Reference no: EM133845431
Questions
1. The nurse has received the following information about assigned clients. The nurse should first assess the client:
A). With Ulcerative Colitis who is reporting having bloody diarrhea
B). With lung cancer who is reporting expiratory rust colored sputum
C). Who had Percutaneous Transluminal Angioplasty (PTA) 4 hours ago and is reporting flank pain
D). Who had a partial thyroidectomy 3 hours ago and is reporting incisional pain at a level of 6 on a scale of 0 - 10
2. The nurse has been made aware of the following client situations. The nurse should first see the:
A). The 28 year old client with pneumonia who is expectorating blood tinged mucus and is reporting chest pain upon inspiration.
B). A 36 year old client with a pulmonary embolism who is receiving prescribed heparin sodium infusion and has a PT which is one and one half times the control value.
C). A 40 year old client with MS who has ectopia and is experiencing urinary incontinence
D). A 47 year old client who just had a thyroidectomy one day post op and is reporting that the dressing feels tight.
3. The nurse has received the following information about assigned clients. The nurse should first assess the client:
A). With prostate cancer and metastasis who has developed numbing and tingling in the legs.
B). Who had a total knee replacement 2 days ago and is reporting pain in the affected knee after physical therapy.
C). With COPD who is using pursed - lipped breathing after taking a shower.
D). Who had an appendectomy 2 days ago and has not had a bowel movement since surgery.
4. The nurse has been made aware of the following client situations. The nurse should first assess the client who:
A). Is being treated for gastrointestinal bleeding and is reporting having a tarry stool B). Has not voided since an indwelling catheter was removed 6 hours ago
C). Is confused and has unfastened the prescribed vest restraint to go to the bathroom
D). Has not had a bowel movement since a prescribed oil retention enema was given an hour ago.