Nokea
A nurse is caring for a client who has a new diagnosis of pancreatitis. Which of the following findings should the nurse expect?
- A. Epigastric pain
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Epigastric pain is a hallmark symptom of pancreatitis due to inflammation of the pancreas.
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A nurse is reinforcing teaching with a client who has a new prescription for a nicotine nasal spray. Which of the following instructions should the nurse include?
- A. Use the spray every 2 hours.
- B. Avoid using it for more than 6 months.
- C. Inhale deeply after spraying.
- D. Store the spray in the refrigerator.
Correct Answer: B
Rationale: Avoiding use of nicotine nasal spray for more than 6 months prevents dependency and supports smoking cessation.
A nurse is reinforcing teaching with a client who is scheduled for a cardiac catheterization. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to stay flat for 24 hours after the procedure.
- B. I can eat a full meal right before the procedure.
- C. I will receive contrast dye during the procedure.
- D. I should avoid drinking fluids for 12 hours after the procedure.
Correct Answer: C
Rationale: Contrast dye is used during cardiac catheterization to visualize the coronary arteries, and the client should understand this aspect of the procedure.
A nurse is caring for a client who has dehydration due to diarrhea. Which of the following findings should the nurse report to the provider?
- A. BUN 18 mg/dL
- B. Serum creatinine 1.0 mg/dL
- C. Urine output 12 mL/hr
- D. Urine specific gravity 1.020
Correct Answer: C
Rationale: Urine output 12 mL/hr is correct. A urine output of 12 mL/hr is low and indicates oliguria, which is a concern in the context of dehydration. The normal urine output for an adult is at least 30 mL/hr. A decrease in urine output suggests that the kidneys are not receiving adequate blood flow, which could indicate severe dehydration and requires immediate attention from the provider.
A nurse is reinforcing teaching with a client who is scheduled for an esophageal manometry. Which of the following instructions should the nurse include?
- A. Fast for 6 hours before the procedure.
- B. Avoid drinking water after the procedure.
- C. Expect general anesthesia.
- D. Take a sedative before the test.
Correct Answer: A
Rationale: Fasting for 6 hours before an esophageal manometry ensures accurate measurement of esophageal pressure without interference from food or liquid.
A nurse is reinforcing teaching with a client who has a new prescription for a medicated foot powder. Which of the following instructions should the nurse include?
- A. Apply the powder to wet feet.
- B. Use the powder twice a week.
- C. Apply a thick layer between the toes.
- D. Wear socks after applying the powder.
Correct Answer: D
Rationale: Wearing socks after applying medicated foot powder helps keep the medication in place and prevents spreading.