To evaluate the patient’s level of consciousness (LOC), the nurse will:
Check turgor.
Check for pupillary response.
Observe for awake and alertness.
Auscultate temporal artery.
The Correct Answer is C
Level of consciousness (LOC) is a key indicator of neurological function and is typically assessed by observing a patient’s wakefulness, awareness, and responsiveness to stimuli.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is the food selection that has the highest fiber content per cup. According to the web search results, one cup of cooked lentils provides about 15.6 grams of fiber, which is more than half of the minimum daily requirement²³ . Lentils are also rich in protein, iron, and folate, which are important nutrients for pregnant women.
The other food selections have lower fiber content per cup.
b) Asparagus
Asparagus is a green vegetable that is high in vitamin K, folate, and antioxidants. However, it is not very high in fiber. One cup of cooked asparagus provides only about 2.8 grams of fiber².
c) Oatmeal
Oatmeal is a whole grain that is high in beta-glucan, a type of soluble fiber that can lower cholesterol and blood sugar levels. However, it is not the highest in fiber among the food selections. One cup of cooked oatmeal provides about 4 grams of fiber.
d) Cabbage
Cabbage is a cruciferous vegetable that is low in calories and high in vitamin C, vitamin K, and glucosinolates. However, it is not very high in fiber. One cup of cooked cabbage provides only about 2.9 grams of fiber².
Correct Answer is B
Explanation
The appropriate next step would be to auscultate for another 4 minutes. The absence of bowel sounds for one minute does not necessarily indicate a surgical emergency, as bowel sounds may be affected by various factors such as the client's diet, medications, and level of activity. Listening for another minute may not provide enough information to make an accurate assessment, so it is recommended to listen for a longer period. If after the additional 4 minutes, there are still no bowel sounds heard, the nurse should notify the physician to further evaluate the client. Listening posteriorly may also provide additional information, but it should be done after the nurse has completed listening to all four quadrants of the abdomen anteriorly.
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