COMPLETE SOLUTIONS
A client is about to undergo an abdominal paracentesis. In which
of the following positions should the nurse place the client?
Correct Answers Upright
A nurse in a PACU is assessing a client who has a newly created
colostomy. Which of the following findings should the nurse
report to the provider? Correct Answers Purplish-colored
stoma
A nurse is administering a tap water enema to a client who is
constipated. During the administration of the enema, the client
states he is having abdominal cramps. Which of the following
actions should the nurse take to relieve the client's discomfort?
Correct Answers Lower the height of the solution container
A nurse is assessing a client who has malnutrition. Which of the
following findings should the nurse expect? Correct Answers
Decreased mental status
A nurse is assessing a client who is African-American and has
jaundice. Which of the following areas is the most reliable for
the nurse to inspect the client for jaundice? Correct Answers
Hard palate
A nurse is assessing a client who is on long term omeprazole
therapy. Which of the following findings should indicate to the
nurse the medication is effective? Correct Answers Reduced
dyspepsia
, A nurse is assessing a client who is receiving bolus enteral
feedings. Which of the following laboratory values indicates the
client needs a change in the formula? Correct Answers BUN
28mg/dL
A nurse is assessing a client's abdomen who reports stomach
pain. Which of the following actions should the nurse take first?
Correct Answers Inspect
A nurse is caring for a child who has acute gastroenteritis but is
able to tolerate oral fluids. The nurse should anticipate providing
which of the following types of fluids? Correct Answers Oral
rehydration solution
A nurse is caring for a client and observes that the client's urine
is dark amber, cloudy, and has an unpleasant odor. The nurse
should recognize that these findings are associated with which
of the following? Correct Answers Urinary tract infection
A nurse is caring for a client following an
esophagogastroduodenoscopy (EGD) procedure. Which of the
following assessments is the nurse's priority. Correct Answers
Gag reflex
A nurse is caring for a client who came to the emergency
department with abdominal distention and is now on the
medical=surgical unit with an NG tube in place to low gastric
suction. The client is reporting anxiety, discomfort, and a feeling
of bloating. Which of the following actions is the nurse's