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 B

Explanation

Choice A reason: Arthritic joint changes and chronic pain are not related to an ABO incompatibility reaction.

Choice B reason:

The correct answer is b) because lower back pain and hypotension are signs of a hemolytic transfusion reaction, which requires immediate intervention.

Choice C reason: Acute rhinitis and nasal stuffiness are not related to an ABO incompatibility reaction.

Choice D reason: Delayed painful rash with urticaria can indicate an allergic reaction but is not specific to a hemolytic transfusion reaction.

A. Skin condition of lower extremities. B. Sensation in feet and legs. C. Visual acuity. D. Signs of respiratory tract infection. E. Serum creatinine and blood urea nitrogen (BUN).

Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason:

The correct answer is a) because checking the skin condition of the lower extremities helps identify complications like diabetic ulcers.

Choice B reason:

The correct answer is b) because assessing sensation in feet and legs helps detect neuropathy, a common complication of diabetes.

Choice C reason:

The correct answer is c) because visual acuity checks help identify diabetic retinopathy.

Choice D reason: Signs of respiratory tract infection are important but not specific to long-term complications of diabetes.

Choice E reason:

The correct answer is e) because serum creatinine and BUN levels help assess kidney function and identify nephropathy.

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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

A client experiences an ABO incompatibility reaction after multiple blood transfusions. Which finding should the nurse report immediately to the healthcare provider?

Correct Answer is B

Explanation

An older adult client with long-term type 2 diabetes mellitus (DM) is seen in the clinic for a routine health assessment. Which assessment(s) would the nurse complete to determine if a patient with type 2 diabetes mellitus (DM) is experiencing long-term complications? Select all that apply.

Correct Answer is ["A","B","C","E"]

Explanation

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

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?

One hour after major abdominal surgery, a client in the postanesthesia care unit (PACU) has a blood pressure (BP) of 136/80 mm Hg. Fifteen minutes later, it is 114/72 mm Hg. Which action should the nurse take first?

Which client has the highest risk for developing skin cancer?

The nurse is caring for a client admitted to the hospital with a tentative diagnosis of bacterial meningitis. Which diagnostic procedure should the nurse prepare the client for?

Two days after a nephrectomy, the client reports abdominal pressure and nausea. Which assessment should the nurse implement?

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?

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?