Page 1330 - Saunders Comprehensive Review For NCLEX-RN

1. Pathological fracture
2. Urinalysis positive for Bence Jones protein

3. Hemoglobin level of 15.5 g/dL (155 mmol/L)

4. Calcium level of 8.6 mg/dL (2.15 mmol/L)

5. Serum creatinine level of 2.0 mg/dL (176.6 mcmol/L)

456. A gastrectomy is performed on a client with gastric cancer. In the immediate
postoperative period, the nurse notes bloody drainage from the nasogastric
tube. The nurse should take which most appropriate action?
1. Measure abdominal girth.
2. Irrigate the nasogastric tube.
3. Continue to monitor the drainage.
4. Notify the primary health care provider (PHCP).
457. The nurse is teaching a client about the risk factors associated with colorectal
cancer. The nurse determines that further teaching is necessary related to
colorectal cancer if the client identifies which item as an associated risk
factor?
1. Age younger than 50 years
2. History of colorectal polyps
3. Family history of colorectal cancer
4. Chronic inflammatory bowel disease
458. The nurse is assessing the perineal wound in a client who has returned from
the operating room following an abdominal perineal resection and notes
serosanguineous drainage from the wound. Which nursing intervention is
most appropriate?
1. Clamp the surgical drain.
2. Change the dressing as prescribed.
3. Notify the surgeon.
4. Remove and replace the perineal packing.
459. The nurse is assessing the colostomy of a client who has had an abdominal
perineal resection for a bowel tumor. Which assessment finding indicates
that the colostomy is beginning to function?
1. The passage of flatus
2. Absent bowel sounds
3. The client’s ability to tolerate food
4. Bloody drainage from the colostomy
460. The nurse is reviewing the history of a client with bladder cancer. The nurse
expects to note documentation of which most common sign or symptom of
this type of cancer?
1. Dysuria
2. Hematuria
3. Urgency on urination
4. Frequency of urination
461. The nurse is assessing a client who has a new ureterostomy. Which statement
by the client indicates the need for more education about urinary stoma
care?

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