While assessing a typical patient with cholecystitis who complains of localized pain, the nurse asks if the pain has radiated to the:
A) Left upper arm
B) Lower abdomen
C) Neck or jaw
D) Right shoulder
Ans: D
Feedback: The patient may have biliary colic with excruciating upper right abdominal pain that radiates to the back or right shoulder.
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The benefits of a diet high in fiber include decreasing the risk of developing
a. colon and rectal cancer. c. breast and prostate cancer. b. diabetes mellitus. d. skin cancer.
The 75-year-old diabetic patient has an inflamed area at the shin caused by scratching. Which intervention should the nurse perform first?
a. Record the skin break. b. Apply antibiotic ointment. c. Wrap with an ACE bandage. d. Cover with clear occlusive dressing.
After gently rotating a vial of isophane insulin NPH (Humulin N), the nurse notes that the drug has a cloudy appearance. What step does the nurse take before administering it to a patient?
a. Shaking the vial for 30 seconds before using it. b. Placing the vial in warm water to clarify the drug. c. Discarding the current vial and opening a new one. d. Rechecking the dosage and drawing it into the syringe.
A nurse is caring for a 72-year-old client with a fracture in the neck of the femur. What should the nurse keep in mind when preparing a diet chart for the client?
A) Restrict the client's fluid intake to prevent edema. B) Provide 1 g of protein per kilogram of body weight. C) Provide maximum of 40% of the total calories as fat intake. D) Provide unsaturated fats containing essential fatty acids.