A nurse is caring for a client who has constipation and is bearing down to have a bowel movement. The nurse should monitor the client for which of the following?

Decreased heart rate

Increased respirations

Increased temperature

Decreased exhaled carbon dioxide

Answer and Explanation

The Correct Answer is A

A. Decreased heart rate: Bearing down (Valsalva maneuver) can stimulate the vagus nerve, leading to a decrease in heart rate.

B. Increased respirations: Respirations may not increase during the Valsalva maneuver but rather may temporarily decrease or become irregular.

C. Increased temperature: No direct link exists between the Valsalva maneuver and temperature changes.

D. Decreased exhaled carbon dioxide: Valsalva may lead to transient changes in exhaled CO2, but decreased heart rate is the more immediate concern.

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Correct Answer is A

Explanation

A. Vitamin A deficiency can cause vision impairments, such as night blindness, due to its essential role in maintaining the health of the retina.

B. A swollen tongue is more commonly associated with vitamin B deficiencies, particularly riboflavin (B2) or niacin (B3).

C. Constipation is not a typical symptom of vitamin A deficiency and is more commonly linked to inadequate dietary fiber or dehydration.

D. Bleeding gums are associated with vitamin C deficiency, which impacts collagen synthesis and gum health, rather than vitamin A deficiency.

A. Decrease number of referrals needed for client B. Decrease the number of visits to client by staff C. Increase in length of stay for client D. Efficiency in client care services

Correct Answer is D

Explanation

A. Decrease number of referrals needed for client: An interprofessional team may not necessarily decrease the number of referrals needed.
B. Decrease the number of visits to client by staff: The number of visits may not be directly impacted by the interprofessional team.
C. Increase in length of stay for client: An interprofessional team typically works to optimize care, which may reduce the length of stay.
D. Efficiency in client care services: An interprofessional team improves coordination and efficiency in care, ensuring more streamlined and effective treatment.

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A nurse is caring for a client who has constipation and is bearing down to have a bowel movement. The nurse should monitor the client for which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse collecting data on a client who has vitamin A deficiency. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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