Page 1529 - Saunders Comprehensive Review For NCLEX-RN

531. The nurse is assessing a client who is experiencing an acute episode of
cholecystitis. Which of these clinical manifestations support this diagnosis?
Select all that apply.
1. Fever

2. Positive Cullen’s sign

3. Complaints of indigestion

4. Palpable mass in the left upper quadrant

5. Pain in the upper right quadrant after a fatty meal
6. Vague lower right quadrant abdominal discomfort

532. A client is diagnosed with viral hepatitis, complaining of “no appetite” and
“losing my taste for food.” What instruction should the nurse give the client
to provide adequate nutrition?
1. Select foods high in fat.
2. Increase intake of fluids, including juices.
3. Eat a good supper when anorexia is not as severe.
4. Eat less often, preferably only 3 large meals daily.
533. A client has developed hepatitis A after eating contaminated oysters. The
nurse assesses the client for which expected assessment finding?
1. Malaise
2. Dark stools
3. Weight gain
4. Left upper quadrant discomfort
534. A client has just had a hemorrhoidectomy. Which nursing interventions are
appropriate for this client? Select all that apply.
1. Administer stool softeners as prescribed.

2. Instruct the client to limit fluid intake to avoid urinary

retention.
3. Encourage a high-fiber diet to promote bowel movements
without straining.
4. Apply cold packs to the anal-rectal area over the dressing

until the packing is removed.
5. Help the client to a Fowler’s position to place pressure on
the rectal area and decrease bleeding.
535. The nurse is planning to teach a client with gastroesophageal reflux disease
(GERD) about substances to avoid. Which items should the nurse include on
this list? Select all that apply.
1. Coffee

2. Chocolate

3. Peppermint

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