Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse is caring for a client who has been vomiting for three days. Which electrolyte imbalance
is the client most at risk for?
A. Hyperkalemia
✔✔ B. Hypokalemia
C. Hypernatremia
D. Hypocalcemia
Which finding should the nurse expect in a client with a gastric ulcer?
✔✔ A. Epigastric pain worsens after meals
B. Pain relieved immediately after eating
C. Pain radiates to the right shoulder
D. Constipation and bloating
A client has hepatitis C. Which instruction is appropriate for the nurse to include in discharge
teaching?
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,A. Use separate utensils and towels
B. Avoid shaking hands with others
✔✔ C. Avoid sharing razors or toothbrushes
D. Stay isolated until symptoms resolve
What is the nurse’s priority action after noticing a client with a distended abdomen and absent
bowel sounds?
A. Elevate the client’s legs
✔✔ B. Notify the provider immediately
C. Offer sips of clear liquids
D. Apply a warm compress
Which of the following lab values would the nurse expect in a client with liver failure?
A. Low bilirubin
✔✔ B. Elevated ALT and AST
C. Decreased ammonia
D. Increased hemoglobin
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,A nurse is assessing a client with suspected cholecystitis. Which clinical manifestation is most
likely?
A. Left lower quadrant pain
✔✔ B. Right upper quadrant pain after eating fatty food
C. Bloody diarrhea
D. Midline abdominal cramping relieved by defecation
A client has an NG tube to low suction. Which finding indicates a need for intervention?
✔✔ A. Green bile draining from the nose
B. Occasional nausea with suction running
C. Slight abdominal cramping
D. Gastric output of 400 mL in 24 hours
Which client statement indicates effective understanding of post-colonoscopy care?
A. “I’ll resume solid foods immediately.”
✔✔ B. “I’ll report any abdominal pain or bleeding.”
C. “I should lie flat all day.”
D. “Gas pain means the procedure went wrong.”
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, A client is being discharged with instructions for managing GERD. Which action is appropriate?
A. Drink peppermint tea after meals
B. Eat large meals to stay full longer
✔✔ C. Avoid eating 2–3 hours before bedtime
D. Lie down immediately after eating to digest
A client with cirrhosis is at risk for bleeding. Which lab value supports this concern?
✔✔ A. Prolonged prothrombin time (PT)
B. Elevated white blood cell count
C. High platelet count
D. Decreased blood urea nitrogen
Which intervention is appropriate for a client with a bowel obstruction?
✔✔ A. Keep the client NPO and insert a nasogastric tube
B. Encourage fluids and ambulation
C. Provide a high-fiber diet
D. Administer antidiarrheal medications
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