answers
. The physician is about to remove a chest tube from a client. After the
dressing is removed and the sutures have been cut, the nurse assisting
the physician asks the client to: Ans✓✓✓ Perform the Valsalva
maneuver.
102. The client is resuming a diet after hemigastrectomy. To minimize
complications, the nurse would tell the client to avoid doing which of the
following? Ans✓✓✓ Drinking liquid with meals
A 27-year-old female client is undergoing evaluation of lumps in her
breasts. In determining whether the client could have fibrocystic breast
disorder, the nurse should ask the client whether the breast lumps seem
to become more prominent or troublesome at which of the following
times? Ans✓✓✓ before menses
A client being seen in an ambulatory clinic for an unrelated complaint
has a butterfly rash noted across the nose. The nurse interprets that this
finding is consistent with early manifestations of which of the following
disorders? Ans✓✓✓ Systemic lupus erythematosus (SLE)
A client has been admitted with left-sided heart failure. When planning
care for the client, interventions should be focused around reduction of
which specific problem associated with this type of heart failure?
Ans✓✓✓ Bilateral lung crackles
,A client has undergone abdominal perineal resection for a bowel tumor.
The nurse interprets that the client's colostomy is beginning to function
if which of the following signs is noted? Ans✓✓✓ The passage of
flatus
A client is admitted to the hospital with a diagnosis of Addison's disease.
The nurse would monitor for which of the following problems
associated with this disease? Select all that apply. Ans✓✓✓ Syncope
Hypotension
Muscle weakness
A client is admitted to the hospital with a diagnosis of parasitic worms.
The nurse understands that the primary cell type that will attack these
foreign particles is: Ans✓✓✓ Eosinophils
A client is admitted to the hospital with cellulitis of the lower leg. The
nurse would anticipate which of the following therapies to be
prescribed? Ans✓✓✓ Warm compresses to the affected area
A client is experiencing blockage of the eustachian tubes. Which of the
following activities by the client may forcibly open the eustachian tube?
Ans✓✓✓ Performing the Valsalva maneuver
A client returns to the nursing unit after undergoing an
esophagogastroduodenoscopy (EGD). Which of the following reflects
appropriate intervention by the nurse? Ans✓✓✓ Withhold oral fluids
until the client's gag reflex has returned.
, A client who suffered carbon monoxide poisoning from working on an
automobile in a closed garage has a carbon monoxide level of 15%. The
nurse would anticipate observing which sign or symptom? Ans✓✓✓
Flushing
A client who visits the physician's office for a routine physical reports
new onset of intolerance to cold. Knowing that this is a frequent
complaint associated with hypothyroidism, the nurse continues to assess
for which of the following? Ans✓✓✓ Complaints of weakness and
lethargy
A client with angina complains that the anginal pain is prolonged,
severe, and occurs at the same time each day, most often in the morning.
On further assessment, a nurse notes that the pain occurs in the absence
of precipitating factors. How would the nurse best describe this type of
anginal pain? Ans✓✓✓ Variant Angina
A client with liver cancer who is receiving chemotherapy tells the nurse
that some foods on the meal tray taste bitter. The nurse would try to limit
which of the following foods that are most likely to have this taste for
the client? Ans✓✓✓ Pork
A client's total cholesterol level is 344 mg/dL, low-density lipoprotein
cholesterol (LDL-C) level is 164 mg/dL, and high-density lipoprotein
cholesterol (HDL-C) level is 30 mg/dL. Based on analysis of the data,
how should the nurse direct client teaching? Ans✓✓✓ The client is at