A nurse notes that a newly admitted client has stool that is clay-colored. Which of the following is the most likely cause of this fecal discoloration?
1. increase in excreted urobilinogen
2. re-entering of bilirubin into the bloodstream
3. failure of the liver to take up bilirubin
4. reduction in bilirubin entering the intestine
Question 2
A client has experienced a cerebrovascular accident (stroke) with residual one-sided paralysis. The client also has problems with bowel elimination and needs routine laxatives (glycerin suppositories Colace and milk of magnesia) in order to pass stool.
Which nursing diagnosis is indicated by this care plan?
1. Colonic constipation related to the need for a suppository to induce bowel movement
2. Perceived constipation related to beliefs about normal bowel function
3. Constipation related to immobility
4. Constipation related to excessive medication use
NURSE
Urinalysis. During a simple urinalysis, a stick with colored blocks is dipped into a urine specimen.
Maternity NCLEX Notes
Testing patellar reflex, client in a supine position
Client positioned and draped