The nurse is planning care for the client diagnosed with liver cancer experiencing ascites. The nurse would include which of the following?

Limiting visits by family members and friends

Assessment of amylase and lipase

Abdominal assessment including abdominal girth

Continuous cardiac monitoring

Answer and Explanation

The Correct Answer is C

A. Limiting visits by family members and friends is not necessary for managing ascites and could hinder the client's emotional support.
B. While amylase and lipase are important in assessing pancreatic function, they are not directly relevant to ascites management or liver cancer.
C. An abdominal assessment including abdominal girth is crucial for monitoring ascites, as changes in girth can indicate fluid accumulation or changes in the client's condition.
D. Continuous cardiac monitoring is not typically indicated for clients with liver cancer experiencing ascites unless there are specific cardiac concerns.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["62.5"]

Explanation

To determine the IV pump rate, we need to calculate the flow rate in milliliters per hour (mL/h).

Given:

Total volume: 500 mL
Infusion time: 8 hours

Calculation:

Flow rate = Total volume / Infusion time
Flow rate = 500 mL / 8 hours
Flow rate = 62.5 mL/h

A. Assessing pupils for reactivity, equality, symmetry, and accommodation B. Obtaining vital signs every four hours while hospitalized C. Performing serial Glasgow Coma Scales throughout hospitalization D. Performing a Mini Mental Status Exam at admission and discharge

Correct Answer is C

Explanation

A. Assessing pupils is important, but it provides only partial information about the overall neurologic status and does not give a comprehensive picture of improvement or deterioration.
B. Vital signs can indicate some changes in condition but are not specific to neurologic status and do not provide detailed insight into cognitive or motor function.
C. Performing serial Glasgow Coma Scales allows for a standardized and objective assessment of a patient's level of consciousness, motor responses, and verbal responses over time, making it the most effective method to evaluate neurologic status.
D. The Mini Mental Status Exam provides useful information about cognitive function but may not capture acute changes in neurologic status as effectively as the Glasgow Coma Scale.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is planning care for the client diagnosed with liver cancer experiencing ascites. The nurse would include which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is to receive 500 mL of IV fluid over 8 hours. At what rate should the nurse set the IV pump?

Correct Answer is ["62.5"]

Explanation

The nurse is performing an assessment on a patient. How would the nurse best evaluate improvement or deterioration in the neurologic status?

Correct Answer is C

Explanation

The nurse teaches a diabetic client how to perform foot care. Which action by the client would indicate that they can correctly perform foot care?

The nurse is providing discharge teaching for a client who has received their first external radiation treatment. The client is scheduled for daily treatments for the next 6 weeks. The nurse would include which instruction in the teaching?

A client has numerous skin lesions. Which one will the nurse evaluate first?

The nurse is caring for a client who will undergo a cerebral biopsy for a brain tumor. The client's pre-operative teaching should include:

While performing a neurologic assessment of the older adult patient, the nurse needs to consider which age-related changes?

The nurse educates a community group regarding measures that will assist in the prevention of skin cancer. Which of the following statements addresses the need for further teaching? "I will:

The nurse is assessing a client who had a surgical excision of a basal cell carcinoma one week ago. Assessment findings include redness, warmth, and serosanguinous drainage from the site. What would be the priority action by the nurse?

The nurse is performing discharge planning for a client newly diagnosed with type 1 diabetes mellitus. It would be most important for the plan to include: