Non-steroidal anti-inflammatory drugs (NSAIDs) increase the risk of gastrointestinal bleeding because: (1)
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What does it mean if a substance’s vapor density is 2.3?
What does it mean if a substance’s vapor density is 2.3?
The nurse provides discharge instructions for a 10-year-old…
The nurse provides discharge instructions for a 10-year-old child diagnosed with a moderate concussion. Which parent statement related to the first 24 hours of discharge instruction indicates a need for further teaching?
Extra Credit: This question will be graded after the exam an…
Extra Credit: This question will be graded after the exam and worth 5 extra credit points. Questions must be answered in full to receive credit. Sophia Martinez, 68-year-old female, post-hip replacement surgery (5 days ago). History includes osteoarthritis and hypertension. Currently taking oxycodone 10 mg every 4 hours for pain management. Sophia reports feeling “bloated and uncomfortable” with no bowel movement since surgery. She states she has the urge to defecate but cannot pass stool. She is eating poorly due to abdominal discomfort and has reduced her fluid intake “to avoid needing the bathroom.” Vital Signs: BP 138/82, HR 78, RR 18, Temp 37.1°C (98.8°F) Abdominal Assessment: Inspection: Abdomen appears slightly distended Auscultation: Hypoactive bowel sounds (4 sounds/minute in all quadrants) Palpation: Mild tenderness, no rigidity Bowel Pattern: Last BM 5 days ago; reports hard, pellet-like stools prior to surgery Mobility: Limited due to post-surgical pain; mostly bedbound Fluid Intake: Approximately 700 mL/day Question 1: What is the most likely cause of Sophia’s constipation? Question 2: Which assessment finding requires the most immediate nursing intervention? Question 3: What is the primary mechanism by which oxycodone causes constipation? Question 4: Which intervention should the nurse anticipate as first-line management? Question 5: Why is Sophia at increased risk for fecal impaction?
Which assessment finding related to a child’s health history…
Which assessment finding related to a child’s health history is most important for the nurse to include when evaluating a child with suspected intellectual disability?
A 2-week-old infant presents to the emergency department wit…
A 2-week-old infant presents to the emergency department with a temperature of 102 ° F (38.9 ° C) and refusal to eat. Pregnancy and delivery were uncomplicated. The irritable, fussy infant has a HR of 170 and RR of 40. The anterior fontanelle is full. The child has a rigid, hyperextended back. Which of the following is not appropriate management of this infant?
A nurse is providing teaching on a child diagnosed with seve…
A nurse is providing teaching on a child diagnosed with severe hearing loss. Which of these would not be included in the nurses education?
The nurse observes a child with meningitis arching his neck…
The nurse observes a child with meningitis arching his neck and back. The parents ask the nurse why the child is lying this way. The nurse explains this is a common sign of meningitis known as:
The nurse is caring for a child with attention-deficit/hyper…
The nurse is caring for a child with attention-deficit/hyperactivity disorder. The nurse knows which of the following is a characteristic of a child with ADHD?
A 10-year-old child was evaluated in the emergency departmen…
A 10-year-old child was evaluated in the emergency department 3 days ago after a fall from a bicycle and was diagnosed with moderate concussion. The child was discharged home with instructions for observation. The parent brings the child to the clinic today and reports, “My child has seemed to tolerate returning to activity. However, he has been getting nose bleeds at least once or twice a day.” Which response by the nurse is most appropriate?