A nurse is caring for a client who is 1 day postoperative following an appendectomy. Which of the following findings should the nurse report?
Temperature 37.2° C (99° F)
Serosanguineous drainage at the incision site
Red streaks along the incision
Hypoactive bowel sounds in all four quadrants
The Correct Answer is C
Red streaks along the incision. This is a possible sign of infection and should be reported to the healthcare provider. A temperature of 37.2°C (99°F) is within the normal range and does not require reporting. Serosanguineous drainage at the incision site is normal within the first few days postoperatively. Hypoactive bowel sounds in all four quadrants can indicate ileus, which is a possible complication following abdominal surgery, but it is not an immediate concern and can be monitored unless other symptoms arise.
Choice A: A temperature of 37.2°C (99°F) is within the normal range and does not require reporting.
Choice B: Serosanguineous drainage at the incision site is normal within the first few days postoperatively.
Choice D: Hypoactive bowel sounds in all four quadrants can indicate ileus, which is a possible complication following abdominal surgery, but it is not an immediate concern and can be monitored unless other symptoms arise.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D, "I should adjust the TENS unit until I feel a tingling sensation." This is an appropriate statement that indicates the client understands how to use the TENS unit. The TENS unit works by sending electrical impulses to the nerves to block pain signals. The client should adjust the unit until they feel a tingling sensation, which is the desired effect.
"The TENS unit administers a continuous dose of pain medication" is not the correct answer because the TENS unit does not administer medication.
"I will need to charge the TENS unit for 2 hours each day" is not the correct answer because the TENS unit is battery operated and does not need to be charged.
"The TENS unit should be applied at least 6 inches from the actual site of my pain" is not the correct answer because the electrodes should be placed directly on the site of the pain.
Correct Answer is ["1000"]
Explanation
To calculate the number of calories the client should reduce their daily intake by to lose 0.9 kg (2 lb) of body fat per week , we can use the following formula: (0.9 kg/week) x (1 lb/0.45 kg) x (3500 calories/1 lb) = 7,000 calories/week To find the daily calorie reduction, divide 7,000 by 7 days: 7,000 calories/7 days = 1,000 calories/day Therefore, the nurse should instruct the client to reduce their daily caloric intake by 1,000 calories. Answer: 1000
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