Which of the following symptoms during the icteric phase of viral hepatitis should the nurse expect the client to inhibit?
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Solution
Yellow sclera
Option B: Liver inflammation and obstruction block the normal flow of bile. Excess bilirubin turns the skin and sclera yellow and the urine dark and frothy.
Which of the following compilations should the nurse carefully monitors a client with acute pancreatitis?
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Solution
Pneumonia
Option D: A client with acute pancreatitis is prone to complications associated with respiratory system.
Jerry has diagnosed with appendicitis. He develops a fever, hypotension, and tachycardia. The nurse suspects which of the following complications?
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Solution
Peritonitis
Option B: Complications of acute appendicitis are peritonitis, perforation and abscess development.
Nurse Bea should instruct the male client with an ileostomy to report immediately which of the following symptom?
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Solution
Absence of drainage from the ileostomy for 6 or more hours
Option A: Sudden decrease in drainage or onset of severe abdominal pain should be reported immediately to the physician because it could mean that obstruction has been developed.
Nurse Jenny is instilling an otic solution into an adult male client left ear. Nurse Jenny avoids doing which of the following as part of the procedure
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Solution
Pacing the tip of the dropper on the edge of ear canal
Option C: The dropper should not touch any object or any part of the client’s ear.
A client suffered from a lower leg injury and seeks treatment in the emergency room. There is a prominent deformity to the lower aspect of the leg, and the injured leg appears shorter than the other leg. The affected leg is painful, swollen and beginning to become ecchymotic. The nurse interprets that the client is experiencing:
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Solution
Fracture
Option A: Common signs and symptoms of fracture include pain, deformity, shortening of the extremity, crepitus and swelling.
Nurse Joan is assigned to come for client who has just undergone eye surgery. Nurse Joan plans to teach the client activities that are permitted during the postoperative period. Which of the following is best recommended for the client?
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Solution
Watching TV
Option C: Watching TV is permissible because the eye does not need to move rapidly with this activity, and it does not increase intraocular pressure.
Ryan has undergone subtotal gastrectomy. The nurse should expect that nasogastric tube drainage will be what color for about 12 to 24 hours after surgery?
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Solution
Dark brown
Option D: 12 to 24 hours after subtotal gastrectomy gastric drainage is normally brown, which indicates digested food.
The client asks Nurse Annie the causes of peptic ulcer. Nurse Annie responds that recent research indicates that peptic ulcers are the result of which of the following:
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Solution
Helicobacter pylori infection
Option D: Most peptic ulcer is caused by Helicobacter pylori which is a gram negative bacterium.
Which of the following antituberculosis drugs can damage the 8th cranial nerve?
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Solution
Streptomycin
Option D: Streptomycin is an aminoglycoside and damage on the 8th cranial nerve (ototoxicity) is a common side effect of aminoglycosides.