NUR 1021 final exam (all accurately solved 100%)

A client had an open cholecystectomy (gallbladder removal) 36 hours earlier, and the nurse's assessment this morning confirms that the client has not yet had a bowel movement since prior to surgery. How should the nurse best respond to this assessment finding? correct answers Monitor the client closely and promote fluid intake. Bowel function does not typically return immediately after surgery, but it can be promoted by encouraging fluid and fiber intake as appropriate to the client and his or her surgery. A medical assessment is likely unnecessary at this early postoperative stage, and an enema would likely be premature. The nurse may not independently increase the client's IV infusion, and doing so would not necessarily promote a bowel movement. A hospital client's pain is being treated with epidural analgesia. Which nursing action would pose a threat to the client's safety? correct answers Administering an oral dose of morphine to treat the client's breakthrough pain It is unsafe to administer narcotics or adjuvant drugs without the approval of the clinician responsible for the epidural injection. Suppositories, abdominal palpation, and feeding are not contraindicated when the client has an epidural in place. A nurse is reviewing a client's laboratory values. Which laboratory value would be indicative of a client's level of malnutrition? correct answers Serum albumin Serum albumin levels can help measure protein levels in the body and are good indicators for nutrition status. Hemoglobin levels maintain red blood cells that carry oxygen from the lungs to the body's tissues and returns carbon dioxide from the tissues back to the lungs. Creatinine is a laboratory value that assesses kidney function. Oxygen saturation is the fraction of oxygen-saturated hemoglobin relative to total hemoglobin in the blood. It is best used to determine how well a client is oxygenating. The nurse is caring for a client receiving continuous tube feeding via a nasogastric tube. The client is slumped down in the bed with feet touching the footboard. Which action should the nurse take first before pulling the client up in bed? correct answers Stop the enteral feeding pump. The first action the nurse must take is to stop the feeding pump to prevent the possibility of aspiration when the client needs to be placed flat so the nurses may move the client up in bed. The nurses would raise the bed to a comfortable working position before placing the bed in supine position, and make sure the tube is in clear view and free of kinks before moving the client. A client could experience increased urination when using which classification of medication? correct answers cholinergics