A.Nausea.
B.Hypotension.
C.Urinary frequency.
D.Fatigue.
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A.Maintain client on strict bed rest for 48 hours after the procedure.
B.Instruct client to anticipate a decrease in urinary output.
C.Instruct client to anticipate hematuria for about 24 hours after the procedure.
D.Limit fluid intake to 1000 mL/day until all stone fragments have been passed.
A.Decrease fiber in the diet.
B.Decrease physical activity.
C.Take laxatives to promote bowel movements.
D.Use warm sitz baths.
A.Having the client take rapid, shallow breaths to decrease pain.
B.Having the client lay on the left side while coughing and deep breathing.
C.Teaching the client to use a folded blanket or pillow to splint the incision.
D.Withholding pain medication so the client can be alert enough to follow the nurse's instructions.
A.an example of presenting reality.
B.reinforcing the client's delusions.
C.focusing on emotional content.
D.a nontherapeutic technique called mind reading.
A.Absence of nausea and vomiting.
B.Absence of stomach drainage for 24 hours.
C.Passage of mucus from the rectum.
D.Passage of flatus and feces from the colostomy.
A.Colbalamin.
B.Folic acid.
C.Niacin.
D.Iron.
A.Auscultate for bowel sounds.
B.Palpate the abdomen.
C.Change the client's position.
D.Insert a rectal tube.
A.Painless decrease in vision, a veil over the visual field, and flashing lights.
B.A veil over the visual field, increased intraocular pressure, and yellow-green halos around visual images.
C.Photophobia, yellow-green halos around visual images, and blurred vision.
D.Unilateral eye inflammation, a cloudy cornea, and a moderately dilated pupil.
A.Compare equality of hand grasps.
B.Observe spontaneous movements.
C.Observe the client feed himself.
D.Ask the client to signal if he feels pressure applied to his feet.
A.Call the physician.
B.Massage the fundus.
C.Assess lochia flow.
D.Start methylergonovine as ordered.
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