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A nurse is collecting data from a client about bowel elimination. Which of the following statements by the client indicates a risk for impaired bowel elimination?

“I drink an average of 2,000 milliliters of water daily."

“I take a prescribed opioid pain medication at bedtime."

"I love to eat apples and black-eyed peas."

"I drink two hot cups of coffee each morning."

Answer and Explanation

The Correct Answer is B

Rationale:

A. Drinking an average of 2,000 milliliters of water daily is a healthy habit that promotes bowel elimination.

B. Taking a prescribed opioid pain medication at bedtime can cause constipation and impaired bowel elimination.

C. Eating apples and black-eyed peas is a healthy dietary choice that promotes bowel elimination.

D. Drinking two hot cups of coffee each morning can promote bowel elimination for some individuals.

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Correct Answer is D

Explanation

Rationale:

A. Wrist restraint orders typically require renewal every 24 hours, not every 36 hours.

B. Checking the client's range of motion every 6 hours is not specific to the use of wrist restraints.

C. Secure the restraints with a quick-release knot, not a square knot, to allow for quick removal in case of emergency.

D. Making sure two fingers fit under the restraints is important to ensure that they are not too tight and do not cause injury to the client.

A. Open the outside cover of the sterile kit and remove the dust cover B. Grasp the outermost flap of the sterile kit while opening away from the body. C. Prepare a dry work surface above the waist level D. Open the innermost lower flap of the sterile kit while standing away from the sterile field E. Open each side flap of the sterile kit individually while pulling to the side

Correct Answer is C,A,B,D,E

Explanation

A. Opening the outside cover of the sterile kit and removing the dust cover exposes the sterile supplies within the kit.
B. Grasping the outermost flap of the sterile kit while opening away from the body helps maintain the sterility of the contents within the kit.

C. Preparing a dry work surface above the waist level ensures that the sterile field is established at a proper height and that the nurse's hands are at the appropriate level for working within the sterile field.
D. Opening the innermost lower flap of the sterile kit while standing away from the sterile field allows the nurse to access the sterile supplies without contaminating the sterile field.
E. Opening each side flap of the sterile kit individually while pulling to the side further establishes the sterile field and provides access to the sterile supplies.

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A nurse is collecting data from a client about bowel elimination. Which of the following statements by the client indicates a risk for impaired bowel elimination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is confused and has a prescription for wrist restraints. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

50. A nurse is preparing to set up a sterile field to change a sterile dressing on a client's abdominal wound. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps)

Correct Answer is C,A,B,D,E

Explanation

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