A nurse is caring for a client who has constipation and is bearing down to have a bowel movement. The nurse should monitor the client for which of the following?

Decreased heart rate

Increased respirations

Increased temperature

Decreased exhaled carbon dioxide

Answer and Explanation

The Correct Answer is A

A. Decreased heart rate: Bearing down (Valsalva maneuver) can stimulate the vagus nerve, leading to a decrease in heart rate.

B. Increased respirations: Respirations may not increase during the Valsalva maneuver but rather may temporarily decrease or become irregular.

C. Increased temperature: No direct link exists between the Valsalva maneuver and temperature changes.

D. Decreased exhaled carbon dioxide: Valsalva may lead to transient changes in exhaled CO2, but decreased heart rate is the more immediate concern.

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Correct Answer is C

Explanation

A. Apply lotion between the toes: Lotion should be avoided between the toes to prevent moisture buildup, which can lead to fungal infections.

B. Wash feet in hot water: Hot water can burn the feet, and clients with diabetic neuropathy may have impaired sensation.

C. Avoid walking barefoot: Diabetic neuropathy can impair sensation, leading to unrecognized injuries from cuts or abrasions, making it important to wear shoes.

D. Wear open-toed shoes: Open-toed shoes expose the feet to injury, and closed-toed shoes are recommended for protection.

A. 100 g B. 10 g C. 0.1g D. 1g

Correct Answer is C

Explanation

A. 100 g is too high for this conversion.

B. 10 g is also too high.

C. 1.000 mg is equal to 0.1 grams (1,000 mg = 1g).

D. 1 g is not correct for this amount of medication.

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A nurse is caring for a client who has constipation and is bearing down to have a bowel movement. The nurse should monitor the client for which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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