While performing a physical examination on a client with cirrhosis, which of the following interventions should the nurse report immediately to the physician?

Pode the client with non-prescription laxatives.

Measure abdominal girth according to a set routine.

Ask the client about food intake.

Check for signs of hepatic encephalopathy.

Answer and Explanation

The Correct Answer is A

Giving non-prescription laxatives to a client with cirrhosis can cause severe dehydration and electrolyte imbalances, which can be life-threatening. The nurse should report this intervention immediately to the physician.

Choice B is incorrect because measuring abdominal girth is a standard nursing intervention for clients with cirrhosis to assess for ascites.

Choice C is incorrect because asking the client about food intake is a standard nursing intervention for assessing nutritional status.

Choice D is incorrect because checking for signs of hepatic encephalopathy is a standard nursing intervention for clients with cirrhosis.

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Correct Answer is D

Explanation

Radical excision. Treatment of melanoma includes surgical excision of the tumor with a margin of normal tissue to decrease the risk of recurrence. Radical excision involves the removal of the tumor, adjacent tissue, and possibly lymph nodes.

Option A, radiation therapy, may be used as an adjunct therapy, but it is not the primary treatment.

Option B, laser surgery, may be used to remove superficial lesions, but not for melanoma.

Option C, cryosurgery, is used to remove benign lesions or precancerous cells, but not for melanoma.

A. Pain radiating down the dorsal surface of the forearm. B. A decrease in grasp strength. C. Inability to flex index and middle fingers. D. Tenderness in the affected wrist.

Correct Answer is B

Explanation

A decrease in grasp strength. Carpal tunnel syndrome is a condition that occurs when the median nerve, which runs from the forearm into the hand, becomes compressed at the wrist. Common assessment findings include numbness, tingling, and pain in the hand and fingers, weakness in the hand, and a decrease in grasp strength.

Choice A, pain radiating down the dorsal surface of the forearm, is not the correct answer because it is a common symptom of tennis elbow.

Choice C, inability to flex index and middle fingers, is not the correct answer because it is a symptom of trigger finger.

Choice D, tenderness in the affected wrist, is not the correct answer because it is a common symptom of wrist sprains or strains.

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While performing a physical examination on a client with cirrhosis, which of the following interventions should the nurse report immediately to the physician?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Treatment of melanoma includes which of the following?

Correct Answer is D

Explanation

A client is diagnosed with carpal tunnel syndrome. Which of the following assessment findings would the nurse expect?

Correct Answer is B

Explanation

The nurse is caring for a client experiencing hearing loss. The nurse uses the otoscope and notes a significant accumulation of cerumen. Which hearing loss type would be most accurate?

When performing a physical examination on a client with cirrhosis, a nurse notices that the abdomen is enlarged. Which of the following interventions should the nurse consider?

The hemodialysis client is scheduled to receive weekly injections of epoetin. Which is the most important consideration to be taken by the nurse in the administration of this medication?

The nurse is caring for a young woman who is struggling with weight loss issues without apparent physical cause. Which is the most likely nursing assessment for this nutritional disorder in which normal body weight is not maintained?

While performing a physical examination on a client with cirrhosis, which of the following interventions should the nurse report immediately to the physician?

A suspicious breast lump is noted on a mammogram. The client asks the nurse which diagnostic test confirms if the lump is cancerous or benign. Which response by the nurse is most correct?

The nurse is caring for a group of breast cancer survivors postmastectomy. When developing a list of instructions of points to avoid, which point is highlighted?

A client is having a cast applied for a fractured leg that extends from below the knee to the base of the toes. The foot is flexed at a right angle in a neutral position. What type of cast is the client having applied?