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

c. Instruct the client to use abdominal breathing.

When a client is experiencing a panic atack, the nurse's first priority is to help the client manage their symptoms and provide immediate relief. Instructing the client to use abdominal breathing is the most appropriate initial intervention.

Explanation for the other options:

a. Discuss the client's feelings prior to the panic atack. While discussing the client's feelings can be beneficial in addressing the underlying causes of anxiety, it may not be the most eﬀective immediate intervention during a panic atack. The client's focus during a panic atack is typically on managing the physical symptoms and regaining control.

b. Encourage the use of positive self-talk strategies. Positive self-talk can be helpful in managing anxiety in general, but during a panic atack, the individual may have difficulty engaging in positive self-talk due to the intensity of symptoms. Addressing the immediate physical symptoms is a priority before exploring coping strategies.

d. Administer an anti-anxiety medication. Medication administration may be necessary in some cases, but it is not the first-line intervention for managing a panic atack. Non-pharmacological interventions, such as breathing techniques, should be implemented first. If the panic atack persists or worsens despite these interventions, medication may be considered.

In summary, during a panic atack, the immediate focus should be on helping the client manage their symptoms. Instructing the client to use abdominal breathing can help promote relaxation and reduce the intensity of the panic atack.

A. Puncture the heel to a depth of 4 mm to obtain the specimen. B. Withhold feeding prior to collecting the specimen. C. Apply a heat pack 5 to 10 minutes prior to the procedure. D. Elevate the newborn's foot for 15 minutes following the procedure.

Correct Answer is C

Explanation

The nurse should apply a heat pack 5 to 10 minutes prior to the procedure when planning to obtain blood from a newborn via a heel stick. This helps to increase blood ﬂow to the area and makes it easier to obtain the specimen.

a) Puncturing the heel to a depth of 4 mm is too deep and can cause injury to the newborn. The recommended depth for a heel stick is 2.4 mm or less.

b) Withholding feeding prior to collecting the specimen is not necessary.

d) Elevating the newborn's foot for 15 minutes following the procedure is not necessary.

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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 an acute mental health facility observes a client having a panic atack. Which of the following interventions should the nurse implement first?

Correct Answer is C

Explanation

A nurse is planning to obtain blood from a newborn via a heel stick. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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