Medical-Surgical Nursing, 10th Edition;LEWIS - New! 2022-2023 Updated Complete Exam Bank, Ace on your Studies

Document Content and Description Below

Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. Which information about an 80-yr-old male patient at the senior center is of most concern to the nurse? a. Decreased appetite c. Di... fficulty chewing food b. Unintended weight loss d. Complaints of indigestion ANS: B Unintentional weight loss is not a normal finding and may indicate a problem such as cancer or depression. Poor appetite, difficulty in chewing, and complaints of indigestion are common in older patients. These will need to be addressed but are not of as much concern as the weight loss. DIF: Cognitive Level: Analyze (analysis) REF: 839 OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 2. An older patient reports chronic constipation. To promote bowel evacuation, the nurse will suggest that the patient attempt defecation a. in the mid-afternoon. b. after eating breakfast. c. right after getting up in the morning. d. immediately before the first daily meal. ANS: B The gastrocolic reflex is most active after the first daily meal. Arising in the morning, the anticipation of eating, and physical exercise do not stimulate these reflexes. DIF: Cognitive Level: Apply (application) REF: 836 TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity 3. When caring for a patient with a history of a total gastrectomy, the nurse will monitor for a. constipation. b. dehydration. c. elevated total serum cholesterol. d. cobalamin (vitamin B12) deficiency. ANS: D The patient with a total gastrectomy does not secrete intrinsic factor, which is needed for cobalamin (vitamin B12) absorption. Because the stomach absorbs only small amounts of water and nutrients, the patient is not at higher risk for dehydration, elevated cholesterol, or constipation. DIF: Cognitive Level: Apply (application) REF: 835 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 4. The nurse will plan to monitor a patient with an obstructed common bile duct for a. melena. b. steatorrhea. c. decreased serum cholesterol level. d. increased serum indirect bilirubin level. ANS: B A common bile duct obstruction will reduce the absorption of fat in the small intestine, leading to fatty stools. Gastrointestinal bleeding is not caused by common bile duct obstruction. Serum cholesterol levels are increased with biliary obstruction. Direct bilirubin level is increased with biliary obstruction. DIF: Cognitive Level: Apply (application) REF: 847 TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity 5. The nurse receives the following information about a 51-yr-old female patient who is scheduled for a colonoscopy. Which information should be communicated to the health care provider before sending the patient for the procedure? a. The patient has a permanent pacemaker to prevent bradycardia. b. The patient is worried about discomfort [Show More]

Last updated: 1 year ago

Preview 1 out of 249 pages