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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Unprofessionalism: Leaving a computer terminal unattended after logging on is a breach of professional conduct, as it compromises client confidentiality.
B. Defamation of character: This involves making false statements about someone that damage their reputation, which is not relevant in this case.
C. Negligence: Negligence involves failing to meet the standard of care, but leaving an unattended computer is primarily an issue of professional behavior.
D. Malpractice: Malpractice involves professional negligence that results in harm to a client, which is not directly applicable here.
Correct Answer is B
Explanation
A. Bathing every day, rather than every other day, is typically recommended for adolescents due to increased sweat and oil production during puberty.
B. Using deodorant daily helps manage body odor, a common concern during adolescence, making it an important hygiene practice.
C. Washing hair once a week is not adequate for most adolescents, who may need more frequent washing to remove excess oil and prevent buildup.
D. Using a comedogenic cleanser can clog pores and worsen acne; non-comedogenic products are more appropriate for skin hygiene.
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