49MC

The nurse assesses a client who has appendicitis. Which assessment finding would the nurse expect?

• Severe, steady right lower quadrant pain

• Abdominal pain associated with nausea and vomiting

• Marked peristalsis and hyperactive bowel sounds

• Abdominal pain that increases with knee flexion

The nurse reviews the laboratory results for a client who has possible appendicitis. Which laboratory test finding would the nurse expect?

• Decreased potassium level

• Increased sodium level

• Elevated leukocyte count

• Decreased thrombocyte count

The nurse teaches a client who has viral gastroenteritis. Which dietary instruction would the nurse include in the health teaching?

• Drink plenty of fluids to prevent dehydration.

• You should only drink 1 L of fluids daily.

• Increase your protein intake by drinking more milk.

• Sips of cola or tea may help to relieve your nausea.

The nurse assesses a client with gastroenteritis. What risk factor would the nurse consider as the most likely cause of this disorder?

• Consuming too much fruit

• Consuming fried or pickled foods

• Consuming dairy products

• Consuming raw seafood

The nurse assesses a client who is hospitalized with an exacerbation of Crohn disease. Which assessment finding would the nurse expect?

• Positive Murphy sign with rebound tenderness to palpitation

• Dull, hypoactive bowel sounds in the lower abdominal quadrants

• High-pitched, rushing bowel sounds in the right lower quadrant

• Reports of abdominal cramping that is worse at night

After teaching a patient with diverticular disease, a nurse assesses the client’s understanding. Which menu selection indicates the client correctly understood the teaching?

• Roasted chicken with rice pilaf and a cup of coffee with cream

• Spaghetti with meat sauce, a fresh fruit cup, and hot tea

• Garden salad with a cup of bean soup and a glass of low-fat milk

• Baked fish with steamed carrots and a glass of apple juice

A nurse cares for a young client with a new ileostomy. The client states, “I cannot go to prom with an ostomy.” How would the nurse respond?

• Sure you can. Purchase a prom dress one size larger to hide the ostomy appliance.

• The pouch won’t be as noticeable if you avoid broccoli and carbonated drinks prior to the prom.

• Let’s talk to the ostomy nurse about options for ostomy supplies and dress styles.

• You can remove the pouch from your ostomy appliance when you are at the prom so that it is less noticeable.

The nurse teaches a client about how to prevent transmission of gastroenteritis. Which statement by the nurse indicates a need for further teaching?

• a. “I won’t let anyone use my dishes or glasses.”

• b. “I’ll wash my hands with antibacterial soap.”

• c. “I’ll keep my bathroom extra clean.”

• d. “I’ll cook all the meals for my family.”

After teaching a client who is prescribed adalimumab for severe ulcerative colitis (UC), the nurse assesses the client’s understanding. Which statement made by the client indicates a need for further teaching?

• I will avoid large crowds and people who are sick.

• I will take this medication with my breakfast each morning.

• Nausea and vomiting are common side effects of this drug.

• I should wash my hands after I play with my dog.

The nurse is caring for a client who is prescribed sulfasalazine. Which question would the nurse ask the client before starting this drug?

• Are you taking Vitamin C or B?

• Do you have any allergy to sulfa drugs?

• Can you swallow pills pretty easily?

• Do you have insurance to cover this drug?