Author Question: A nurse is caring for a client with an abdominal injury at a health care facility. The client tells ... (Read 60 times)

Redwolflake15 · **on:** Jul 22, 2018

A nurse is caring for a client with an abdominal injury at a health care facility. The client tells the nurse that he passed dark, tarry stool. Which of the following nursing actions is appropriate when a client reports possible blood in the stool?

A) Save a sample of the stool in a container.
B) Perform a screening test on a stool sample.
C) Perform a digital-rectal examination.
D) Send the client to radiology for a colonoscopy.

Question 2

A nurse has assessed a client's blood pressure near the beginning of a shift and obtained a systolic blood pressure of 138 mm Hg and a diastolic blood pressure of 71 mm Hg. The systolic blood pressure is characterized by which of the following?

A) It represents the client's blood pressure between heart beats.
B) It represents peak pressure in the client's arteries.
C) It peaks when the client's heart is filling with blood.
D) It corresponds directly to the client's heart rate.

nikmaaacs · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Feedback:
The nurse should independently perform a screening test on the stool samples to determine the presence of blood. Saving the sample does not provide assessment data. A digital rectal examination is not indicated and the physician, not the nurse, may order more specific laboratory or diagnostic tests.

Answer to Question 2

B
Feedback:
Systolic blood pressure is the pressure within the arterial system when the heart contracts. Diastolic blood pressure is the pressure when the heart relaxes and fills with blood. Both are reflections of pressure in the arterial vessels, not the veins. SBP does not correspond directly with heart rate, though heart rate is one factor among many that influence blood pressure.