A terminally ill patient is experiencing constipation secondary to pain medication. Which is the best method for the nurse to improve the patient's constipation problem?
Contact the health care provider to discontinue pain medication.
Massage the patient's abdomen.
Use a laxative.
Administer enemas twice daily for 7 days.
The Correct Answer is C
A. Discontinuing pain medication may not be appropriate, as it can lead to inadequate pain management for the patient. Pain management is crucial for terminally ill patients.
B. While abdominal massage may help relieve mild constipation, it is not a reliable primary intervention for more severe constipation caused by medication.
C. Laxatives are commonly prescribed for constipation related to pain medication and are an effective method to promote bowel movements, making this the best choice.
D. Administering enemas twice daily can be excessive and may cause discomfort or lead to dependency, making this option less favorable than using laxatives.
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Correct Answer is A
Explanation
A. Blood flow starts from the right atrium, moves into the right ventricle, then to the lungs, where it is oxygenated and returns to the left atrium, and then flows into the left ventricle before being pumped into the aorta.
B. This sequence incorrectly places the left atrium before the right ventricle, which is not the correct flow of blood.
C. This sequence starts incorrectly with the right ventricle, skipping the left atrium entirely after blood is oxygenated.
D. This option also incorrectly starts with the right ventricle and does not include the proper sequence of blood flow.
Correct Answer is B
Explanation
A. Multipersonal connectedness involves relationships with multiple people, which is not the focus of the nurse-patient connection in spiritual care.
B. Transpersonal connectedness refers to a connection that goes beyond the physical and mental levels, fostering a deeper spiritual relationship between the nurse and the patient, often characterized by empathy and understanding.
C. Interpersonal connectedness describes the relationship between individuals, focusing on social and emotional interactions, but does not encompass the spiritual dimension.
D. Intrapersonal connectedness relates to an individual's self-awareness and inner thoughts, not the connection with another person in a spiritual context.