A nurse is preparing to receive a client from surgery following a transverse colon resection with colostomy placement. The nurse should expect to assess the stoma at which of the following locations? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

None

Answer and Explanation

The Correct Answer is B

The transverse colon is located across the right upper quadrant, epigastrium and the left upper quadrant.

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Correct Answer is D

Explanation

Muscle twitching can a feature of hypocalcemia which may eventually lead to tetany. It is therefore, necessary to report muscle twitching to avoid serious complications such as bronchospasm.
A. Neck stiffness is anticipated due to manipulation of neck muscles during surgery.
B. Hoarseness occurs due to injury of recurrent laryngeal nerve or manipulation of the vocal cords and surrounding structures during surgery.
C. Some drainage from the incision site is expected after surgery, including a total thyroidectomy
D. Muscle twitching may indicate neuromuscular irritability or electrolyte imbalances, which could be unrelated to the thyroidectomy surgery.

A. Keep the client's bedroom dark at night. B. Place a large-face clock in the client's bedroom. C. Cover electrical outlets in the client's home with tape. D. Hang a monthly calendar in the client's bedroom.

Correct Answer is D

Explanation

D. Hanging a monthly calendar in the client's bedroom provides a visual aid for tracking important dates and events, which can help maintain their sense of routine and structure.
A. Keeping the client's bedroom dark at night may increase confusion and disorientation, especially if the client wakes up during the night.
B. Placing a large-face clock in the client's bedroom allows them to easily see and understand the time, which can help orient them to the day and reduce confusion. However, it may become monotonous for the client.
C. While it's essential to childproof the home to prevent accidents, covering electrical outlets with tape may not effectively prevent access to them and can pose a fire hazard.

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who had a total thyroidectomy 4 hr ago. Which of the following findings should the nurse report?

Correct Answer is D

Explanation

A nurse is teaching the family of a client who has Alzheimer's disease about caring for the client at home. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

A nurse is caring for a client who is 3 hr postoperative. Which of the following findings should the nurse understand is a manifestation of bleeding?

A nurse is caring for a client who has moderate Alzheimer's disease. During weekly home visits, the nurse notices that the client's caregiver is tired, irritable, and impatient with the client. Which of the following actions should the nurse recommend to the caregiver?

A nurse is caring for a client who requires protective isolation following a hematopoietic stem cell transplant. Which of the following interventions should the nurse implement to protect the client from infection?

A nurse in the emergency department is managing the care of a client who has an electrical shock injury. Which of the following actions should the nurse take first?

A nurse is reviewing the laboratory findings of a client who has a new diagnosis of Graves' disease. The nurse should anticipate which of the following laboratory values to be elevated?

A charge nurse is observing a newly licensed nurse care for a client who has a methicillin-resistant Staphylococcus aureus (MRSA). Which of the following observations of the newly licensed nurse indicates an understanding of infection control precautions?

A nurse enters a client's room and observes the client having a tonic-clonic seizure. Which of the following actions should the nurse take first?

A nurse is caring for a client who has gastroenteritis. Which of the following assessment findings should the nurse recognize as an indication that the client is experiencing dehydration?