A 26-year-old client has no children. She has had an abdominal hysterectomy. In the first 24 hours postoperatively, the nurse would be concerned if the client:

• A.Cries easily and says she is having abdominal pain
• B.Develops a temperature of 102°F
• C.Has no bowel sounds
• D.Has a urine output of 200 mL for 4 hours

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A 1000-mL dose of D5W 1⁄2 normal saline is to be infused in 8 hours. The drop factor for the tubing is 60 gtt/min. How many drops per minute should the nurse administer?

• A.75 gtt/min
• B.100 gtt/min
• C.125 gtt/min
• D.150 gtt/min

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Which of the following physician's orders would the nurse question on a client with chronic arterial insufficiency?

• A.Neurovascular checks every 2 hours
• B.Elevate legs on pillows
• C.Arteriogram in the morning
• D.No smoking

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The nurse is aware that nutrition is an important aspect of care for a client with hepatitis. Which of the following diets would be most therapeutic?

• A.High protein and low carbohydrate
• B.Low calorie and low protein
• C.High carbohydrate and high calorie
• D.Low carbohydrate and high calorie

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For the past several months, an elderly female client with Alzheimer's disease has experienced paranoia; hallucinations; and aggressive, disruptive behavior. The family is utilizing haloperidol as needed to control her behavior. On nursing assessment, you note that the client demonstrates involuntary movements of the tongue and fingers. This may most likely indicate:

• A.Tardive dyskinesia, which may be a side effect of antipsychotic medication
• B.Early symptoms of Parkinson's disease
• C.A more advanced stage of Alzheimer's disease than previously experienced by the client
• D.The need to change her medication from haloperidol to another antipsychotic drug to lessen symptoms

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