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Question 1 of 5

The nurse is caring for a client with a new colostomy. Which statement by the client indicates a need for further teaching?

Correct Answer: B

Rationale: High-fiber foods can cause blockages in a new colostomy; low-residue foods are recommended initially.

Question 2 of 5

A homeless person has an enlarged, tender liver, and a hepatitis B infection is suspected. Which information in the client's history is most likely the etiologic factor for the disease?

Correct Answer: D

Rationale: Hepatitis B is primarily transmitted through blood, such as via shared needles, making this the most likely etiologic factor.

Question 3 of 5

The nurse is caring for the client who is 24 hours post-TURP and is having painful bladder spasms. Which intervention should the nurse plan to implement?

Correct Answer: B

Rationale: A. Opioid medications will decrease the pain sensations but will not decrease the muscle spasms. B. The belladonna and opium suppository will inhibit smooth muscle contraction and decrease bladder spasms; thus, it will also reduce pain. C. Ambulation will not decrease the discomfort. D. Heat, rather than cold, is the recommended nonphannacological treatment for bladder spasms.

Question 4 of 5

The nurse is obtaining a health history on the client with a possible left-sided varicocele. Which question is most important?

Correct Answer: C

Rationale: A. Varicoceles are not inherited. B. A varicocele does occur most frequently on the left side due to retrograde blood flow from the renal vein; however, a varicocele rarely produces symptoms. C. Asking about children is important because the most common cause of male infertility is a varicocele. Approximately 15% to 20% of the healthy, fertile male population is estimated to have varicoceles. However, 40% of infertile men may have them. D. A varicocele rarely produces any symptoms. It is usually diagnosed during physical examinations related to infertility. If symptoms do occur, pain and groin tenderness are the most common symptoms.

Question 5 of 5

The nurse caring for a client after a subtotal thyroidectomy places the client in semi-Fowler's position. What is the rationale for this action?

Correct Answer: B

Rationale: Semi-Fowler's position reduces incisional edema by promoting venous drainage from the neck, minimizing swelling at the surgical site.

Similar Questions

The nurse is assessing a client with suspected meningitis. Which finding is most concerning?
The nurse is assessing a client with suspected dehydration. Which finding supports this diagnosis? Select all that apply.
The nurse is assessing a client with suspected hypovolemia. Which finding supports this diagnosis? Select all that apply.
The nurse is assessing a client with a history of seizures. Which observation indicates the client is experiencing an aura?
The nurse is eating for the client following a TURF. At the end of an 8-hour shift, the nurse determines that the client received 3050 mL of CBI fluid and that 4030 mL of output was emptied from the urinary drainage bag. How many milliliters (mL) should the nurse document for the client's actual urine output for the 8 hours?

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