A male client is admitted to the emergency department (ED) while vomiting dark brown, foul-smelling emesis. He reports having a surgical repair of a recurrent inguinal hernia a week ago and is troubled by intense abdominal pain. After finding that his bowel sounds are hyperactive, which prescription should the nurse implement first?

Place an indwelling urinary catheter and attach a bedside drainage unit.

Give a prescribed analgesic for temperature above 101°F (38.3°C), orally.

Send the client to x-ray for a flat plate of the abdomen.

Insert a nasogastric tube (NGT) and attach to low intermittent suction (LIS).

Answer and Explanation

The Correct Answer is D

Choice A reason: Placing an indwelling urinary catheter is not immediately relevant to the client's symptoms.

Choice B reason: Giving an analgesic for a fever does not address the underlying issue of bowel obstruction.

Choice C reason: Sending the client to x-ray can help diagnose the issue but is not the first action to relieve symptoms.

Choice D reason:

The correct answer is d) because inserting a nasogastric tube and attaching it to low intermittent suction helps decompress the stomach and relieve symptoms of bowel obstruction.

Nursing Test Bank

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Correct Answer is D

Explanation

Choice A reason: Warm, soft, moist, salmon-colored skin is not typical of Cushing's syndrome.

Choice B reason: Visible swelling of the neck, with no pain, is not specific to Cushing's syndrome.

Choice C reason: A husky voice and trouble with hoarseness are not typical of Cushing's syndrome.

Choice D reason:

The correct answer is d) because central-type obesity with thin extremities is a characteristic feature of Cushing's syndrome.

A. Washes the radiation site with antibacterial soap and water. B. Dries the area with patting motions after taking a shower. C. Applies prescribed lotions to the radiation site. D. Wears clothing to cover the radiation site.

Correct Answer is A

Explanation

Choice A reason:

The correct answer is a) because using antibacterial soap can be too harsh and irritating for the skin that is undergoing radiation treatment. Gentle cleansing with mild soap is recommended to avoid skin irritation.

Choice B reason: Drying the area with patting motions is appropriate as it helps prevent further irritation to the sensitive skin.

Choice C reason: Applying prescribed lotions is recommended to keep the skin moisturized and help with any radiation-induced dryness or irritation.

Choice D reason: Wearing clothing to cover the radiation site can protect the area from sun exposure and further irritation, which is appropriate care for the skin.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which findings during the admission assessment should the nurse document that are related to a client diagnosed with Cushing's syndrome?

Correct Answer is D

Explanation

The nurse is teaching a client with cancer about skin care for the portal site receiving external beam radiation. Which client action about skin care indicates a need for further teaching?

Correct Answer is A

Explanation

While performing a neurovascular assessment distal to a client's fracture site, the nurse determines that the client's pulse is present, regular, and full force. Which nursing action should be taken next?

The parent of an adolescent tells the clinic nurse, "My child has athlete's foot. I have been applying triple antibiotic ointment for two days, but there has been no improvement." Which instruction should the nurse provide?

A client with a history of asthma reports having episodes of bronchoconstriction and increased mucus production while exercising. Which action should the nurse implement?

A client with pernicious anemia takes supplemental folate and self-administers monthly vitamin B12 injections. The client reports feeling increasingly fatigued. Which laboratory value should the nurse review?

A client with cholelithiasis is admitted with jaundice due to obstruction of the common bile duct. Which finding is most important for the nurse to report to the healthcare provider?

Two days after a nephrectomy, the client reports abdominal pressure and nausea. Which assessment should the nurse implement?

Which group of foods is best for the nurse to recommend for clients with a strong family history of colon and rectal cancers?