Practice Question
A client with cirrhosis of the liver reports a 5 lb (2.3 kg) weight gain within the last week during a physical assessment. Which assessment finding correlates with the client's report?
Answer Choices:
Correct Answer:
Increased abdominal girth.
Rationale:
🟢 Ascites is the most likely cause of the 5 lb weight gain in a cirrhotic patient.
🟢 Fluid accumulation in the peritoneal cavity causes measurable abdominal distension.
🟢 This symptom aligns with common findings in advanced liver disease.
🟢 It reflects fluid retention, not fat or muscle gain, confirming weight gain is pathological.
🟢 Monitoring girth helps track fluid management effectiveness.
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This question is from RN HESI Exit(with NGN)~2023 Exam 2 which contains 106 questions.
More Questions from This Exam
A client who is one day postpartum reports to the nurse that her baby cannot latch onto the breast. The nurse observes that the client's nipples are inverted. Which action should the nurse implement?
Answer Choices:
A. Offer supplemental formula feedings.
B. Teach about the use of a breast pump.
C. Recommend using a breast shield.
D. Encourage the use of ice on the areola.
A client who is one day postpartum reports that her baby cannot latch onto the breast. The nurse observes that the client's nipples are inverted. Which action should the nurse implement?
Answer Choices:
A. Offer supplemental formula feedings.
B. Teach about the use of a breast pump.
C. Recommend using a breast shield.
D. Encourage the use of ice on the areola.
A nurse is caring for a client who underwent an appendectomy 2 days ago and now reports sudden, unbearable pain in the left great toe. The client has a medical history of type 2 diabetes mellitus, gouty arthritis, and gastroesophageal reflux disease (GERD). Which instruction should the nurse include in the discharge teaching?
Answer Choices:
A. Eat high-protein foods to achieve ideal body weight.
B. Avoid acetylsalicylic acid-containing medications.
C. Wrap joints with an elastic bandage when swollen.
D. Support joints in an extended position while resting.
The healthcare provider prescribes a placebo instead of pain medication. Which intervention should the nurse implement?
Answer Choices:
A. Tell the charge nurse about the prescribed placebo and refuse to administer it.
B. Discuss ethical concerns about placebo use with the healthcare provider.
C. Administer the placebo as prescribed when the client reports pain.
D. Inform the client that the provider prescribed a placebo instead of pain medication.
The healthcare provider prescribes ear drops to an adult client with an ear infection. Which teaching should the nurse provide?
Answer Choices:
A. Cool and shake the bottle before administering the drops.
B. Insert the tip of the dropper into the canal of the ear.
C. Pull the pinna up and back to administer the drops.
D. Administer the drops with the head held upright.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI-Exit Exam(s)
- Domain: HESI Exit Exam(s)~2023
- Answer Choices: 4