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A nurse is reinforcing teaching with a client who is scheduled for a colonoscopy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to drink a laxative solution the day before the procedure.
- B. I will need to eat a high-fiber diet for 2 days before the procedure.
- C. I can have a light breakfast on the morning of the procedure.
- D. I will need to remain NPO for 24 hours after the procedure.
Correct Answer: A
Rationale: Drinking a laxative solution the day before a colonoscopy is necessary to clear the colon, ensuring a clear view during the procedure.
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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.
A nurse is caring for a client who has a new prescription for furosemide. Which of the following laboratory values should the nurse monitor?
- A. Potassium
- B. Hemoglobin
- C. Cholesterol
- D. Albumin
Correct Answer: A
Rationale: Furosemide, a loop diuretic, can cause hypokalemia, so monitoring potassium levels is essential to prevent complications like arrhythmias.
A nurse is reinforcing teaching with a client who is scheduled for a bone marrow biopsy. 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 will receive general anesthesia during the procedure.
- C. I will lie on my side during the procedure.
- D. I will need to avoid walking for 24 hours after the procedure.
Correct Answer: C
Rationale: Lying on the side facilitates access to the iliac crest, a common site for bone marrow biopsy.
A nurse is caring for a client who recently gave birth to her first child. The newborn is crying, and the client states, 'I can't seem to do anything right. What should I do?' Which of the following responses should the nurse make?
- A. I'll take him back to the nursery, so you can get some rest.
- B. If I turn him on his side, maybe he'll go back to sleep.
- C. Babies need to cry soon after they are born to develop their lungs.
- D. Let me show you how to swaddle and cuddle him, then you try.
Correct Answer: D
Rationale: Showing the mother how to swaddle and cuddle the baby, then letting her try is correct. This approach provides practical guidance and empowers the mother, helping her build confidence in her ability to care for her newborn.
A nurse is reinforcing teaching with a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?
- A. Fatigue
- B. Weight loss
- C. Tachycardia
- D. Heat intolerance
Correct Answer: A
Rationale: Fatigue is a common symptom of hypothyroidism due to a slowed metabolism from decreased thyroid hormone production.