1. Which information about an 80-year-old man at the senior center is of most concern to the nurse?
A. Decreased appetite
B. Unintended weight loss
... [Show More] Correct
C. Difficulty chewing food
D. Complaints of indigestion
2. 2.ID: 809433577
A 62- year-old man reports chronic constipation. To promote bowel evacuation, the nurse will suggest that the patient attempt defecation
A. in the mid-afternoon.
B. after eating breakfast. Correct
C. right after getting up in the morning.
D. immediately before the first daily meal.
3. 3.ID: 809433583
When caring for a patient with a history of a total gastrectomy, the nurse will monitor for
A. constipation.
B. dehydration.
C. elevated total serum cholesterol.
D. cobalamin (vitamin B12) deficiency. Correct
4. 4.ID: 809433579
The nurse will plan to monitor a patient with an obstructed common bile duct for
A. melena.
B. steatorrhea. Correct
C. decreased serum cholesterol levels.
D. increased serum indirect bilirubin levels.
5. 5.ID: 809433575
The nurse receives the following information about a client who is scheduled for a colonoscopy. Which information should be communicated to the health care provider before sending the patient for the procedure?
A. The patient has a permanent pacemaker to prevent bradycardia.
B. The patient is worried about discomfort during the examination.
C. The patient has had an allergic reaction to shellfish and iodine in the past.
D. The patient refused to drink the ordered polyethylene glycol (GoLYTELY). Correct
6. 6.ID: 809433585
Which statement to the nurse from a patient with jaundice indicates a need for teaching?
A. "I used cough syrup several times a day last week."
B. "I take a baby aspirin every day to prevent strokes."
C. "I use acetaminophen (Tylenol) every 4 hours for back pain." Correct
D. "I need to take an antacid for indigestion several times a week"
7. 7.ID: 809433571
To palpate the liver during a head-to-toe physical assessment, the nurse
A. places one hand on the patient's back and presses upward and inward with the other hand below the patient's right costal margin. Correct
B. places one hand on top of the other and uses the upper fingers to apply pressure and the bottom fingers to feel for the liver edge.
C. presses slowly and firmly over the right costal margin with one hand and withdraws the fingers quickly after the liver edge is felt.
D. places one hand under the patient's lower ribs and presses the left lower rib cage forward, palpating below the costal margin with the other hand.
8. 8.ID: 809433581
Which finding by the nurse during abdominal auscultation indicates a need for a focused abdominal assessment?
A. Loud gurgles
B. High-pitched gurgles
C. Absent bowel sounds Correct
D. Frequent clicking sounds [Show Less]