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Questions 158

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Question 1 of 5

A client had a hemicolectomy performed 2 days ago. Today, when the nurse assesses the incision, a small part of the abdominal viscera is seen protruding through the incision. This complication of wound healing is known as:

Correct Answer: D

Rationale: Evisceration occurs when the incision separates and the contents of the cavity spill out.

Question 2 of 5

A client who has gout is most likely to form which type of renal calculi?

Correct Answer: C

Rationale: The presence of urinary tract infection is a factor in the formation of struvite stones. Staghorn calculi is the other name for struvite stones associated with urinary tract infection. Clients who have gout form uric acid stones. Clients who have increased urinary excretion of calcium form calcium stones.

Question 3 of 5

A male client has a history of diverticulosis. He has questions about the foods that he should eat. His nurse gives him the following information:

Correct Answer: A

Rationale: Clients with diverticulosis should maintain a high-fiber diet and prevent constipation with bran or bulk laxatives. Low-residue diets lead to constipation and are contraindicated in clients with diverticulosis. Clients with diverticulosis should drink at least eight glasses of water each day to prevent constipation. Clients with diverticulosis should modify their diet to include high-fiber foods and bulk laxatives.

Question 4 of 5

A client with a history of a stroke is being discharged. The nurse should teach the client to:

Correct Answer: B

Rationale: Assistive devices (e.g., cane, walker) promote safety and mobility post-stroke. Physical activity is encouraged, social interactions are beneficial, and sodium should be limited.

Question 5 of 5

The nurse is caring for a client with a history of atrial fibrillation. Which medication is most likely to be prescribed to prevent thromboembolism?

Correct Answer: A

Rationale: Warfarin is commonly prescribed for atrial fibrillation to prevent thromboembolism by maintaining anticoagulation (target INR 2–3). Aspirin and clopidogrel are less effective, and heparin is used short-term.

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