A nurse assesses a client who has appendicitis. Which clinical manifestation should the nurse expect to find?
a. Severe, steady right lower quadrant pain
b. Abdominal pain associated with nausea and vomiting
c. Marked peristalsis and hyperactive bowel sounds
d. Abdominal pain that increases with knee flexion
Question 2A nurse prepares to administer 12 mg/kg of 5-fluorouracil chemotherapy intravenously to a client who has colon cancer. The client weights 132 lb. How many milligrams should the nurse administer?
(Record your answer using a whole number.) _____ mg
Question 3A nurse cares for a client who has a nasogastric (NG) tube. Which actions should the nurse take? (Select all that apply.)
a. Assess for proper placement of the tube every 4 hours.
b. Flush the tube with water every hour to ensure patency.
c. Secure the NG tube to the client's upper lip.
d. Disconnect suction when auscultating bowel peristalsis.
e. Monitor the client's skin around the tube site for irritation.
Question 4A nurse plans care for a client who has chronic diarrhea. Which actions should the nurse include in this client's plan of care? (Select all that apply.)
a. Using premoistened disposable wipes for perineal care
b. Turning the client from right to left every 2 hours
c. Using an antibacterial soap to clean after each stool
d. Applying a barrier cream to the skin after cleaning
e. Keeping broken skin areas open to air to promote healing
Question 5A nurse assesses a male client with an abdominal hernia. Which abdominal hernias are correctly paired with their physiologic processes? (Select all that apply.)
a. Indirect inguinal hernia - An enlarged plug of fat eventually pulls the peritoneum and often the bladder into a sac
b. Femoral hernia - A peritoneum sac pushes downward and may descend into the scrotum
c. Direct inguinal hernia - A peritoneum sac passes through a weak point in the abdominal wall
d. Ventral hernia - Results from inadequate healing of an incision
e. Incarcerated hernia - Contents of the hernia sac cannot be reduced back into the abdominal cavity
Question 6A nurse cares for a client who has been diagnosed with a small bowel obstruction. Which assessment findings should the nurse correlate with this diagnosis? (Select all that apply.)
a. Serum potassium of 2.8 mEq/L
b. Loss of 15 pounds without dieting
c. Abdominal pain in upper quadrants
d. Low-pitched bowel sounds
e. Serum sodium of 121 mEq/L