Which assessment findings will the nurse anticipate in the client with cholelithiasis?

Coffee ground emesis, nausea/vomiting

Right lower quadrant abdominal pain, constipation.

Absent bowel sounds, abdominal pain

Right upper quadrant abdominal pain, nausea/vomiting

Answer and Explanation

The Correct Answer is D

Cholelithiasis refers to the presence of gallstones in the gallbladder or bile ducts. The most common symptom is right upper quadrant abdominal pain, which may be colicky or steady. Nausea and vomiting are also commonly associated with cholelithiasis.

Coffee ground emesis and constipation are not typical findings associated with cholelithiasis. Absent bowel sounds may be a sign of bowel obstruction but are not specific to cholelithiasis.

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Correct Answer is D

Explanation

This finding suggests that the client may have experienced a hip fracture. The shorter leg can be a result of the fractured bone, causing a misalignment or displacement. The protruding bump on the side can be a sign of a dislocated or fractured hip joint. It is important to assess and confirm this suspicion through appropriate diagnostic measures, such as X-rays, to provide the necessary medical intervention and management.

A. Deficient intake of protein. B. Administration of hypotonic IV fluids. C. Excessive dietary intake of salt. D. Overdose of supplemental Potassium pills.

Correct Answer is B

Explanation

A likely cause of a low sodium level (hyponatremia) of 128 mEq/L is the administration of hypotonic IV fluids. Hypotonic IV fluids have a lower concentration of solutes compared to the body's fluids, which can lead to dilutional hyponatremia. When these fluids are administered, they can cause water to move into the cells, diluting the sodium concentration in the bloodstream.

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Which assessment findings will the nurse anticipate in the client with cholelithiasis?

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Naxlex Comprehensive Predictor Exams

An older adult client fell while getting out of bed. Which assessment finding indicates a possible hip fracture?

Correct Answer is D

Explanation

A client's Sodium level is 128 meq/L. The nurse knows that a likely cause of this lab finding is:

Correct Answer is B

Explanation

Heparin 7,000 units is ordered. Heparin 5,000 units per ml is available. How many milliliters (ml) should the nurse administer? (Do not round)

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