The client with cirrhosis has developed spontaneous bacterial peritonitis (SBP). Which data indicates this complication of cirrhosis is occurring?

Petechiae

Increased abdominal pain

Jaundice

Blood in emesis

Answer and Explanation

The Correct Answer is B

Choice A reason: Petechiae are small red or purple spots caused by bleeding into the skin, typically associated with platelet disorders, and are not a direct indicator of SBP.

Choice B reason: Increased abdominal pain is a common symptom of SBP, as the condition causes inflammation and irritation of the peritoneum, which can lead to significant discomfort.

Choice C reason: Jaundice is a sign of liver dysfunction but is not specific to SBP. It results from high levels of bilirubin in the blood and can occur in various liver diseases.

Choice D reason: Blood in emesis (vomiting) may indicate gastrointestinal bleeding, which can be a complication of cirrhosis but is not specific to SBP.

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Correct Answer is C

Explanation

Choice A reason: The statement about being able to sit down to put on pants and shoes indicates that the client is implementing safety measures to prevent falls, which is a positive outcome of effective teaching.

Choice B reason: Exercising daily and resting when tired is an appropriate strategy for managing Parkinson's disease symptoms, suggesting that the client has understood the education provided.

Choice C reason: The statement about not needing a walker could indicate a lack of understanding of the importance of mobility aids in preventing falls, which is a concern for clients with Parkinson's disease.

Choice D reason: Removing loose rugs from the house is a preventive measure to reduce fall risk, indicating that the client and family have understood and applied the education.

A. Review current WBC level. B. Check blood pressure. C. Assess for bleeding. D. Provide a high-protein snack.

Correct Answer is B

Explanation

Choice A reason: While it's important to monitor WBC levels for overall health, it is not specifically related to the administration of levodopa/carbidopa for Parkinson's disease.

Choice B reason: Blood pressure should be checked before administering levodopa/carbidopa as these medications can affect blood pressure, potentially causing hypotension.

Choice C reason: Assessing for bleeding is a general nursing action but not specifically related to levodopa/carbidopa administration.

Choice D reason: Providing a high-protein snack can actually interfere with the absorption of levodopa and should be avoided at the time of medication administration.

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The client with cirrhosis has developed spontaneous bacterial peritonitis (SBP). Which data indicates this complication of cirrhosis is occurring?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing education to the client with Parkinson's disease and their family. The nurse understands that teaching has not been effective when the client makes which of the following statements?

Correct Answer is C

Explanation

Prior to administering levodopa/carbidopa to a client with Parkinson's disease, which action would the nurse take?

Correct Answer is B

Explanation

The nurse is caring for a client with chronic pancreatitis. Which intervention is appropriate for this diagnosis?

The nurse is admitting a client with a thyroid disorder who presents with periorbital edema, cold intolerance, and weight gain. Which intervention should the nurse include in this client's plan of care?

Deep brain stimulation has been ordered for a client with Parkinson's disease. The client asks the nurse how this treatment will help. What is the nurse's best response?

The nurse is reviewing data of a client receiving propylthiouracil (PTU). Which information indicates to the nurse that the client may be experiencing a side effect of this medication?

The nurse is assessing a client admitted for treatment of pneumonia and possible sepsis. Which information is most important for the nurse to report?

The nurse recognizes that a patient with sepsis is at risk to develop hypotension. Which pathophysiological process is responsible for this symptom?

The nurse is interviewing a client with possible Graves' disease. Which response would the nurse expect when asking the client about her comfort in cold weather?

The nurse suspects the client's dose of levothyroxine (Synthroid) is too low when the client displays which symptom?