2024/2025 Questions with 100% Correct Answers |
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A nurse in an emergency department is assessing a client who reports severe
constipation. The nurse should identify which of the following findings as an
indication that the client might have a small-bowel obstruction?
Peripheral edema
Minimal vomiting
Intermittent cramping in the lower abdomen
Visible peristaltic waves in the upper abdomen - ANSWER Visible peristaltic waves
in the upper abdomen
The nurse should identify that visible peristaltic waves in the upper and middle
abdomen are a manifestation of a small-bowel obstruction. The client might also
have abdominal discomfort or pain.
A nurse is assessing a client who has a calcium level of 6.3 mg/dL. Which of the
following findings should the nurse expect?
Circumoral tingling
Hypoactive reflexes
Fatigue
Anorexia - ANSWER Circumoral tingling
The nurse should identify that hypocalcemia causes paresthesias, which is
circumoral numbness and tingling of the fingers, toes, and around the mouth.
A nurse is teaching a client who has type 1 diabetes mellitus about actions to take
when having manifestations of hypoglycemia with a glucometer reading between 40
and 60 mg/dL. Which of the following instructions should the nurse include?
Self-administer 1 mg of glucagon subcutaneously.
Self-administer 20 units of regular insulin.
, Drink 120 mL (4 oz) of skim milk.
Drink 120 mL (4 oz) of fruit juice. - ANSWER Drink 120 mL (4 oz) of fruit juice.
The nurse should instruct the client to drink 120 mL (4 oz) of fruit juice, which will
provide 10 to 15 g of carbohydrates to treat the hypoglycemia.
A nurse is teaching a client who has asthma how to use a peak flow meter. Which of
the following statements should the nurse identify as an indication the client
understands the teaching?
"I will blow out as hard as I can before I use the peak flow meter."
"I will not take my controller medication if my peak flow meter scores in the yellow
zone."
"I will base my peak flow meter score on the best of three attempts."
"I will go to the emergency room if my peak flow meter is in the green zone." -
ANSWER "I will base my peak flow meter score on the best of three attempts."
The client's peak flow rate should be based on the best of three trials of the peak
flow meter. The client should record this finding and share it with the provider on the
next visit.
A nurse is teaching a client who is at moderate risk for osteoporosis about ways to
help prevent this chronic disease. Which of the following instructions should the
nurse include? (Select all that apply.)
Avoid sun exposure.
Increase dairy product intake.
Engage in weight-bearing exercises regularly.
Increase phosphate intake.
Reduce excessive caffeine intake. - ANSWER Increase dairy product intake is
correct.
Engage in weight-bearing exercises regularly is correct
Reduce excessive caffeine intake is correct.
A nurse is assessing a client who is 1 hr postoperative following a transurethral
resection of the prostate (TURP) for treatment of benign prostatic hyperplasia. For
which of the following assessment findings should the nurse notify the provider?
Urine color is light pink.
The suprapubic area is soft to palpation.