aiming for at least 1500 mL daily, to help soften the stool and support regular bowel movements.
E.   Increasing daily exercise, especially walking, can stimulate the muscles involved in the digestive process and help prevent constipation.

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Correct Answer is C

Explanation

A. Checking the client's motor strength is important after the seizure has ended to assess for any postictal weakness.
B. Loosening clothing can be done after ensuring the client's safety during the seizure.
C. Turning the client's head to the side helps prevent aspiration and ensures a clear airway during the seizure.
D. Documenting the time the seizure began is important for accurate medical record-keeping but is not the first action during an active seizure.

A. Difficulty moving the upper extremities B. Difficulty hearing some types of sounds C. Stiffness in the lower extremities D. A reddened area over the sacrum

Correct Answer is D

Explanation

A. Difficulty moving the upper extremities may be a result of the stroke but is not a direct complication of immobility.
B. Difficulty hearing some types of sounds is not a typical complication of immobility.
C. Stiffness in the lower extremities can occur but is less urgent than skin breakdown.
D. A reddened area over the sacrum indicates pressure injury, a common and serious complication of immobility that requires immediate attention.

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A nurse in an emergency department is caring for a client who has abdominal pain. Exhibits A nurse is providing teaching to a client who has constipation. Which of the following information should the nurse include? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is in a client's room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and who is unable to move independently. The nurse should monitor for which of the following complications of immobility?

Correct Answer is D

Explanation

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A nurse is reviewing laboratory results of a client who has atrial fibrillation and is taking warfarin. For which of the following results should the nurse notify the provider?

A nurse is providing teaching to a client who has a family history of hypertension. The nurse should inform the client that his blood pressure of 124/79 mm Hg places him in which of the following categories?

A nurse in an emergency department is caring for a client who has abdominal pain.
Exhibits

A nurse is providing teaching to a client who has constipation. Which of the following information should the nurse include?
(Select all that apply.)