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A nurse is caring for a client who has a new diagnosis of achalasia. Which of the following findings should the nurse expect?
- A. Dysphagia
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Dysphagia, difficulty swallowing, is a hallmark symptom of achalasia due to esophageal motility issues.
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A nurse is caring for a client who has a new diagnosis of Cushing's syndrome. Which of the following findings should the nurse expect?
- A. Weight gain
- B. Weight loss
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Weight gain, especially in the trunk, is a common symptom of Cushing's syndrome due to excess cortisol.
A nurse is reinforcing teaching with a client who has a new prescription for citalopram. Which of the following adverse effects should the nurse include?
- A. Insomnia
- B. Bradycardia
- C. Hypotension
- D. Weight loss
Correct Answer: A
Rationale: Citalopram, an SSRI, can cause insomnia due to its stimulatory effect on the central nervous system.
A nurse is reinforcing teaching with a new mother about facility security measures. Which of the following statements by the mother indicates an understanding of the teaching?
- A. I will carry my baby to the nursery.
- B. I will have an identification band that matches the one my baby wears.
- C. I can remove my security band to give to a family member.
- D. I can take my baby to the lobby to visit family.
Correct Answer: B
Rationale: Having an identification band that matches the baby's band is correct. Hospital security protocols require that the mother and baby wear matching identification bands to ensure the right baby is with the right parent and prevent infant abduction or misidentification.
A nurse is reinforcing discharge teaching with a client who states, 'I don't feel confident driving to my follow-up appointments.' The nurse should obtain a referral for which of the following members of the health care team?
- A. Physical therapist
- B. Primary care provider
- C. Occupational therapist
- D. Social worker
Correct Answer: D
Rationale: Referring to a social worker is correct. Social workers help clients identify resources, such as transportation services, to ensure they can attend medical appointments and access necessary care.
A nurse is collecting data from a client who has acute cholecystitis. Which of the following findings should the nurse expect?
- A. Pain in the right upper abdomen
- B. Discomfort with urination
- C. Pain radiating to the jaw
- D. Increased abdominal discomfort prior to meals
Correct Answer: A
Rationale: Pain in the right upper abdomen is correct. Acute cholecystitis is the inflammation of the gallbladder, typically caused by gallstones blocking bile flow. This condition leads to severe right upper quadrant (RUQ) pain, often triggered by fatty meals and sometimes accompanied by nausea, vomiting, and fever.