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. Rinse the client's dentures in hot water. B. Place the client's dentures on a washcloth in a sink. C. Clean the client's dentures with regular toothpaste. D. Remove the client's dentures with a moist glove.

Correct Answer is B

Explanation

A. Rinse the client's dentures in hot water: Hot water can cause dentures to warp.

B. Place the client's dentures on a washcloth in a sink: A washcloth can help prevent dentures from breaking if they fall and prevents damage.

C. Clean the client's dentures with regular toothpaste: Regular toothpaste can be abrasive and damage the dentures. Denture-specific cleaners should be used.

D. Remove the client's dentures with a moist glove: A moist glove is not necessary for removing dentures. Dentures should be removed with clean, gloved hands if needed.

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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

A nurse is preparing to clean a client's dentures. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

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