A nurse is assessing a client who has been diagnosed with cholecystitis and is experiencing localized abdominal pain. When determining the characteristics of the client's pain, the nurse should anticipate where it may radiate.

Left upper chest

Inguinal region

Right shoulder

Neck or jaw

Answer and Explanation

The Correct Answer is C

A. Left upper chest pain is not typical of cholecystitis.
B. Inguinal region pain is unrelated to gallbladder issues.
C. Pain from cholecystitis often radiates to the right shoulder due to irritation of the diaphragm and referred pain pathways.
D. Neck or jaw pain is more characteristic of cardiac events, not cholecystitis.

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Correct Answer is C

Explanation

A. Urine glucose monitoring is less accurate and not the priority in managing elevated blood glucose.
B. Oral hypoglycemics are not effective or recommended for type 1 diabetes because they do not replace insulin.
C. Elevated blood glucose in a client with type 1 diabetes post-surgery is typically managed by administering regular insulin doses as per sliding scale to maintain glycemic control.
D. Decreasing IV fluids is not indicated unless they contain glucose and are contributing to hyperglycemia; this decision depends on the fluid type and physician orders.

A. Assess for hypoglycemia four hours after the lispro insulin injection. B. Administer lispro insulin and long-acting insulin in the same syringe.. C. The client should eat no more than 5-15 minutes after the injection. D. Monitor for polyuria.

Correct Answer is C

Explanation

A. Lispro insulin is rapid-acting and typically peaks 30 minutes to 1 hour after administration. Hypoglycemia is more likely to occur shortly after administration, not four hours later.
B. Lispro insulin should not be mixed in the same syringe with all types of long-acting insulin (e.g., glargine or detemir), as compatibility varies.
C. Lispro insulin has a rapid onset of action (within 15 minutes). To prevent hypoglycemia, the client should begin eating within 5–15 minutes of administration.
D. Polyuria is a sign of hyperglycemia, not an expected outcome to monitor immediately after administering insulin.

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A nurse is assessing a client who has been diagnosed with cholecystitis and is experiencing localized abdominal pain. When determining the characteristics of the client's pain, the nurse should anticipate where it may radiate.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Four hours after surgery, the blood glucose level of a client who has type 1 diabetes is elevated. Which of the following actions would the nurse expect?

Correct Answer is C

Explanation

A nurse is preparing to administer lispro insulin to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse reviews guidelines to prevent diabetic ketoacidosis (DKA) during periods of illness with a client with type 1 diabetes mellitus. Which of the following instructions should the nurse include in the teaching?

A nurse is preparing to administer a transfusion of red blood cells to a client who has a history of heart failure. Which of the following manifestations would indicate that the client has fluid overload?

A client has superficial varicose veins. Which of the following symptoms would the nurse expect the client to report?

While hospitalized and recovering from an episode of diabetic ketoacidosis, the client calls the nurse and reports feeling anxious, nervous, and sweaty. What is the nurse's priority action based on the client's report?

A nurse is caring for a preoperative client. The nurse signs as a witness on the client's consent form. Which of the following does the nurse's signature on the consent form indicate?