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A client is admitted to the medical unit with a diagnosis of intestinal obstruction. When planning this
client's care, which of the following nursing diagnoses should the nurse prioritize?
A) Ineffective Tissue Perfusion Related to Bowel Ischemia
B) Imbalanced Nutrition: Less Than Body Requirements Related to Impaired Absorption
C) Anxiety Related to Bowel Obstruction and Subsequent Hospitalization
D) Impaired Skin Integrity Related to Bowel Obstruction - ANSWER>A) Ineffective Tissue Perfusion
Related to Bowel Ischemia
A nurse is planning discharge teaching for a 21-year-old client with a new diagnosis of ulcerative colitis.
When planning family assessment, the nurse should recognize that which of the following factors will
likely have the greatest impact on the client's coping after discharge?
A)The family's ability to take care of the client's special diet needs
B) The family's ability to monitor the client's changing health status
,C) The family's ability to provide emotional support
D) The family's ability to manage the client's medication regimen - ANSWER>C) The family's ability to
provide emotional support
An older adult who resides in an assisted living facility has sought care from the nurse because of
recurrent episodes of constipation. Which of the following actions should the nurse perform first?
A) Encourage the client to take stool softener daily.
B) Assess the client's food and fluid intake.
C) Assess the client's surgical history.
D) Encourage the client to take fiber supplements. - ANSWER>B) Assess the client's food and fluid intake.
A 16-year-old presents at the emergency department reporting right lower quadrant pain and is
subsequently diagnosed with appendicitis. When planning this client's nursing care, the nurse should
prioritize what nursing diagnosis?
A) Imbalanced Nutrition: Less Than Body Requirements Related to Decreased Oral Intake
B) Risk for Infection Related to Possible Rupture of Appendix
, C) Constipation Related to Decreased Bowel Motility and Decreased Fluid Intake
D) Chronic Pain Related to Appendicitis - ANSWER>B) Risk for Infection Related to Possible Rupture of
Appendix
A nurse is caring for a client with constipation whose primary provider has recommended senna
(Senokot) for the management of this condition. The nurse should provide which of the following
education points?
A) "Limit your fluid intake temporarily so you don't get diarrhea."
B) "Avoid taking the drug on a long-term basis."
C) "Make sure to take a multivitamin with each dose."
D) "Take this on an empty stomach to ensure maximum effect." - ANSWER>B) "Avoid taking the drug on
a long-term basis."
The nurse is caring for a client who is undergoing diagnostic testing for suspected malabsorption. When
taking this client's health history and performing the physical assessment, the nurse should recognize
what finding as most consistent with this diagnosis?