Nokea
Which of the following roommates would be best for the client newly admitted with gastric resection?
- A. A client with Crohn's disease
- B. A client with pneumonia
- C. A client with gastritis
- D. A client with phlebitis
Correct Answer: C
Rationale: Gastritis aligns with gastric resection, posing no infection risk.
You may also like to solve these questions
A dexamethasone-suppression test has been ordered for a client with severe depression. The purpose of the dexamethasone suppression test is to:
- A. Determine which social intervention will be best for the client
- B. Help diagnose the seriousness of the client's clinical symptoms
- C. Determine whether the client will benefit from electroconvulsive therapy
- D. Reverse the depressive symptoms the client is experiencing
Correct Answer: B
Rationale: The dexamethasone suppression test assesses cortisol suppression to evaluate hypothalamic-pituitary-adrenal axis dysfunction, aiding in diagnosing severe depression.
The nurse plans on administering a medication using the Z-track intramuscular technique. The nurse knows the following steps are required during the procedure. Select all that apply.
- A. Draw 0.2-0.5 cc of air after aspirating the prescribed medication.
- B. Use the vastus lateralis muscle.
- C. Replace the needle used for medication withdrawal with a new one prior to injection.
- D. Insert the needle at 45-degree angle.
Correct Answer: A,C
Rationale: Z-track requires an air lock (A) to seal medication and a new needle (C) to prevent tracking. The needle is inserted at 90 degrees, not 45 (D), and various muscles can be used (B is not mandatory).
The nurse is preparing to discharge a client following a laparoscopic cholecystectomy. The nurse should:
- A. Tell the client to avoid a tub bath for 48 hours
- B. Tell the client to expect clay-colored stools
- C. Tell the client that she can expect lower abdominal pain for the next week
- D. Tell the client to report pain in the back or shoulders
Correct Answer: D
Rationale: Pain in the back or shoulders post-laparoscopic cholecystectomy may indicate referred pain from residual CO2 or complications, requiring prompt reporting.
The charge nurse witnesses the nursing assistant hitting the client in the long-term care facility. The nursing assistant can be charged with:
- A. Negligence
- B. Tort
- C. Assault
- D. Malpractice
Correct Answer: C
Rationale: Hitting a client is assault, a criminal act of physical harm.
The nurse is assessing a client with suspected dehydration. Which of the following findings would the nurse expect?
- A. Bradycardia and hypertension.
- B. Dry mucous membranes and tented skin.
- C. Clear, dilute urine.
- D. Increased respiratory rate.
Correct Answer: B
Rationale: dry mucous membranes and tented skin are signs of dehydration due to fluid loss