Unit 3 Elsevier NCLEX questions with correct answers
When taking a history for a client with GI problems, which daily client behavior requires further nursing assessment? (Select all that apply.) a. Eats multiple servings of vegetables b. Takes 800 mg of ibuprofen for arthritic pain c. Walks 30 minutes d. Chews tobacco e. Takes senna to assist with bowel movements f. Listens to music to promote relaxation Answer ANS: B, D, E Taking routine or larger amounts of NSAIDs places the client at risk for GI distress. Chewing tobacco places the client at risk for oral cancer. Senna is an over-the-counter herbal laxative. Taking certain herbal preparations can affect appetite, absorption, and elimination. Other behaviors are healthy and do not require further nursing assessment The nurse is performing a physical assessment on a client's abdomen. The nurse inspects the abdomen and finds the abdomen asymmetrical, with a non-pulsating mass in the RUQ. What is the appropriate priority nursing intervention? a. Document the findings in the electronic health record. b. Auscultate for bowel sounds and bruits. c. Lightly palpate the mass. d. Notify the health care provider of the findings. Answer ANS: B
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