Two days after a nephrectomy, the client reports abdominal pressure and nausea. Which assessment should the nurse implement?

Auscultate bowel sounds.

Ambulate the client in the hallway.

Palpate the abdomen.

Measure hourly urine output.

Answer and Explanation

The Correct Answer is A

Choice A reason:

The correct answer is a) because auscultating bowel sounds can help assess for the return of gastrointestinal function and identify potential complications such as ileus, which can cause abdominal pressure and nausea.

Choice B reason: Ambulating the client is important for postoperative recovery but does not directly address the symptoms of abdominal pressure and nausea.

Choice C reason: Palpating the abdomen is also important but should be done after auscultation to avoid altering bowel sounds.

Choice D reason: Measuring urine output is important for monitoring renal function but does not directly address the symptoms of abdominal pressure and nausea.

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Correct Answer is D

Explanation

Choice A reason: Monthly appointments with a dietitian are important for overall management but do not directly address lowering blood glucose and increasing HDL levels.

Choice B reason: Monitoring blood glucose levels daily is crucial for diabetes management but does not directly impact HDL levels.

Choice C reason: Limiting calories on days unable to exercise may help with weight management but is not the most effective way to improve blood glucose and HDL levels.

Choice D reason:

The correct answer is d) because regular exercise, with medical approval, helps lower blood glucose levels and increase HDL levels, improving overall health outcomes for clients with type 2 diabetes.

A. Return for periodic liver function studies. B. Massage joints to relax muscles and decrease pain. C. Substitute natural fruit juices for carbonated drinks. D. Limit use of mobility equipment to avoid muscle atrophy.

Correct Answer is A

Explanation

Choice A reason:

The correct answer is a) because medications like colchicine and indomethacin can affect liver function, and periodic liver function studies are necessary to monitor for potential side effects.

Choice B reason: Massaging inflamed joints is not recommended as it can worsen inflammation.

Choice C reason: Substituting fruit juices for carbonated drinks is good dietary advice but not the most critical instruction.

Choice D reason: Limiting the use of mobility equipment is not relevant to managing gout and preventing complications.

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Two days after a nephrectomy, the client reports abdominal pressure and nausea. Which assessment should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is developing a plan of care for a client with type 2 diabetes mellitus (DM). When providing teaching on lowering blood glucose levels and increasing serum high-density lipoprotein (HDL) levels, which instruction should the nurse include?

Correct Answer is D

Explanation

Correct Answer is A

Explanation

A client with eczema is applying 10% urea cream onto the affected skin areas. Which finding reflects the expected therapeutic response?

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