AND SOLUTIONS GRADED A+
◉ A nurse is caring for a group of clients who are experiencing
abdominal pain. The nurse would identify that which of the
following clients is at risk for developing cholecystitis? Answer: - 58-
year-old female who has osteoarthritis
- 25-year-old male who has type 1 diabetes
- 31-year-old female who takes oral contraceptives
- 46-year-old male who eats a high-fiber diet
Correct Answer: 31-year-old female who takes oral contraceptives
Rationale: Individuals who are assigned female at birth, are younger
than 50 years old, and take oral contraceptives are more likely to
develop cholecystitis.
◉ A nurse is caring for a client who has a diagnosis of alcoholic liver
disease. The client is crying and states, "I might as well keep
drinking because I'm going to die now anyway." Which of the
following is the best response by the nurse? Answer: - "If you stop
drinking alcohol now you can reduce the progression of further liver
damage."
,- "I'm sorry you are feeling this way. There is always a possibility of a
liver transplant."
- "There are a lot of people with liver disease that have it much
worse than you."
- "Have you ever heard chelation therapy? Maybe you should look
into other alternatives."
Correct Answer: "If you stop drinking alcohol now you can reduce
the progression of further liver damage."
Rationale: Abstaining from alcohol can assist in reducing the
progression of further liver damage.
◉ A nurse is assisting feeding a client who has dementia, and the
client begins to cough after swallowing milk. Which of the following
statements should the nurse to make to the client's visiting family?
Answer: - "Don't worry. Your mother's lower esophageal sphincter
will close to prevent aspiration."
- "I know it can be scary. The cough can be caused by a spasm of an
area in our food pipe called the upper esophageal sphincter that
prevents liquids from entering the airways."
- "It's okay. Your mother's palatine tonsils keep the milk from
entering the windpipe so that she won't aspirate."
- "There's no need to be concerned because our diaphragm works by
not allowing liquids to enter the lungs."
, Correct Answer: "I know it can be scary. The cough can be caused by
a spasm of an area in our food pipe called the upper esophageal
sphincter that prevents liquids from entering the airways."
Rationale: The upper esophageal sphincter closes to prevent food or
liquids from entering the airways when it is triggered by swallowing
these substances.
◉ A nurse is caring for a client who states, "I think I might have the
beginnings of oral cancer." Which of the following manifestations can
be indicative of oral cancer? Answer: - Serous-filled blister in the
oral cavity or on the lips
- A white, scaly patch inside the mouth
- White cottage cheese appearance in the mouth
- Strawberry appearance of the tongue
Correct Answer: A white, scaly patch inside the mouth
Rationale: A white or reddish patch on the inside of the mouth can
be an indication of oral cancer.
◉ A nurse is speaking with a client who called the community health
information call center desk. The client states that they have been