Practice Test: Exam #4
Assessment findings of a client who is admitted to the emergency department include cramping pain in the left lower quadrant, weakness, bloating, malaise, and a low-grade fever. The nurse suspects which condition?
Diverticulitis
A client with end-stage renal disease has a mature arteriovenous (AV) fistula. Which interventions would the nurse include in the client's plan of care?
-Auscultate the fistula for the presence of a bruit -Palpate the site to identify the presence of a thrill -Avoid drawing blood from the affected extremity
A client was admitted to the hospital with blunt trauma to the abdomen. The client was treated for a lacerated liver and abdominal hemorrhage. During the recovery period, the nurse would monitor the client for which indications of peritonitis?
-Board-like abdomen -Abdominal tenderness -Decreased bowel sounds
Peritonitis develops in a client who had surgery for a ruptured appendix. Which clinical findings related to peritonitis should the nurse expect the client to exhibit?
-Fever -Abdominal muscle rigidity
The nurse is caring for a client with gastrointestinal reflux disease (GERD). Which information would the nurse provide the client to prevent worsening of the disorder?
-Wear loose-fitting clothing -Begin a weight-loss program -Sleep with head of bed elevated
Which clinical findings would the nurse expect to see when assessing a client with hyperthyroidism?
-Weight loss -Tachycardia -Restlessness -Exophthalmos (protrusion of eyes)
On admission to an intensive care unit, a client is diagnosed with compensated metabolic acidosis. The nurse expects which assessment finding?
Deep and rapid respirations
During the oliguric phase of acute kidney injury, for which abnormal finding would the nurse monitor in the client?
Hyperphosphatemia
The nurse is caring for a client who just returned from a esophagogastroduodenoscopy (EGD) and directs the unlicensed assistive personnel (UAP) to get the client settled in the room. Which action made by the UAP is incorrect?
Offering client water