The nurse is performing an assessment and finds that the client has nontarry and black stool. Which of the following subjective data should the nurse document as a normal finding consistent with nontarry black stool?

client reports taking iron supplement

client has dry heaves

client reports eating red meat prior to assessment

client report loss of appetite

Answer and Explanation

The Correct Answer is A

Choice A rationale: Taking an iron supplement can lead to nontarry and black stool due to the dark color of iron.

Choice B rationale: Dry heaves are not typically associated with nontarry black stool. Choice C rationale: Eating red meat would result in reddish stool, not black. Choice D rationale: Loss of appetite is not directly related to the appearance of stool.

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Correct Answer is C

Explanation

Choice A rationale: Plantarflexion of the foot is not part of the Phalen test. Choice B rationale: Dorsiflexion of the foot is not part of the Phalen test.

Choice C rationale: To perform the Phalen test, the client should hold both hands back to back while flexing the wrists 90 degrees for 60 seconds. This test helps assess for symptoms of carpal tunnel syndrome.

Choice D rationale: Hyperextension of the wrists with the palmar surface of both hands touching is not the correct position for the Phalen test.

A. abdominal distention B. visible peristalsis C. hypoactive bowel sounds D. Occasional diarrhea E. Flatus

Correct Answer is ["A","D","E"]

Explanation

Choice A rationale: Abdominal distention is a common clinical finding in individuals with lactose intolerance due to the inability to digest lactose, leading to gas production and bloating.

Choice B rationale: Visible peristalsis is not a typical finding associated with lactose intolerance.

Choice C rationale: Hypoactive bowel sounds are not a characteristic feature of lactose intolerance.

Choice D rationale: Occasional diarrhea is a symptom of lactose intolerance, resulting from the presence of undigested lactose in the intestines.

Choice E rationale: Flatus (gas) is produced as a result of bacterial fermentation of undigested lactose in the colon, contributing to symptoms in individuals with lactose intolerance.

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The nurse is performing an assessment and finds that the client has nontarry and black stool. Which of the following subjective data should the nurse document as a normal finding consistent with nontarry black stool?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse suspects that a client has carpal tunnel syndrome and prepares to conduct the Phalen test. What instructions should the nurse give the client to perform the Phalen test?

Correct Answer is C

Explanation

A nurse is assessing a client who has lactose intolerance. Which of the following will the nurse recognize as clinical findings associated with lactose intolerance? Select all that apply:

Correct Answer is ["A","D","E"]

Explanation

A client tells the nurse about being very unsteady and has difficulty in maintaining balance. The nurses recognizes that which area of the brain is involved and requires further assessment?

The nurse is assessing a client who reports cessation of menses. The nurse should document the cessation of menses in the client's record as:

The nurse is assessing a female client who reports painful menstruation. Which of the following should the nurse document in the client's record about painful menstruation?

The nurse is assessing the male genital organ. The nurse recognizes that which of the following is an accessory glandular structure for the male genital organs?

A client diagnosed with osteoporosis asks the nurse “What is osteoporosis?” The nurse should provide which of the following explanations about osteoporosis?

During an abdominal assessment, the nurse is unable to hear bowel sounds in a client's abdomen. How long should the nurse listen before reporting absent bowel sounds?

The nurse is preparing to complete a muscle strength assessment on a client. Which of the following assessment techniques should the nurse utilize?