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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.
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A nurse is reinforcing teaching with a client who is scheduled for a cystoscopy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to fast for 12 hours before the procedure.
- B. I may have pink-tinged urine after the procedure.
- C. I will receive general anesthesia during the procedure.
- D. I should avoid urinating for 6 hours after the procedure.
Correct Answer: B
Rationale: Pink-tinged urine is expected after a cystoscopy due to minor irritation of the bladder lining.
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.
A nurse is caring for a client who has a new prescription for clonidine. Which of the following adverse effects should the nurse monitor for?
- A. Dry mouth
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Clonidine, an alpha-2 agonist, commonly causes dry mouth due to decreased salivary production.
A nurse is reinforcing teaching with a client who is scheduled for a transesophageal echocardiogram (TEE). Which of the following instructions should the nurse include?
- A. You will need to fast for 6 hours before the procedure.
- B. You can drive yourself home after the procedure.
- C. You will receive general anesthesia during the procedure.
- D. You should avoid drinking water after the procedure.
Correct Answer: A
Rationale: Fasting for 6 hours before a TEE reduces the risk of aspiration during the procedure, which involves sedation.
A nurse is reinforcing teaching with a client who has a new prescription for a ketoconazole cream. Which of the following instructions should the nurse include?
- A. Apply a thick layer to the affected area.
- B. Cover the area with an occlusive dressing.
- C. Apply the cream to wet skin.
- D. Use the cream sparingly.
Correct Answer: D
Rationale: Using ketoconazole cream sparingly ensures effective treatment of fungal infections while minimizing irritation.