A client with quadriplegia complains of fecal impaction. What should the nurse
recommend to the client as part of the continence program?
A) The client should manually disimpact daily
B) The client should eat a low-protein and low-calorie diet
C) The client should maintain a regular time for elimination
D) The client should restrict fluid intake to relieve the problem
Question 2
The nurse caring for clients in a nursing home is performing assessments for mental functioning impairments. Which of the following accurately describes these states?
A) Dementia is poor judgment, impaired memory, and disorientation to time, place, situation, or person.
B) Dementia begins with confusion, sleep disturbances, and restlessness, and progresses to anxiety, delusions, hallucinations, or fear.
C) Symptoms of mild cognitive impairment include ongoing problems in reasoning, judgment, perception, attention, language, reading, and writing.
D) Delirium is a progressive, irreversible, fatal neurologic disorder in which behavioral, intellectual, and emotional changes develop in fairly regular patterns.
The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi
Client on IV patient-controlled analgesia (PCA).
A nurse adjusts the rate of a client’s IV.
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
Entry level nurse competencies
Measuring the client’s blood pressure