A client with cholelithiasis is admitted with jaundice due to obstruction of the common bile duct. Which finding is most important for the nurse to report to the healthcare provider?

Bile-stained emesis.

Clay-colored stool.

Distended, hard, and rigid abdomen.

Radiating, sharp pain in the right shoulder.

Answer and Explanation

The Correct Answer is C

Choice A reason: Bile-stained emesis indicates an obstruction, but it is not as immediately critical as a distended, hard, and rigid abdomen.

Choice B reason: Clay-colored stool is a sign of bile duct obstruction but is not as urgent as the abdomen findings.

Choice C reason:

The correct answer is c) because a distended, hard, and rigid abdomen suggests peritonitis or a perforated organ, which requires immediate medical intervention.

Choice D reason: Radiating, sharp pain in the right shoulder is common in gallbladder issues but is not as immediately life-threatening as a distended, hard, and rigid abdomen.

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Correct Answer is D

Explanation

Choice A reason: Monthly appointments with a dietitian are important for overall management but do not directly address lowering blood glucose and increasing HDL levels.

Choice B reason: Monitoring blood glucose levels daily is crucial for diabetes management but does not directly impact HDL levels.

Choice C reason: Limiting calories on days unable to exercise may help with weight management but is not the most effective way to improve blood glucose and HDL levels.

Choice D reason:

The correct answer is d) because regular exercise, with medical approval, helps lower blood glucose levels and increase HDL levels, improving overall health outcomes for clients with type 2 diabetes.

A. Avoid driving a car for 2 weeks. B. Drink 3 liters of water each day. C. Eliminate all spicy foods from your diet. D. Clamp the catheter when taking a shower.

Correct Answer is B

Explanation

Choice A reason: Avoiding driving is important but not the most critical instruction.

Choice B reason:

The correct answer is b) because drinking plenty of water helps flush the bladder, reduce the risk of infection, and prevent blood clots.

Choice C reason: Eliminating spicy foods may help with overall comfort but is not as important as maintaining proper hydration.

Choice D reason: Clamping the catheter during a shower is not necessary and could cause complications.

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A client with cholelithiasis is admitted with jaundice due to obstruction of the common bile duct. Which finding is most important for the nurse to report to the healthcare provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is developing a plan of care for a client with type 2 diabetes mellitus (DM). When providing teaching on lowering blood glucose levels and increasing serum high-density lipoprotein (HDL) levels, which instruction should the nurse include?

Correct Answer is D

Explanation

Following a transurethral resection of the prostate (TURP), a client is discharged from the hospital with an indwelling urinary catheter. Which instruction is most important for the nurse to include in the discharge teaching plan?

Correct Answer is B

Explanation

A client with urolithiasis is preparing for discharge after lithotripsy. Which intervention should the nurse include in the client's postoperative discharge instructions?

While performing a neurovascular assessment distal to a client's fracture site, the nurse determines that the client's pulse is present, regular, and full force. Which nursing action should be taken next?

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A client arrives at the emergency department (ED) following a motor vehicle collision. The nurse observes the client experiencing increasing dyspnea and notes absent breath sounds on the left side. Which procedure should the nurse prepare the client for?

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A client with eczema is applying 10% urea cream onto the affected skin areas. Which finding reflects the expected therapeutic response?

Which client has the highest risk for developing skin cancer?