The nurse is performing an assessment and finds that the client has nontarry and black stool. Which of the following subjective data should the nurse document as a normal finding consistent with nontarry black stool?
client reports taking iron supplement
client has dry heaves
client reports eating red meat prior to assessment
client report loss of appetite
The Correct Answer is A
Choice A rationale: Taking an iron supplement can lead to nontarry and black stool due to the dark color of iron.
Choice B rationale: Dry heaves are not typically associated with nontarry black stool. Choice C rationale: Eating red meat would result in reddish stool, not black. Choice D rationale: Loss of appetite is not directly related to the appearance of stool.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: The affected joint described is an interphalangeal joint. Interphalangeal joints are found between the phalanges (fingers and toes).
Choice B rationale: Tibiotalar joints are found in the ankle, not the fingers.
Choice C rationale: Metacarpophalangeal joints are found between the metacarpal bones and the phalanges in the hand.
Choice D rationale: Tarsometatarsal joints are found in the foot, not the fingers.
Correct Answer is B
Explanation
Choice A rationale: While a bone spur could contribute to joint symptoms, the description provided by the client is more indicative of crepitation.
Choice B rationale: The client's complaint of a crunching or grating sound when kneeling and difficulty getting out of bed in the morning is indicative of crepitation, which is often associated with joint degeneration.
Choice C rationale: Tendonitis typically presents with inflammation and pain associated with specific tendons but may not produce a crunching sound.
Choice D rationale: Fluid in the knee joint (effusion) may cause swelling and limited range of motion but may not necessarily produce crepitation.
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