A nurse is collecting health history data from a client who has hemorrhoids. Which of the following findings should the nurse expect?

Chronic constipation

Excessive ﬂatulence

Frequent stools

Fecal incontinence

Answer and Explanation

The Correct Answer is A

Chronic constipation is a common finding in clients with hemorrhoids. Constipation can increase pressure on the veins in the rectum and anus, leading to the development of hemorrhoids.

The other options are not correct because:

b) Excessive ﬂatulence is not mentioned as a common finding in clients with hemorrhoids.

c) Frequent stools are not mentioned as a common finding in clients with hemorrhoids.

d) Fecal incontinence is not mentioned as a common finding in clients with hemorrhoids.

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Correct Answer is C

Explanation

To elicit the Moro reﬂex, the nurse should clap hands after laying the newborn on a ﬂat surface. The Moro reﬂex, also known as the startle reﬂex, is an involuntary motor response that infants develop shortly after birth. Loud noises and sudden movements can trigger a baby’s Moro reﬂex.

Option a is incorrect because turning the newborn's head quickly to one side while they are sleeping may not elicit the Moro reﬂex.

Option b is incorrect because placing a finger in the newborn's palm may elicit the grasp reﬂex, not the Moro reﬂex.

Option d is incorrect because holding the newborn upright with one foot touching the crib surface may not elicit the Moro reﬂex.

A. The client's foot feels cooler than in the previous assessment. B. The client's pedal pulse in the right foot is not palpable. C. The client's capillary refill time is 5 seconds in the toes. D. The client reports a pain level of 8 on a scale from 0 to 10.

Correct Answer is B

Explanation

The most concerning finding in the assessment of a client's right leg after a femoropopliteal bypass graft would be if the client's pedal pulse in the right foot is not palpable. This could indicate a problem with blood ﬂow to the limb.

The other options are also concerning and should be reported to the healthcare provider.

a) A cooler footmay indicate decreased blood ﬂow to the limb.

c) A capillary refill time of 5 secondsmay also indicate decreased blood ﬂow.

d) A pain level of 8 on a scale from 0 to 10should also be reported and addressed.

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A nurse is collecting health history data from a client who has hemorrhoids. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the newborn nursery is collecting data about a newborn's Moro reﬂex. Which of the following actions should the nurse take to elicit this reﬂex?

Correct Answer is C

Explanation

A nurse is establishing a baseline postoperative assessment for a client who is recovering from a right femoropopliteal bypass graft. Which of the following findings in the assessment of the client's right leg should be of the most concern to the nurse?

Correct Answer is B

Explanation

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