Which descriptions warrant additional follow-up by the nurse? (Select all that apply.).
Solid with red streaks.
Formed but soft.
Brown liquid.
Tarry appearance.
Multiple hard pellets.
Correct Answer : A,D,E
- The descriptions that warrant additional follow-up by the nurse are choices A, D, and E.
- Solid with red streaks may indicate blood in the stool1.
- A tarry appearance may indicate bleeding in the upper digestive tract1.
- Multiple hard pellets may indicate constipation1.
Choice B is not an answer because brown liquid stool is not necessarily a cause for concern.
Choice C is not an answer because formed but soft stool is considered normal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
To assess the quality of the client’s pain, the nurse should ask the client to describe the pain.
This will help the nurse to understand the characteristics of the pain and how it is affecting the client.
Choice B is incorrect because providing a numeric pain scale only assesses the intensity of the pain, not its quality.
Choice C is incorrect because identifying effective pain relief measures does not assess the quality of the pain.
Choice D is incorrect because observing body language and movement only provides indirect information about the quality of the pain.
Correct Answer is C
Explanation
The best response for the nurse to provide is “I can only give medical information to your son because he is an adult.” Since the client is 19 years old and considered an adult, the nurse must respect the client’s right to privacy and confidentiality.
Choice A is not the answer because it is rude and unprofessional.
Choice B is not the answer because it does not address the issue of privacy and confidentiality.
Choice D is not the answer because it does not address the issue of privacy and confidentiality.
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