A nurse is collecting data from a client who has acute cholecystitis. Which of the following findings should the nurse expect?

Pain in the right upper abdomen

Discomfort with urination

Pain radiating to the jaw

Increased abdominal discomfort prior to meals

Answer and Explanation

The Correct Answer is A

A. Pain in the right upper abdomen is correct. Acute cholecystitis is the inflammation of the gallbladder, typically caused by gallstones blocking bile flow. This condition leads to severe right upper quadrant (RUQ) pain, often triggered by fatty meals and sometimes accompanied by nausea, vomiting, and fever.

B. Discomfort with urination is incorrect. Urinary discomfort is not associated with cholecystitis. This symptom is more indicative of urinary tract infections (UTIs) or kidney stones.

C. Pain radiating to the jaw is incorrect. Jaw pain is more characteristic of cardiac conditions, such as myocardial infarction (MI), rather than gallbladder inflammation.

D. Increased abdominal discomfort prior to meals is incorrect. Clients with cholecystitis typically experience more pain after meals, especially fatty foods, due to gallbladder contractions attempting to release bile.

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Correct Answer is B

Explanation

A. Sit on the client's right side. This is not the best approach. If the client has hearing loss in one ear, the nurse should sit on the side of the client’s better ear, not necessarily the right side.

B. Choose a room that is well-lit and free from background noise. This is the correct choice. A well-lit room helps the client read lips or better perceive any non-verbal cues. Reducing background noise ensures the client can focus on hearing or understanding speech without distractions.

C. Exaggerate lip movement while speaking. While some individuals with hearing loss may rely on lip-reading, exaggerating lip movement can make it more difficult to understand. It is more effective to speak clearly without overemphasizing movements.

D. Ask a few questions at a time. This is not the best strategy. It is better to ask one clear, simple question at a time to ensure the client understands, as too many questions at once can overwhelm them.

Correct Answer is ["1.5"]

Explanation

Step 1: Determine the desired dose

The desired dose is 60 mg of ibuprofen.

Step 2: Calculate the dose per mL

The available concentration is 50 mg per 1.25 mL.

Step 3: Set up a proportion to find the volume needed

(50 mg / 1.25 mL) = (60 mg / x mL)

Step 4: Solve for x

x = (60 mg 1.25 mL) / 50 mg

x = 1.5 mL

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A nurse is collecting data from a client who has acute cholecystitis. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who has hearing loss and has questions regarding their medication. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is preparing to administer ibuprofen solution 60 mg orally to a 7-month-old infant who is febrile. Available is ibuprofen 50 mg/1.25 mL. How many should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["1.5"]

Explanation

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