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 C

Explanation

Choice A reason: Platelet count is important for clotting but does not directly address the cause of fatigue in pernicious anemia.

Choice B reason: Liver enzymes are important for liver function but are not related to pernicious anemia.

Choice C reason:

The correct answer is c) because a complete blood count (CBC) provides information about hemoglobin and hematocrit levels, which are directly impacted by pernicious anemia and can explain the fatigue.

Choice D reason: Serum electrolytes are important but do not directly address the cause of fatigue in pernicious anemia.

A. Skull radiography. B. Magnetic resonance imaging (MRI). C. Computerized tomography (CT) scan. D. Lumbar puncture.

Correct Answer is D

Explanation

Choice A reason: Skull radiography is not typically used to diagnose bacterial meningitis.

Choice B reason: MRI can be useful in identifying complications of meningitis but is not the primary diagnostic tool.

Choice C reason: A CT scan may be done prior to a lumbar puncture if there is a concern for increased intracranial pressure, but it is not the primary diagnostic procedure.

Choice D reason:

The correct answer is d) because a lumbar puncture is the definitive diagnostic procedure for bacterial meningitis. It allows for the analysis of cerebrospinal fluid (CSF) to identify the presence of bacteria and other indicators of infection.

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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

A client with pernicious anemia takes supplemental folate and self-administers monthly vitamin B12 injections. The client reports feeling increasingly fatigued. Which laboratory value should the nurse review?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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