A nurse is assessing a client 3 days following a hysterectomy. Which of the following findings should the nurse identify as an indication the client is developing a complication?

Increased hemoglobin

Increased urinary output

Unilateral leg swelling

Mild pain at the surgical site

Answer and Explanation

The Correct Answer is C

Rationale:

A. Increased hemoglobin: A rise in hemoglobin is not expected after surgery but also does not suggest a postoperative complication. It may reflect hemoconcentration from mild dehydration or fluid shifts. This finding does not indicate infection, thrombosis, or impaired healing, so it is not a priority concern at this stage.

B. Increased urinary output: Higher urinary output may occur if the client is well-hydrated or receiving IV fluids. This finding does not suggest renal impairment or postoperative complications. As long as urine is clear and the client is stable, increased output is not concerning and requires only routine monitoring.

C. Unilateral leg swelling: One-sided leg swelling is a hallmark sign of deep vein thrombosis, a serious complication after pelvic surgery due to venous stasis and immobilization. A DVT can progress to pulmonary embolism, posing immediate danger. The finding requires prompt evaluation and intervention to prevent life-threatening complications.

D. Mild pain at the surgical site: Mild incisional pain is expected on postoperative day three as tissues heal and inflammation decreases. This finding is typical and manageable with analgesics. As long as pain is not severe or accompanied by fever, redness, or purulent drainage, it does not indicate a complication.

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Correct Answer is A

Explanation

Rationale:

A. A client who has a prescription for compression stockings and did not receive them: Compression stockings are used to prevent deep vein thrombosis and other complications. If the client has not received them, this is a safety concern that requires immediate nursing attention. The AP should report this so the nurse can ensure the prescription is implemented.

B. A client who consumes all the food from their meal tray: Eating the entire meal indicates adequate oral intake and nutrition. While this is positive information, it does not require immediate reporting to the nurse.

C. A client who requests to sit in the bedside chair while watching TV: This is a routine activity of daily living that the AP can assist with as appropriate. It does not indicate a change in condition or a safety concern that must be reported.

D. A client who requests assistance to use the bedside commode: The AP can safely assist with toileting and does not need to report this unless there is a change in the client’s condition or an incident occurs. This is within the scope of AP duties.

A. "Our children can stay up as late as they prefer.” B. "Our children are allowed to make their own choices” C. "We make decisions as a family" D. "We expect our children to do what we say without any questions."

Correct Answer is D

Explanation

Rationale:

A. “Our children can stay up as late as they prefer.” This statement reflects a permissive parenting style, where few rules are enforced and children have significant freedom. Parents in this style often avoid setting firm boundaries, which contrasts sharply with the strict control seen in authoritarian parenting.

B. “Our children are allowed to make their own choices.” This reflects an authoritative parenting style, which balances independence with guidance. Authoritative parents encourage decision-making while still providing consistent rules and support. This collaborative, approach differs significantly from the rigid and demanding nature of authoritarian parenting.

C. “We make decisions as a family.” This statement also aligns with authoritative parenting, which values communication, mutual respect, and shared problem-solving. Children’s input is considered, helping them develop confidence and reasoning skills. Such family-centered decision-making is not present in authoritarian households.

D. “We expect our children to do what we say without any questions.” Authoritarian parenting focuses on obedience, strict rules, and limited negotiation. Children are expected to comply without explanation, and parents often enforce discipline rigidly. This style places emphasis on control rather than communication.

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A nurse is assessing a client 3 days following a hysterectomy. Which of the following findings should the nurse identify as an indication the client is developing a complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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