Kim is a 42 year old female who presents with constipation. …

Kim is a 42 year old female who presents with constipation.  She has been using polyethylene glycol and senna/docusate for two weeks with little relief.  In addition to reinforcing her slow increase in dietary fiber, which of the following medications should be tried next?

48. A nurse is caring for a 27-year-old female who sustained…

48. A nurse is caring for a 27-year-old female who sustained multiple rib fractures on the left side from a motor vehicle collision in which she was not wearing her seat belt. The patient was diagnosed with a hemothorax and pneumothorax on the left side. She has two chest tubes in place connected to suction and closed drainage systems with water seals. Which of the following should the nurse perform to assess for air leaking at the site of the chest tube?

Joe is a 62 year old male who presents to the emergency depa…

Joe is a 62 year old male who presents to the emergency department with bloody emesis.  Upon interview, he reports tarry, black stools.  He has sleep apnea and osteoarthritis (treated with ibuprofen 600 mg three times daily).  An endoscopy is scheduled in two hours.  Which of the following strategies is appropriate for his immediate situation?