A client complains of severe abdominal pain. To elicit as much information as possible about the pain, the nurse should ask:

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Question 1 of 5

A client complains of severe abdominal pain. To elicit as much information as possible about the pain, the nurse should ask:

Correct Answer: B

Rationale: Step 1: Asking the client to describe the pain allows for a detailed account, aiding in identifying the cause. Step 2: Descriptions like sharp, dull, stabbing, or burning help determine the nature of the pain. Step 3: Location (choice C) and timing (choice A) are important but secondary to understanding the quality of pain. Step 4: Describing pain as stabbing (choice D) limits the client's response to a specific characteristic. Summary: Choice B is correct as it elicits comprehensive information about the pain quality, while the other choices focus on specific aspects that may not provide as much insight.

Question 2 of 5

The nurse determines that a client has 20/40 vision. Which statement about this client's vision is true?

Correct Answer: B

Rationale: The correct answer is B because 20/40 vision means the client can read at 20 feet what a person with normal vision can read at 40 feet. This indicates that the client's visual acuity is reduced compared to someone with normal vision. Choice A is incorrect because it assumes the client can see the entire chart at 40 feet, which is not true for 20/40 vision. Choice C is incorrect because it suggests the client has different visual acuity in each eye, which is not the definition of 20/40 vision. Choice D is incorrect because it incorrectly states that the client can read at 30 feet what a person with normal vision can read at 40 feet, which is not the correct interpretation of 20/40 vision.

Question 3 of 5

Since the nurse is taking the initial BP of the client, the nurse should repeat the procedure on the client’s other arm. The nurse knows that there should not be a difference of _____ on the other arm of the client.

Correct Answer: A

Rationale: The correct answer is A: 10 mmHg. When taking blood pressure, there should ideally be less than a 10 mmHg difference between the two arms. A significant difference could indicate an underlying health issue such as arterial blockage or peripheral vascular disease. A difference of 20, 30, or 40 mmHg would be considered abnormal and warrant further investigation. It is important to check both arms to ensure accuracy and detect any potential issues early on.

Question 4 of 5

A client being treated for hypertension returns to the community clinic for follow up. The client says, I know these pills are important

Correct Answer: A

Rationale: The correct answer is A because the client's statement indicates a potential barrier to medication adherence due to their occupation. Selling fish requires being away from a bathroom, which conflicts with the need for frequent urination caused by water pills. This scenario aligns with the nursing diagnosis of Noncompliance related to medication side effects. Choice B is incorrect as it focuses on the inconvenience of bathroom breaks rather than the underlying issue of noncompliance. Choice D is incorrect as the client's statement does not suggest a lack of understanding about their disease state.

Question 5 of 5

All of the following but one are nursing considerations for bronchoscopy:

Correct Answer: D

Rationale: The correct answer is D because sedation post-procedure is not a nursing consideration for bronchoscopy. A: NPO is important to prevent aspiration. B: Removing dentures and eyeglasses prevents obstruction and damage. C: Suction equipment is crucial for clearing secretions. In contrast, sedation post-procedure is typically managed by the physician, not the nurse.

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