Rn concept based assessment level 2!rated a+ answers

 

1.A nurse is providing postoperative education for a client following a laparoscopic 

cholecystectomy for cholelithiasis. Which of the following client statements indicates an 

understanding of the teaching?

a- “The adhesive bandages on my incision will fall off as the incision heals.”

b- “I will be able to take a shower in 1 week.”

c- “I will need to follow a liquid diet for the first 3 days after surgery.”

d- “I can begin to resume my normal activity level in 2 weeks.

CORRECT: a- The nurse should instruct the client that the small adhesive bandages will lose 

their adhesiveness in 7 to 10 days. The client can then remove the bandages or allow the bandages

to fall off over time as the incision heals. 

INCORRECT: 

b- The nurse should instruct the client that she can shower or bathe the day following the 

surgery. 

c- The nurse should instruct the client to resume a regular diet following surgery and slowly 

introduce foods containing fat to determine tolerance. 

d- The nurse should instruct the client to rest for the first 24 hours following surgery and then 

begin resuming normal activities. The client should be able to resume usual activities within 1 

week. 

2. A nurse is assessing a client who has Graves’ disease. Which of the following findings should the 

nurse expect?

a- Somnolence

b- Cold intolerance

c- Exophthalmos

d- Dry, scaly skin

CORRECT: c- The nurse should expect a client who has Graves’ disease, an autoimmune form 

of hyperthyroidism, to experience exophthalmos, which is protrusion of the eyeballs.

INCORRECT:

a- The nurse should expect a client who has hyperthyroidism to experience insomnia. 

Somnolence is a common manifestation of Hypothyroidism. 

b- The nurse should expect a client who has hyperthyroidism to experience heat intolerance. cold 

intolerance is a common manifestation of Hypothyroidism