Chapter 23: Problem 85
A nurse is obtaining a health history from a client newly diagnosed with cervical cancer. What would be most important for the nurse to determine? ? A. Sexual history ? B. Support system ? C. Obstetrical history ? D. Elimination patterns
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A client presents to the clinic exhibiting symptoms of pernicious anemia. Which diagnostic test would the nurse expect the physician to order that would most likely confirm the diagnosis? A. Urine analysis B. White blood cell count C. Prothrombin time test D. Schilling test
A client with an ulcer had a Billroth II procedure performed 2 days ago. Which intervention would the nurse employ to prevent dumping syndrome? A. Elevate the head of the bed \(45^{\circ}\) after meals B. Encourage at least \(500 \mathrm{~mL}\) of fluids with meals C. Provide a low-carbohydrate, high-protein, and high-fat diet D. Serve high-volume meal contents
The nurse is caring for a client three days after a bowel resection and colostomy due to acute diverticulitis. Which postoperative assessment finding necessitates physician notification? A. Stoma protrudes above the abdominal wall B. Absence of feces in the colostomy bag C. Gray dusky color of the stoma D. Mucus oozing from the stoma opening
The oncology staff has been preparing the spouse of a terminally ill client for her death. Which of the following best indicates the nursing interventions have been effective? ? A. Observing that the spouse controls his emotions when with the client ? B. The spouse asks a friend to come during visiting hours ? C. The spouse discusses plans for living as a widower ? D. The spouse is researching for information on the client’s disease
The RN on the oncology unit is serving as preceptor for a senior nursing student. Which action by the student during performance of the tracheostomy care warrants intervention by the RN? ? A. Suctioning the tracheostomy prior to beginning the procedure ? B. Applying sterile gloves to perform the procedure ? C. Removing tracheostomy ties and then applying new ones ? D. Cleansing with H202 and then normal saline
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