The nurse continues to assist with the care of the client.
Which of the following findings indicates that the client's condition has improved?
Select all that apply.
Fluid intake
Temperature
Wound findings
Pain level
Report of nausea
Bowel sounds
Correct Answer : D,E,F
A. Fluid intake: While fluid balance is important, there is no specific information indicating that changes in fluid intake are an indicator of the client’s condition improving in this context.
B. Temperature: The client's temperature has increased from 38.3°C (101°F) on Day 1 to 39.2°C (102.5°F) on Day 4. An increase in temperature indicates a possible infection or ongoing inflammation and does not suggest an improvement in the client’s condition.
C. Wound findings: There are no documented wound findings in the given notes. Thus, wound findings are not applicable in determining whether the client’s condition has improved in this scenario.
D. Pain level: The client's pain level has decreased from 7 to 3, indicating improvement.
E. Report of nausea: The client reports feeling less nauseous and has not vomited since yesterday, which is a sign of improvement.
F. Bowel sounds: The bowel sounds are more regular and less high-pitched, suggesting improvement in gastrointestinal function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Prefers not to look at the stoma site.": Avoidance suggests denial or difficulty accepting the body change.
B. "Participates in performing ostomy care." Active participation in care indicates the client is adjusting to their new body image and accepting their altered appearance.
C. "Denies feelings of sadness about the ostomy.": Denial of emotions does not necessarily mean acceptance. Acknowledging and expressing feelings is important for adjustment.
D. "Accepts that sexual activity will decrease.": This statement reflects resignation rather than acceptance. Many clients with a colostomy maintain an active sexual life.
Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"D"}
Explanation
Correct answer: The nurse should clarify the prescription for ibuprofen due to the client's peptic ulcer disease.
Ibuprofen: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can irritate the gastrointestinal tract and increase the risk of gastrointestinal bleeding or exacerbate peptic ulcer disease.
Peptic ulcer disease: The client's medical history of peptic ulcer disease makes it necessary to reconsider the use of NSAIDs, which can worsen this condition.
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