Passpoint_gastrointestinal Revision Questions and Answers: Organised for Exam Revision and Supplementary Learning in 183 Pages.

Document Content and Description Below

Passpoint-gastrointestinal Revision Questions and Answers Question 1 See full question A nurse is caring for a client with gastroenteritis. The nurse administers an as-needed dose of kaolin and ... pectin mixture as ordered. The nurse should complete which assessment 30 minutes after administering the medication? Question 2 See full question A client has had a nasogastric tube connected to low intermittent suction. The client is at risk for: Question 3 See full question The nurse is developing a plan of care for a client with Crohn’s disease who is receiving total parenteral nutrition (TPN). Which interventions should the nurse include? Select all that apply. Question 4 See full question A client with peptic ulcer disease is taking ranitidine. What is the expected outcome of this drug? Question 5 See full question The nurse develops a plan of care for a client with a t-tube. Which nursing intervention should be included? Question 6 See full question Which expected outcome about nutrition would be appropriate for a client who has had a total gastrectomy for gastric cancer? The client will: Question 7 See full question A client with a history of alcohol abuse comes to the emergency department and complains of abdominal pain. Laboratory studies help confirm a diagnosis of acute pancreatitis. The client's vital signs are stable, but the client's pain is worsening and radiating to his back. Which intervention takes priority for this client? Question 8 See full question The client has been taking magnesium hydroxide to control hiatal hernia symptoms. The nurse should assess the client for which condition most commonly associated with the ongoing use of magnesium-based antacids? Question 9 See full question A nurse is assessing the abdomen of a client who was admitted to the emergency department with suspected appendicitis. Identify the area of the abdomen that the nurse would palpate last. Question 10 See full question A client recently diagnosed with hepatitis C states: “Now that you know what is wrong with me, you can just get me those new drugs to take care of it, right?” The nurse should tell the client: Question 1 See full question A nurse is caring for a client who just had an appendectomy. The client is receiving opioid analgesics routinely for pain. The nurse should focus her follow-up assessment on which complication? Question 2 See full question A physician orders morphine for a client who complains of postoperative abdominal pain. For maximum pain relief, when should the nurse anticipate administering morphine? Question 3 See full question The nurse is checking the client's chart for possible contraindications, before administering meperidine, 50 mg I.M., to a client with pain after an appendectomy. The nurse should hold the meperidine when she sees an order for what type of drug? Question 4 See full question A client is scheduled to undergo an exploratory laparoscopy. The registered nurse (RN) asks the licensed practical nurse (LPN) to prepare the client for surgery. The RN must confirm that the LPN has specialized training before delegating which task? Question 5 See full question A client who is legally blind must undergo a colonoscopy. The nurse is helping the physician obtain informed consent. When obtaining informed consent from a client who is visually impaired, the nurse should take which step? Question 6 See full question The nurse assesses a client with diverticulitis and suspects peritonitis when which of the following symptoms is noted? Question 7 See full question A nurse is assessing a client who has a potential diagnosis of pancreatitis. Which risk factors predispose the client to pancreatitis? Select all that apply. Question 8 See full question The nurse administers a tap water enema to a client. While the solution is being infused, the client has abdominal cramping. What should the nurse do first? Question 9 See full question A client's abdominal incision eviscerates. The nurse should first: Question 10 See full question Prochlorperazine is prescribed postoperatively. The nurse should evaluate the drug's therapeutic effect when the client expresses relief from: Question 11 See full question The nurse notes that a client with acute pancreatitis occasionally experiences muscle twitching and jerking. How should the nurse interpret the significance of these symptoms? Question 12 See full question The nurse monitors a client with cirrhosis for the development of hepatic encephalopathy. Which would be an indication that hepatic encephalopathy is developing? Question 13 See full question A 36-year-old female client has been diagnosed with hemorrhoids. Which factor in the client's history would most likely be a primary cause of her hemorrhoids? Question 14 See full question A client who has a history of Crohn's disease is admitted to the hospital with fever, diarrhea, cramping, abdominal pain, and weight loss. The nurse should monitor the client for: Question 15 See full question The nurse should teach the client with diverticulitis to integrate which measure into a daily routine at home? Question 16 See full question Which instruction should the nurse include in the teaching plan for a client who is experiencing gastroesophageal reflux disease (GERD)? Question 17 See full question The nurse determines that a client’s abdominal wound has eviscerated. What should the nurse do first? Question 18 See full question A client has been hospitalized with pancreatitis for 3 days. The nurse assesses the client and documents the accompanying results. The nurse realizes these findings are a manifestation of what sign? Question 19 See full question The client with a peptic ulcer is prescribed antibiotics and bismuth salts. The nurse explains that this combination of medications will: Question 20 See full question A client develops chronic pancreatitis. What would be the appropriate home diet for a client with chronic pancreatitis? Question 21 See full question Which nursing recommendation is most appropriate for a client to decrease discomfort from hemorrhoids? Question 22 See full question Which statement indicates the client understands the lifestyle modifications required when managing ulcerative colitis? Question 23 See full question Because of religious beliefs, a client, who is an Orthodox Jew, refuses to eat hospital food. Hospital policy discourages food from outside the hospital. The nurse should next: Question 24 See full question A client has been diagnosed with cirrhosis. When obtaining a health history, the nurse should specifically determine if the client takes? Question 25 See full question The nurse monitors IV replacement therapy for a client with a nasogastric (NG) tube attached to low suction in order to: Question 26 See full question The nurse assigns an unlicensed assistive personnel (UAP) to provide care for a client with peptic ulcer disease. Concerned about possible ulcer perforation, the nurse should instruct the UAP to report to the nurse immediately if the client has: Question 27 See full question The nurse is assessing a client’s abdominal incision 48 hours after surgery. Which finding indicates that the wound is inflamed? Question 28 See full question A nurse is assessing a client who reports abdominal pain, nausea, and diarrhea. The nurse knows that palpating the abdomen first would: Question 29 See full question A client with a recent history of rectal bleeding is being prepared for a colonoscopy. Initially. The nurse knows that positioning the client lying on his/her left side with the knees bent is an appropriate intervention. The nurse recognizes that this position will: Question 30 See full question A client is admitted for suspected GI disease. Assessment data reveal muscle wasting, a decrease in chest and axillary hair, and increased bleeding tendency. The nurse suspects the client has: Question 31 See full question A client with a peptic ulcer is about to begin a therapeutic regimen that includes a bland diet, antacids, and famotidine. Before the client is discharged, the nurse should provide which instruction? Question 32 See full question The nurse is caring for a client with cirrhosis. Which assessment findings indicate that the client has deficient vitamin K absorption caused by this hepatic disease? Question 33 See full question A client is admitted to the hospital for diagnostic testing to rule out colorectal cancer. Which intervention should the nurse include on the plan of care? Question 34 See full question A nurse is caring for a client with active upper GI bleeding. What is the appropriate diet for this client during the first 24 hours after admission? Question 35 See full question A nurse is teaching an elderly client about developing good bowel habits. Which statement by the client indicates to the nurse that additional teaching is required? Question 36 See full question A nurse is monitoring a client recovering from moderate sedation that was administered during a colonoscopy. Which finding requires the nurse's immediate attention? Question 37 See full question A client with Crohn's disease is scheduled for a barium enema. What should the plan of care include today to prepare for the test tomorrow? Question 38 See full question A client is scheduled for an ileostomy. Which would be most helpful in preparing the client psychologically for the surgery? Question 39 See full question A nurse is giving instructions to a client with a new colostomy. The client states, “I am so tired today; I just cannot think.” The nurse should: Question 40 See full question A client with chronic hepatitis C is experiencing nausea, anorexia, and fatigue. During the health history the client states that he is homosexual, drinks one to two glasses of wine with dinner, is taking St. John’s Wort for a “bit of depression,” and takes acetaminophen for frequent headaches. What should the nurse do? Select all that apply. Question 41 See full question A client is suspected of having a slow gastrointestinal bleed. The nurse should evaluate the client for which sign? Question 42 See full question The health care provider prescribes sulfasalazine for the client with ulcerative colitis. Which instruction should the nurse give the client about taking this medication? Question 43 See full question A client has been diagnosed with an intestinal obstruction and has a nasogastric tube set to low continuous suction. Which acid-base disturbance is this client at risk for developing? Question 44 See full question The nurse is aware that client teaching has been effective about the potential toxic reactions to a vitamin B12 injection by the following statement. Select all that apply. Question 45 See full question A nurse is administering medications to a client diagnosed with hepatitis B. When the nurse hands the client his/her medications, the client says, "I would rather not take that pill or any others. I know there is no cure for hepatitis B." The nurse recognizes that the client is expressing feelings of hopelessness about the diagnosis. Select the best responses by the nurse. Select all that apply. Question 46 See full question A client diagnosed with peptic ulcer disease (PUD) has an H. pylori infection. The client is following a 2-week drug regimen that includes clarithromycin along with omeprazole and amoxicillin. The nurse should instruct the client to: Question 47 See full question The nurse is developing a care management plan with a client who has been diagnosed with gastroesophageal reflux disease (GERD). What should the nurse should instruct the client to do? Select all that apply. Question 48 See full question A client had a colon resection yesterday. The client’s hemoglobin was 14.1 g/dL yesterday and today it is 7.2 g/dl. The client’s oxygen saturation is 87%. After reviewing the chart (see chart) and notifying the health care provider (HCP), the nurse should first: Question 49 See full question When a client has an acute attack of diverticulitis, the nurse should first: Question 50 See full question The nurse is caring for a client recently diagnosed with hepatitis C. In reviewing the client’s history, what information will be most helpful as the nurse develops a teaching plan? The client: Question 1 See full question For a client who must undergo colon surgery, the physician orders preoperative cleansing enemas and neomycin. The rationale for neomycin use in this client is to: Question 2 See full question A nurse preceptor is working with a student nurse who is administering medications. Which statement by the student indicates an understanding of the action of an antacid? Question 3 See full question An enterostomy nurse is providing an in-service session on caring for colostomies. Which statement by a nurse indicates the need for further teaching? Question 4 See full question A graduate nurse and her preceptor are establishing priorities for their morning assessments. Which client should they assess first? Question 5 See full question A client with a history of alcohol abuse was admitted with bleeding esophageal varices. After several days of treatment, the client is ready for discharge. The nurse enters the client's room to review discharge instructions with the client when he tells the nurse that he wants help to quit drinking. How should the nurse respond? Question 6 See full question A client with esophageal cancer decides against placement of a jejunostomy tube. Which ethical principle is a nurse upholding by supporting the client's decision? Question 7 See full question A nurse presents a client with the informed consent form for an abdominal paracentesis. The client asks the nurse what the procedure involves. The nurse should: Question 8 See full question A client diagnosed with ulcerative colitis also experiences obsessive compulsive anxiety disorder (OCD). In helping the client understand her illness, the nurse should respond with which statement? Question 9 See full question When giving a client a tube feeding, the nurse should: Question 10 See full question A client is admitted with acute pancreatitis. The nurse should monitor which laboratory values? Question 11 See full question After teaching the parents of a child with lactose intolerance about the disorder, the nurse determines that the teaching was effective when the mother used which statement to describe the condition? Question 12 See full question The nurse measures the amount of bile drainage from a t-tube and records it by which method? Question 13 See full question The nurse should monitor the client with acute pancreatitis for which complication? Question 14 See full question Which finding is normal for a client during the icteric phase of hepatitis A? Question 15 See full question The nurse is reviewing the chart information for a client with increased ascites. The data include the following: temperature 98.9° F (37.2° C), heart rate 118 bpm, shallow respirations 26/min, blood pressure 128/76 mm Hg, and SpO2 89% on room air. The nurse should first: Question 16 See full question A client with Crohn's disease has concentrated urine, decreased urinary output, dry skin with decreased turgor, hypotension, and weak, thready pulses. What should the nurse should do first? Question 17 See full question A client has been taking aluminum hydroxide 30 ml six times per day at home to treat his peptic ulcer. He tells the nurse that he has been unable to have a bowel movement for 3 days. Based on this information, the nurse would determine that the most likely cause of the client's constipation is because the client: Question 18 See full question The nurse is obtaining a health history from a client who has a sliding hiatal hernia associated with reflux. The nurse should ask the client about the presence of which symptom? Question 19 See full question In developing a teaching plan for the client with a hiatal hernia, the nurse's assessment of which work-related factors would be most useful? Question 20 See full question When preparing a client for a scheduled colonoscopy, the nurse should tell the client that this procedure will involve: Question 21 See full question Which outcome is expected for a client who has undergone surgical repair of an inguinal hernia? Question 22 See full question The client who is in Buck’s traction is constipated. A plan of care that incorporates which breakfast would be most helpful in reestablishing a normal bowel routine? Question 23 See full question When admitting an elderly client for nausea and vomiting that has lasted for 3 days, the nurse should assess for which clinical findings? Question 24 See full question A nurse is teaching a client with malabsorption syndrome about the disorder and its treatment. The client asks which part of the GI tract absorbs food. The nurse tells the client that products of digestion are absorbed mainly in the: Question 25 See full question During preparation for bowel surgery, a client receives an antibiotic to reduce intestinal bacteria. The nurse knows that hypoprothrombinemia may occur as a result of antibiotic therapy. Which of the following vitamins would be affected by this? Question 26 See full question When assessing a client during a routine checkup, the nurse reviews the history and notes that the client had aphthous stomatitis at the time of the last visit. Aphthous stomatitis is best described as: Question 27 See full question A client is diagnosed with a hiatal hernia. Which statement indicates effective client teaching about hiatal hernia and its treatment? Question 28 See full question A client with dysphagia is being prepared for discharge. Which outcome indicates that the client is ready for discharge? Question 29 See full question A nurse on a medical surgical unit is assessing a client and obtains the following findings: abdominal discomfort, mild diarrhea, and a temperature of 100° F (37.8° C). The nurse suspects that these are symptoms often associated with: Question 30 See full question When caring for a client with acute pancreatitis, the nurse should use which Question 31 See full question A nurse is caring for a client immediately following an appendectomy. The nurse should assign which nursing diagnosis the highest priority? Question 32 See full question Which client requires immediate nursing intervention? The client who: Question 33 See full question A male client has just had an inguinal herniorrhaphy. Which instruction would be most appropriate to include in the discharge plan? Question 34 See full question A 4-year-old with a history of urinary reflux returned from surgery for bilateral ureteral re-implants 2 days ago. Which assessment finding is most concerning? Question 35 See full question The correct procedure for auscultating the client’s abdomen for bowel sounds is to: Question 36 See full question A client is recovering from a gastric resection for peptic ulcer disease. Which outcome indicates that the goal of adequate nutritional intake is being achieved 3 weeks following surgery? The client: Question 37 See full question The nurse irrigates a client’s colostomy. If the client has abdominal cramping after receiving about 150 mL of solution during the colostomy irrigation, the nurse should: Question 38 See full question A client who has had ulcerative colitis for the past 5 years is admitted to the hospital with an exacerbation of the disease. Which factor is of greatest significance in causing an exacerbation of ulcerative colitis? Question 39 See full question Which laboratory finding is expected when a client has diverticulitis? Question 40 See full question After completing assessment rounds, which client should the nurse discuss with the health care provider (HCP) first? Question 41 See full question A client who has ulcerative colitis says to the nurse, “I cannot take this anymore; I am constantly in pain, and I cannot leave my room because I need to stay by the toilet. I do not know how to deal with this.” Based on these comments, the nurse should determine the client is experiencing: Question 42 See full question The nurse prepares to administer promethazine 35 mg IM as prescribed PRN for a client with cholecystitis who has nausea. The ampule label reads that the medication is available in 25 mg/mL. How many milliliters should the nurse administer? Record your answer using one decimal place. Question 43 See full question A client has vomited several times over the past 12 hours. The nurse should recognize the risk of what complication? Question 44 See full question The nurse manager of a surgical unit observes a nurse providing colostomy care to a client without using any personal protective equipment (PPE). What is the most appropriate response by the nurse manager in relation to the use of PPE? Question 45 See full question A nurse has been asked to obtain a client’s signature on an operative consent form. When the nurse approaches the client, who is scheduled for a cholycystectomy later in the day, the client asks the nurse why the procedure is needed. Which of the following is the appropriate response by the nurse? Question 46 See full question At 0800, the nurse reviews the amount of t-tube drainage for a client who underwent an open cholecystectomy yesterday. After reviewing the output record (see chart), the nurse should: Question 47 See full question While taking an admission history, a client tells a nurse that he was a former IV drug abuser. Which test would be most important for this client to undergo? Question 48 See full question At the beginning of the shift, the nurse is assigned a client with an ascending colostomy. Which picture identifies the correct placement where the nurse will assess the stoma? Question 49 See full question The nurse is providing discharge instructions for a client who had an inguinal herniorrhaphy. The nurse should teach the client to: Question 50 See full question A client with cholecystitis continues to have severe right upper quadrant pain. The nurse obtains the following vital signs: temperature 101.1° F (38.4° C); pulse 114 bpm; respirations 22/min; blood pressure 142/90 mm Hg. Using the SBAR (Situation-Background-Assessment-Recommendation) technique for communication, the nurse recommends to the health care provider for the client to receive: Question 1 See full question A client with pancreatitis has been receiving total parenteral nutrition (TPN) for the past week. Which nursing intervention helps determine if TPN is providing adequate nutrition? Question 2 See full question Which task may a nurse delegate to a nursing assistant? Question 3 See full question A nurse is preparing to perform complex abdominal wound care. Which action should the nurse take while performing this task? Question 4 See full question When the nurse is assessing the client’s abdomen, which finding best indicates that a client’s peristaltic activity is returning to normal after surgery? Question 5 See full question The client is to take nothing by mouth after 0400. The nurse recognizes that the client has deficient knowledge when he states that he: Question 6 See full question When administering intermittent enteral feeding to an unconscious client, the nurse should: Question 7 See full question College freshman are participating in a study abroad program. When teaching them about hepatitis B, the nurse should instruct the students on the need for: Question 8 See full question When planning diet teaching for the client with a colostomy, the nurse should develop a plan that emphasizes which dietary instruction? Question 9 See full question Which is an expected outcome for a client with peptic ulcer disease? The client Question 10 See full question A client who had a splenectomy yesterday has a nasogastric (NG) tube. The expected outcome of using the NG tube is to: Question 11 See full question Immediately following endoscopy of the upper gastrointestinal tract, it is most important for the nurse to assess for: Question 12 See full question Which nursing measure would be most effective in helping the client cough and deep breathe after a cholecystectomy? Question 13 See full question In caring for the client with hepatitis B, which situation would expose the nurse to the virus? Question 14 See full question A client is learning about caring for an ileostomy. Which statement would indicate that the client understands how to care for the ileostomy pouch? Question 15 See full question The nurse observes that the client’s total parenteral nutrition (TPN) solution is infusing too slowly. The nurse calculates that the client has received 300 mL less than was prescribed for the day. The nurse should: Question 16 See full question A client with inflammatory bowel disease undergoes an ileostomy. On the first day after surgery, the nurse notes that the client's stoma appears dusky. How should the nurse interpret this finding? Question 17 See full question A client is evaluated for severe pain in the right upper abdominal quadrant, which is accompanied by nausea and vomiting. The physician diagnoses acute cholecystitis and cholelithiasis. For this client, which nursing diagnosis takes top priority? Question 18 See full question While palpating a client's right upper quadrant (RUQ), the nurse would expect to find which structure? Question 19 See full question Why are antacids administered regularly, rather than as needed, in peptic ulcer disease? Question 20 See full question A nurse is caring for a client who had gastric bypass surgery two days ago. Which assessment finding requires immediate intervention? Question 21 See full question A nurse asks a client who had abdominal surgery 3 days ago if he has moved his bowels since surgery. The client states, "I haven't moved my bowels, but I am passing gas." How should the nurse intervene? Question 22 See full question As a nurse completes the admission assessment of a client admitted for gastric bypass surgery, the client states, "Finally! I'll be thin and able to eat without much concern." Which statement by the nurse would be most appropriate? Question 23 See full question An elderly client asks the nurse how to treat chronic constipation. What is the best recommendation the nurse can make? Question 24 See full question A client is recovering from a gastric resection for peptic ulcer disease. Which outcome indicates that the goal of adequate nutritional intake is being achieved 3 weeks following surgery? The client: Question 25 See full question The nurse irrigates a client’s colostomy. If the client has abdominal cramping after receiving about 150 mL of solution during the colostomy irrigation, the nurse should: Question 26 See full question The nurse is irrigating a client’s colostomy. The client has abdominal cramping after receiving about 100 mL of the irrigating solution. The nurse should first: Question 27 See full question The nurse is evaluating the lifestyle modifications a client has made to prevent gastroesophageal reflux. Which statement indicates that the client understands how to prevent reflux? Question 28 See full question Following a subtotal gastrectomy, a client has a nasogastric (NG) tube connected to low suction. The nurse should: Question 29 See full question After a subtotal gastrectomy, the nurse is developing a plan with the client to assist the client to gain weight. To help the client meet nutritional goals at home, the nurse should: Question 30 See full question A client who has had ulcerative colitis for the past 5 years is admitted to the hospital with an exacerbation of the disease. Which factor is of greatest significance in causing an exacerbation of ulcerative colitis? Question 31 See full question Immediately after surgery to create an ileostomy, which goal has the highest priority? Question 32 See full question On the second day following an abdominal perineal resection, the nurse notes that the wound edges aren't approximated and one half of the incision has torn apart. What should the nurse do first? Question 33 See full question College freshmen are participating in a study abroad program. When teaching them about hepatitis B, the nurse should instruct the students on the need for: Question 34 See full question A client has had an exacerbation of ulcerative colitis with cramping and diarrhea persisting longer than 1 week. The nurse should assess the client for which complication? Question 35 See full question A client who is recovering from gastric surgery is receiving IV fluids to be infused at 100 mL/hour. The IV tubing delivers 15 gtt/mL. The nurse should infuse the solution at a flow rate of how many drops per minute to ensure that the client receives 100 mL/hour? Record your answer using a whole number. Question 36 See full question The nurse on a surgical unit is caring for a client recovering from recent surgery with the placement of a nasogastric tube to low continuous suction Which acid–base imbalance is most likely to occur? Question 37 See full question A client is scheduled to have surgery to relieve an intestinal obstruction. Prior to surgery, the nurse should verify that the client has: Question 38 See full question A nurse is talking to a neighbor who asks about reoccurring symptoms of gnawing epigastric pain following meals and heartburn. Recognizing these symptoms, what suggestions could the nurse make? Question 39 See full question A client who had abdominal surgery 4 days ago reports that "something gave way" when he sneezed. The nurse observes a wound evisceration. What should the nurse do next? Question 40 See full question A nurse is assessing a client who has a history of a bleeding peptic ulcer. Which of the following assessments should the nurse report immediately? Question 41 See full question A client with cirrhosis of the liver is in the hospital. The nurse involves the client in developing a plan of care. What would be important aspects to include in this plan? Question 42 See full question The client is to have a gastrectomy. The surgeon will use a transverse incision. Prior to surgery, the nurse is checking to be sure the correct site has been marked. Identify the site that should have marked. You Selected: • Your selection and the correct area, market by the green box. Question 43 See full question Which statement indicates that a client with esophageal reflux disorder understands the dietary teaching? Question 44 See full question A client one day post-operative cholecystectomy, reports severe pain radiating to the shoulder. What should be the first nursing action? Question 45 See full question A client has been admitted to the emergency department with severe mid-epigastric, upper quadrant abdominal pain. Based on the signs and symptoms and laboratory data documented in the chart below, the nurse would anticipate preparing for which diagnosis? Question 46 See full question Within 6 hours following a subtotal gastrectomy, the drainage from the client’s NG tube is bright red. The nurse should first: Question 47 See full question The nurse is caring for a client with esophageal varices. The nurse should discuss which laboratory report finding with the health care provider (HCP)? Question 48 See full question A health care provider and nurse are discussing treatment options with a client diagnosed with severe ulcerative colitis. When providing client teaching during early treatment, the symptoms of which diagnosis would be discussed? Question 49 See full question A client has been taking prescribed aspirin in large doses and reports having stomach irritation, sometimes with vomiting. Which food or beverage noted from the client’s diet history should the nurse suggest the client avoid? Question 50 See full question A client with cholecystitis continues to have severe right upper quadrant pain. The nurse obtains the following vital signs: temperature 101.1° F (38.4° C); pulse 114 bpm; respirations 22/min; blood pressure 142/90 mm Hg. Using the SBAR (Situation-Background-Assessment-Recommendation) technique for communication, the nurse recommends to the health care provider for the client to receive: Question 1 See full question The nurse is checking the client's chart for possible contraindications, before administering meperidine, 50 mg I.M., to a client with pain after an appendectomy. The nurse should hold the meperidine when she sees an order for what type of drug? Question 2 See full question A client with cholecystitis is taking propantheline bromide. The expected outcome of this drug is: Question 3 See full question The nurse administers a tap water enema to a client. While the solution is being infused, the client has abdominal cramping. What should the nurse do first? Question 4 See full question A client who has been vomiting for 2 days has a nasogastric tube inserted. The nurse notes that over the past 10 hours the tube has drained 2 L of fluid. The nurse should further assess the client for: Question 5 See full question The nurse is obtaining a nursing history of a client suspected of having hepatitis C. The nurse should ask the client if he has: Question 6 See full question The client is receiving propantheline bromide to treat cholecystitis. The nurse should evaluate the client's response to the medication by observing for which adverse effect? Question 7 See full question The nurse notes that a client with acute pancreatitis occasionally experiences muscle twitching and jerking. How should the nurse interpret the significance of these symptoms? . Question 8 See full question Which position would be best for the client in the early postoperative period after a hemorrhoidectomy? Question 9 See full question Which instruction should the nurse include in the teaching plan for a client who is experiencing gastroesophageal reflux disease (GERD)? Question 10 See full question The nurse determines that a client’s abdominal wound has eviscerated. What should the nurse do first? Question 11 See full question A client is scheduled for oral cholecystography. Prior to the test, the nurse should: Question 12 See full question A client develops chronic pancreatitis. What would be the appropriate home diet for a client with chronic pancreatitis? Question 13 See full question When caring for a client with ulcerative colitis the nurse should: Question 14 See full question A client has been diagnosed with cirrhosis. When obtaining a health history, the nurse should specifically determine if the client takes? Question 15 See full question The nurse monitors IV replacement therapy for a client with a nasogastric (NG) tube attached to low suction in order to: Question 16 See full question Which statement indicates to the nurse that the client with Crohn’s disease understands the needed nutritional modifications? Question 17 See full question The nurse is assessing a client’s abdominal incision 48 hours after surgery. Which finding indicates that the wound is inflamed? Question 18 See full question Which is an appropriate nursing goal for the client who has ulcerative colitis? The client: Question 19 See full question A nurse is assessing a client who reports abdominal pain, nausea, and diarrhea. The nurse knows that palpating the abdomen first would: Question 20 See full question A client with a recent history of rectal bleeding is being prepared for a colonoscopy. Initially. The nurse knows that positioning the client lying on his/her left side with the knees bent is an appropriate intervention. The nurse recognizes that this position will: Question 21 See full question A client with viral hepatitis A is being treated in an acute care facility. Because the client requires enteric precautions, the nurse should: Question 22 See full question A client has just been diagnosed with hepatitis A. On assessment, the nurse expects to note: Question 23 See full question The nurse is caring for a client that has undergone a colon resection. While turning him, wound dehiscence with evisceration occurs. What is the nurse's first response? Question 24 See full question A nurse is caring for a client with active upper GI bleeding. What is the appropriate diet for this client during the first 24 hours after admission? Question 25 See full question A nurse is teaching an elderly client about developing good bowel habits. Which statement by the client indicates to the nurse that additional teaching is required? Question 26 See full question A client is readmitted with an exacerbation of celiac disease 2 weeks after discharge. Which statement by the client indicates the need for a dietary consult? Question 27 See full question A client has a Jackson-Pratt drainage tube in place the first day after surgical repair of a ruptured diverticulum. The client asks the nurse the purpose of the drain. What is the nurse's best response? “The drainage tube is used to prevent: Question 28 See full question The correct procedure for auscultating the client’s abdomen for bowel sounds is to: Question 29 See full question The nurse irrigates a client’s colostomy. If the client has abdominal cramping after receiving about 150 mL of solution during the colostomy irrigation, the nurse should: Question 30 See full question A client has been diagnosed with early alcoholic cirrhosis. The client should be taught that changing which behavior could potentially reverse the pathologic changes occurring in the liver? Question 31 See full question While changing the client’s colostomy bag and dressing, the nurse determines that the client is ready to participate in self-care when the client: Question 32 See full question Immediately after surgery to create an ileostomy, which goal has the highest priority? Question 33 See full question Which laboratory finding is expected when a client has diverticulitis? Question 34 See full question On the second day following an abdominal perineal resection, the nurse notes that the wound edges aren't approximated and one half of the incision has torn apart. What should the nurse do first? Question 35 See full question A client has a positive serologic test for anti-HCV (hepatitis C virus). The nurse should instruct the client: Question 36 See full question When the nurse asks the client who is having abdominal surgery today if the client understands the procedure, the client replies, “No, not really; I talked about several different things with my surgeon, and I am just not sure.” The nurse should: Question 37 See full question Which skin preparation would be best to apply around the client's colostomy? Question 38 See full question A client had a resection of the terminal ileum 3 years ago. While obtaining a health history and physical assessment, the nurse finds that the client has weakness, shortness of breath, and a sore tongue. Which additional information from the client indicates a need for client teaching? Question 39 See full question A client who has ulcerative colitis says to the nurse, “I cannot take this anymore; I am constantly in pain, and I cannot leave my room because I need to stay by the toilet. I do not know how to deal with this.” Based on these comments, the nurse should determine the client is experiencing: Question 40 See full question The nurse has a prescription to administer sulfasalazine 2 g. The medication is available in 500-mg tablets. How many tablets should the nurse administer? Record your answer using a whole number. Question 41 See full question Amoxicillin trihydrate 300 mg PO has been prescribed for a client with an oral infection. The medication is available in a liquid suspension that is available as 250 mg/5 mL. How many milliliters should the nurse administer? Record your answer using a whole number. Question 42 See full question A nurse is talking to a neighbor who asks about reoccurring symptoms of gnawing epigastric pain following meals and heartburn. Recognizing these symptoms, what suggestions could the nurse make? Question 43 See full question A client who had abdominal surgery 4 days ago reports that "something gave way" when he sneezed. The nurse observes a wound evisceration. What should the nurse do next? Question 44 See full question After being admitted to the emergency department for severe lower right quadrant pain, a child states that the pain has suddenly resolved. Which of the following would the nurse suspect? Question 45 See full question The nurse is preparing to initiate an enteral feeding through a percutaneous endoscopic gastrostomy (PEG) tube. What intervention will the nurse include in the client’s plan of care? Question 46 See full question A client is to start on enteral tube feedings. What should a nurse do to make this as comfortable as possible for the client? Question 47 See full question The nurse is developing a care management plan with a client who has been diagnosed with gastroesophageal reflux disease (GERD). What should the nurse should instruct the client to do? Select all that apply. Question 48 See full question A client had a colon resection yesterday. The client’s hemoglobin was 14.1 g/dL yesterday and today it is 7.2 g/dl. The client’s oxygen saturation is 87%. After reviewing the chart (see chart) and notifying the health care provider (HCP), the nurse should first: Question 49 See full question A client underwent insertion of a nasogastric (NG) tube for partial bowel obstruction the previous evening. The nurse notes that the tube is not secured to the client’s face. How will the nurse precede? Question 50 See full question A client with cholecystitis continues to have severe right upper quadrant pain. The nurse obtains the following vital signs: temperature 101.1° F (38.4° C); pulse 114 bpm; respirations 22/min; blood pressure 142/90 mm Hg. Using the SBAR (Situation-Background-Assessment-Recommendation) technique for communication, the nurse recommends to the health care provider for the client to receive: Question 2 See full question After abdominal surgery, a client is reluctant to turn in bed. The nurse should: Question 6 See full question The nurse instructs the client on health maintenance activities to help control symptoms from a hiatal hernia. Which statement would indicate that the client has understood the instructions? Question 7 See full question A nurse is caring for a client after a hemorrhoidectomy. Which of the following orders would the nurse question on the medical record? Question 8 See full question A nurse is caring for a client that received a colostomy 2 days ago. Which is the priority intervention? Question 9 See full question A client is diagnosed with pancreatitis. Which assessment would be of most concern to the nurse? Question 10 See full question Two days following a colon resection, an elderly client shows new onset of confusion. When contacting the health care provider (HCP), the nurse should make which recommendation? Question 1 See full question Metoclopramide is ordered as a premedication for a client about to undergo a gastroduodenoscopy. The expected therapeutic effect is: Question 2 See full question Thirty minutes after a Sengstaken-Blakemore tube is inserted, the nurse observes that the client appears to be having difficulty breathing. What should the nurse do first? Question 3 See full question A client newly diagnosed with ulcerative colitis who has been placed on steroids asks the nurse why steroids are prescribed. The nurse shuld tell the client: Question 4 See full question When assessing a client who has been diagnosed with hepatic cirrhosis, the nurse should obtain which information when conducting a focused assessment? Select all that apply. Question 5 See full question A client has been placed on long-term sulfasalazine therapy for treatment of ulcerative colitis. The nurse should encourage the client to eat which foods to help avoid the nutrient deficiencies that may develop as a result of this medication? Question 6 See full question Which dietary measure would be useful in preventing esophageal reflux? Question 7 See full question College freshman are participating in a study abroad program. When teaching them about hepatitis B, the nurse should instruct the students on the need for: Question 8 See full question The nurse has received a prescription to add 20 mEq of potassium chloride to a 1,000-mL bottle of IV fluid. The nurse has a 30-mL, multiple-dose vial of potassium chloride. The label reads 2 mEq/mL. How many milliliters should the nurse add to the IV fluid? Record your answer using a whole number. Question 9 See full question A physician orders spironolactone, 50 mg by mouth four times daily, for a client with fluid retention caused by cirrhosis. Which finding indicates that the drug is producing a therapeutic effect? Question 10 See full question The client attends two sessions with the dietitian to learn about diet modifications to minimize gastroesophageal reflux. The teaching would be considered successful if the client decreases the intake of which foods? Question 1 See full question A physician orders a stool culture to help diagnose a client with prolonged diarrhea. The nurse who obtains the stool specimen should: Question 2 See full question A nurse must provide total parenteral nutrition (TPN) to a client through a triple-lumen central line. To prevent complications of TPN, the nurse should: Question 3 See full question Which statement indicates that the client with a peptic ulcer understands the dietary modifications to follow at home? Question 4 See full question A client has had an incisional cholecystectomy. Which of the following nursing interventions has the highest priority in postoperative care for this client? Question 5 See full question A client diagnosed with acute pancreatitis is being transferred to another facility. The nurse caring for the client completes the transfer summary, which includes information about the client's drinking history and other assessment findings. Which assessment findings confirm his diagnosis? Question 6 See full question A client with a history of alcohol abuse comes to the emergency department and complains of abdominal pain. Laboratory studies help confirm a diagnosis of acute pancreatitis. The client's vital signs are stable, but the client's pain is worsening and radiating to his back. Which intervention takes priority for this client? Question 7 See full question An elderly client asks the nurse how to treat chronic constipation. What is the best recommendation the nurse can make? Question 8 See full question A client with Crohn's disease is scheduled for a barium enema. What should the plan of care include today to prepare for the test tomorrow? Question 9 See full question The nurse is caring for a client who had an open cholecystectomy 24 hours ago. The client’s vital signs have been stable for the last 24 hours, but the client now has a temperature of 38.4° C (101.1° F), a heart rate of 116 bpm, and a respiratory rate of 26 breaths/minute. The client has an IV infusion running at a keep-open rate. The nurse contacts health care provider (HCP) and receives several prescriptions (see chart). Which prescription should the nurse implement first? Question 10 See full question When a client has an acute attack of diverticulitis, the nurse should first: Question 1 See full question A client with acute diarrhea is requesting an as-needed medication for loose, watery stools. After reviewing the physician's orders, which medication should the nurse administer? Question 2 See full question One hour before a client is to undergo abdominal surgery, the physician orders atropine, 0.6 mg I.M. The client asks the nurse why this drug must be administered. How should the nurse respond? Question 3 See full question After a nasogastric (NG) tube has been inserted, the nurse can most accurately determine that the tube is in the proper place when: Question 4 See full question Which is an expected outcome for a client with peptic ulcer disease? The client Question 5 See full question When instructing the unlicensed assistive personnel (UAP) about giving mouth care to a client with a nasogastric (NG) tube the nurse should tell the UAP to: Question 6 See full question When preparing a client for surgery to treat appendicitis, the nurse formulates a nursing diagnosis of Risk for infection related to inflammation, perforation, and surgery. What is the rationale for choosing this nursing diagnosis? Question 7 See full question A physician calls the nurse for an update on his client who underwent abdominal surgery 5 hours ago. The physician asks the nurse for the total amount of drainage collected in the Hemovac since surgery. The nurse reports that according to documentation, no drainage has been recorded. When the nurse finishes on the telephone, she goes to assess the client. Which assessment finding explains the absence of drainage? Question 8 See full question Which of the following client statements indicates a need for further instruction about a duodenal ulcer? Question 9 See full question A client with cancer of the stomach had a total gastrectomy 2 days earlier. Which indicates the client is ready to try a liquid diet? The client: Question 10 See full question On 1/16 at 0800 the nurse is caring for a client with acute pancreatitis and reviewing progress notes as listed. (See figure.) Which finding indicates that the desired outcome of the transfusion is obtained at this time? Question 1 See full question TPN is ordered for a client with Crohn's disease. The TPN solution is having an intended outcome when: Question 2 See full question Postoperative nursing care for a client after an appendectomy should include: Question 3 See full question After gastric resection surgery, which signs alert the nurse to the development of a leaking anastomosis? Question 4 See full question A client has a suspected slow gastrointestinal bleed. Because of this, the nurse specifically instructs the unlicensed assistive personnel to look for and report which symptom? Question 5 See full question A home care nurse is caring for a client with complaints of epigastric discomfort who is scheduled for a barium swallow. Which statement by the client indicates an understanding of the test? Question 6 See full question To prevent gastroesophageal reflux in a client with hiatal hernia, the nurse should provide which discharge instruction? Question 7 See full question The nurse is caring for a client with cirrhosis. Which assessment findings indicate that the client has deficient vitamin K absorption caused by this hepatic disease? Question 8 See full question A client with a bleeding ulcer is vomiting bright red blood. The nurse should assess the client for which indicator of early shock? Question 9 See full question Following the acute stage of diverticulosis, which foods should the nurse encourage a client to incorporate into the diet? Select all that apply. Question 10 See full question Two weeks before a client is scheduled for an ileostomy, the nurse should instruct the client to: Question 1 See full question For a client who must undergo colon surgery, the physician orders preoperative cleansing enemas and neomycin. The rationale for neomycin use in this client is to: Question 2 See full question The nurse measures the amount of bile drainage from a t-tube and records it by which method? Question 3 See full question The client with an intestinal obstruction continues to have acute pain even though the nasoenteric tube is patent and draining. The nurse should first: Question 4 See full question The nurse should teach the client with diverticulitis to integrate which measure into a daily routine at home? Question 5 See full question Following a gastrectomy, the nurse should postion the client in which position? Question 6 See full question A client presents to the emergency department with reports of acute GI distress, bloody diarrhea, weight loss, and fever. A family history of which of the following would be significant to this client's diagnosis? Question 7 See full question A client is being admitted to the hospital with abdominal pain, anemia, and bloody stools. He complains of feeling weak and dizzy. He has rectal pressure and needs to urinate and move his bowels. The nurse should help him: Question 8 See full question A client with a history of peptic ulcer disease is admitted to the hospital. Initial assessment reveals that his blood pressure is 96/60 mm Hg, his pulse rate is 120 bpm, and he has vomited coffee-ground-like material. Based on this assessment, what is the nurse's priority action? Question 9 See full question A client with a well-managed ileostomy reports the sudden onset of abdominal cramps, vomiting, and watery discharge from the ileostomy. The nurse should: Question 10 See full question A nurse is planning care for an adult who is hospitalized for diarrhea and dehydration. The client is receiving intravenous fluids but continues to have watery stools. The nurse reviews the intake and output record for the last 24 hours (view the chart). Which action should the nurse take? Question 1 See full question A client with acute diarrhea is requesting an as-needed medication for loose, watery stools. After reviewing the physician's orders, which medication should the nurse administer? Question 2 See full question When caring for a client with nonresectable colon cancer, which nursing diagnosis requires the nurse to function collaboratively to achieve the best outcome related to client comfort? Question 3 See full question A client has had a nasogastric tube connected to low intermittent suction. The client is at risk for: Question 4 See full question One month following a subtotal gastrectomy for cancer, the nurse is evaluating the nursing care goal related to nutrition. What indicates that the client has attained the goal? The client has: Question 5 See full question When assessing a client’s inguinal hernia, the nurse should place the client in which position? Question 6 See full question The nurse is instructing a client who has had an ileostomy about the diet following surgery. The nurse should tell the client: Question 7 See full question A client has massive bleeding from esophageal varices. In what order from first to last should the nurse and care team provide care for this client? All options must be used. Question 8 See full question When preparing a client for surgery to treat appendicitis, the nurse formulates a nursing diagnosis of Risk for infection related to inflammation, perforation, and surgery. What is the rationale for choosing this nursing diagnosis? Question 9 See full question A physician calls the nurse for an update on his client who underwent abdominal surgery 5 hours ago. The physician asks the nurse for the total amount of drainage collected in the Hemovac since surgery. The nurse reports that according to documentation, no drainage has been recorded. When the nurse finishes on the telephone, she goes to assess the client. Which assessment finding explains the absence of drainage? Question 10 See full question Which of the following client statements indicates a need for further instruction about a duodenal ulcer? Question 1 See full question A client has had an incisional cholecystectomy. Which of the following nursing interventions has the highest priority in postoperative care for this client? Question 2 See full question A physician orders lactulose, 30 ml three times daily, for a client with cirrhosis to treat elevated serum ammonia level. The nurse will know that this medication is effective by which of the following? Question 3 See full question The health care provider prescribes metoclopramide hydrochloride for the client with hiatal hernia. The nurse should assess the client to determine which expected outcome? Question 4 See full question A nurse teaches a client experiencing heartburn to take 1.5 oz of aluminum hydroxide when symptoms appear. How many milliliters should the client take? Record your answer using a whole number. Question 5 See full question A nurse is caring for a client after a hemorrhoidectomy. Which of the following orders would the nurse question on the medical record? Question 2 See full question A client with acute pancreatitis has a blood pressure of 88/40 mm Hg, heart rate of 128 bpm, respirations of 28/min, and Grey Turner’s sign. What prescription should the nurse implement first? Question 3 See full question A client, age 82, is admitted to an acute care facility for treatment of an acute flare-up of a chronic GI condition. In addition to assessing the client for complications of the current illness, the nurse monitors for age-related changes in the GI tract. Which age-related change increases the risk of anemia? Question 4 See full question A client with liver and renal failure has severe ascites. On initial shift rounds, his primary nurse finds his indwelling urinary catheter collection bag too full to store more urine. The nurse empties more than 2,000 ml from the collection bag. One hour later, she finds the collection bag full again. The nurse notifies the physician, who suspects that a bladder rupture is allowing the drainage of peritoneal fluid. The physician orders a urinalysis to be obtained immediately. The presence of which substance is considered abnormal? Question 5 See full question A client with ascites had a paracentesis. Which post-procedure intervention should the nurse implement? Improve your mastery TAKE A PRACTICE QUIZ Question 1 See full question An adolescent girl with severe malnutrition is admitted to an acute care facility. After a thorough examination, the physician diagnoses anorexia nervosa. When developing the care plan for this client, the nurse is most likely to include which nursing diagnosis? Question 2 See full question A nurse must provide total parenteral nutrition (TPN) to a client through a triple-lumen central line. To prevent complications of TPN, the nurse should: Question 3 See full question One month following a subtotal gastrectomy for cancer, the nurse is evaluating the nursing care goal related to nutrition. What indicates that the client has attained the goal? The client has: Question 4 See full question Which activity should the nurse encourage the client with a peptic ulcer to avoid? Question 5 See full question The expected outcome of withholding food and fluids from a client who will receive general anesthesia is to help prevent: Question 6 See full question When caring for a client with acute pancreatitis, the nurse should use which comfort measure? Question 7 See full question The nurse is caring for a client admitted with pyloric stenosis. A nasogastric tube placed upon admission is on low intermittent suction. Upon review of the morning's blood work, the nurse observes that the patient's potassium is below reference range. The nurse should recognize that the patient may be at risk for what imbalance? Question 8 See full question A client is admitted with increased ascites related to cirrhosis. The client has a large round and firm abdomen. The client is not able to lie flat in bed and requests to be placed in a high Fowler's position to sleep. Which nursing diagnosis should receive top priority? Question 9 See full question The nurse is caring for a 70-year-old male client after a colectomy. The client has received chemotherapy prior to surgery and has hypertension and diabetes mellitus. Which factors put this client at risk for sepsis? Select all that apply. Question 10 See full question The nurse is caring for a client one day after having a colectomy. The client is lethargic and difficult to arouse; the temperature is 101.5° F (38.6° C), blood pressure 92/36 mm Hg (MAP 55), heart rate 114 with SpO2 of 88% on oxygen at 2L/min/nasal cannula (previously 94%). A saline lock has been established and is patent. Which prescription should the nurse implement first? Question 1 See full question While ambulating, a client who had an open cholecystectomy complains of feeling dizzy and then falls to the floor. After attending to the client, a nurse completes an incident report. Which action by the nurse should the charge nurse correct? Question 2 See full question Which symptom would the nurse most likely observe in a client with cholecystitis from cholelithiasis? Question 3 See full question A nurse is caring for a client who underwent a subtotal gastrectomy. To manage dumping syndrome, the nurse should advise the client to: Question 4 See full question A client is taking aluminum hydroxide tablets along with sucralfate daily 1 hour before meals. The nurse should instruct the client to do which of the following? Question 5 See full question The nurse is caring for a client with severe diarrhea. The nurse recognizes that the client is at risk for developing which of the following acid-base imbalances? Question 2 See full question A client takes 30 ml of magnesium hydroxide and aluminum hydroxide with simethicone P.O. 1 hour and 3 hours after each meal and at bedtime for treatment of a duodenal ulcer. Why does the client take this antacid so frequently? Question 3 See full question Postoperative nursing care for a client after an appendectomy should include: Question 4 See full question A nurse is providing postprocedure instructions for a client who is to undergo a esophagogastroduodenoscopy. The nurse should begin this process: Question 5 See full question A client with a history of peptic ulcer disease is admitted to the hospital. Initial assessment reveals that his blood pressure is 96/60 mm Hg, his pulse rate is 120 bpm, and he has vomited coffee-ground-like material. Based on this assessment, what is the nurse's priority action? Question 1 See full question Three weeks after the client has had an ileostomy, the nurse is following up with instruction about using a skin barrier around the stoma at all times. The client has been applying the skin barrier correctly when: Question 2 See full question Which indicates the client with ulcerative colitis has attained an expected outcome of nursing care? Question 3 See full question The health care provider (HCP) recommends that a client have a partial bowel resection and an ileostomy. Later, the client says to the nurse, “That doctor of mine surely likes to play big. I will bet the more he can cut, the better he likes it.” Which reply by the nurse is most therapeutic? Question 4 See full question The nurse is assessing a client who has been admitted to the hospital with chest pain. The client has been taking simvastatin 40 mg daily for 3 years. The nurse notes that the client has yellow sclerae and a dark skin color. The client tells the nurse that urine is getting darker. The nurse should: Question 5 See full question A client reports abdominal pain and vomiting for 24 hours. The client's blood pressure is 98/48 mm Hg. The client is diagnosed with large-bowel obstruction. What is the priority nursing diagnosis for the client? Question 1 See full question A terminally ill client in hospice care is experiencing nausea and vomiting because of a partial bowel obstruction. To respect the client's wishes for conservative management of the nausea and vomiting the nurse should recommend the use of: Question 2 See full question A nurse is providing follow-up teaching at a clinic visit for a client recovering from gastric resection. The client reports sweating, diarrhea, nausea, palpitations, and the desire to lie down 15 to 30 minutes after meals. The nurse suspects the client has dumping syndrome and instructs the client to: Question 3 See full question The nurse is assigned a client with an nasogastric (NG) tube attached to low intermittent suction. What intervention will the nurse include in the plan of care? Question 4 See full question A nurse is caring for a client diagnosed with hepatic encephalopathy. Which sign or symptom would indicate that the disease is improving? Select all that apply. Question 5 See full question A nurse is assessing the abdomen of a client who was admitted to the emergency department with suspected appendicitis. Identify the area of the abdomen that the nurse would palpate last. You Selected: • Your selection and the correct area, market by the green box. Question 1 See full question The nurse is changing the subclavian dressing over the catheter insertion site. The nurse should: Question 2 See full question A client with gastroenteritis is admitted to an acute care facility and presents with severe dehydration and electrolyte imbalances. Diagnostic tests reveal the Norwalk virus as the cause of gastroenteritis. Based on this information, the nurse knows that: Question 3 See full question The nurse is teaching the client how to care for an ileostomy. The client asks the nurse how long to wear the pouch before changing it. The nurse should tell the client: Question 4 See full question The nurse assesses that a client who has had a partial gastrectomy has a decreased hemoglobin and hematocrit. The nurse explains to the client that the partial gastrectomy has most likely contributed to which of the following? Question 5 See full question A nurse is caring for a client with cirrhosis. The nurse assesses the client at noon and discovers that the client is difficult to arouse. The client's morning ammonia level is 110 mcg/dl. The nurse should suspect which situation? Question 1 See full question A client with a history of alcohol abuse was admitted with bleeding esophageal varices. After several days of treatment, the client is ready for discharge. The nurse enters the client's room to review discharge instructions with the client when he tells the nurse that he wants help to quit drinking. How should the nurse respond? Question 2 See full question A client has undergone a laparoscopic cholecystectomy. Which instruction should the nurse include in the discharge teaching? Question 3 See full question A client is learning about caring for an ileostomy. Which statement would indicate that the client understands how to care for the ileostomy pouch? Question 4 See full question A client had a nephrectomy 2 days ago and is now complaining of abdominal pressure and nausea. The first nursing action should be to: Question 5 See full question A client with Crohn's disease is scheduled for a barium enema. What should the plan of care include today to prepare for the test tomorrow? Question 6 See full question A client with a bleeding ulcer is vomiting bright red blood. The nurse should assess the client for which indicator of early shock? Question 7 See full question Following a subtotal gastrectomy, a client has a nasogastric (NG) tube connected to low suction. The nurse should: Question 8 See full question A client presents with cirrhosis of the liver secondary to alcohol abuse. Which assessment findings would warrant immediate action by the nurse? Question 9 See full question After being admitted to the emergency department for severe lower right quadrant pain, a child states that the pain has suddenly resolved. Which of the following would the nurse suspect? Question 10 See full question A client had a colon resection yesterday. The client’s hemoglobin was 14.1 g/dL yesterday and today it is 7.2 g/dl. The client’s oxygen saturation is 87%. After reviewing the chart (see chart) and notifying the health care provider (HCP), the nurse should first: Question 1 See full question Prochlorperazine is prescribed postoperatively. The nurse should evaluate the drug's therapeutic effect when the client expresses relief from: Question 2 See full question The nurse is preparing a client for a paracentesis. The nurse should: Question 3 See full question To reduce the risk of dumping syndrome, the nurse should teach the client to: Question 4 See full question Which is an appropriate nursing goal for the client who has ulcerative colitis? The client: Question 5 See full question When assessing a client during a routine checkup, the nurse reviews the history and notes that the client had aphthous stomatitis at the time of the last visit. Aphthous stomatitis is best described as: Question 6 See full question A client is admitted for suspected GI disease. Assessment data reveal muscle wasting, a decrease in chest and axillary hair, and increased bleeding tendency. The nurse suspects the client has: Question 7 See full question A client is recovering from a gastric resection for peptic ulcer disease. Which outcome indicates that the goal of adequate nutritional intake is being achieved 3 weeks following surgery? The client: Question 8 See full question A client is suspected of having a slow gastrointestinal bleed. The nurse should evaluate the client for which sign? Question 9 See full question A nurse is talking to a neighbor who asks about reoccurring symptoms of gnawing epigastric pain following meals and heartburn. Recognizing these symptoms, what suggestions could the nurse make? Question 10 See full question A client with cholecystitis continues to have severe right upper quadrant pain. The nurse obtains the following vital signs: temperature 101.1° F (38.4° C); pulse 114 bpm; respirations 22/min; blood pressure 142/90 mm Hg. Using the SBAR (Situation-Background-Assessment-Recommendation) technique for communication, the nurse recommends to the health care provider for the client to receive: Question 1 See full question The nurse has received a prescription to add 20 mEq of potassium chloride to a 1,000-mL bottle of IV fluid. The nurse has a 30-mL, multiple-dose vial of potassium chloride. The label reads 2 mEq/mL. How many milliliters should the nurse add to the IV fluid? Record your answer using a whole number. Question 2 See full question The nurse is caring for a client who had an open cholecystectomy 24 hours ago. The client’s vital signs have been stable for the last 24 hours, but the client now has a temperature of 38.4° C (101.1° F), a heart rate of 116 bpm, and a respiratory rate of 26 breaths/minute. The client has an IV infusion running at a keep-open rate. The nurse contacts health care provider (HCP) and receives several prescriptions (see chart). Which prescription should the nurse implement first? Question 3 See full question A client with cirrhosis of the liver is in the hospital. The nurse involves the client in developing a plan of care. What would be important aspects to include in this plan? Question 4 See full question A client with Crohn's disease has concentrated urine, decreased urinary output, dry skin with decreased turgor, hypotension, and weak, thready pulses. What should the nurse should do first? Question 5 See full question Because of religious beliefs, a client, who is an Orthodox Jew, refuses to eat hospital food. Hospital policy discourages food from outside the hospital. The nurse should next: Question 6 See full question During the evening shift on the day of a client’s bowel resection surgery, the nasogastric (NG) tube drains 500 mL of green-brown fluid. The nurse should: Question 7 See full question A client is recovering from an ileostomy that was performed to treat inflammatory bowel disease. During discharge teaching, the nurse should stress the importance of: Question 8 See full question Before an incisional cholecystectomy is performed, the nurse instructs the client in the correct use of an incentive spirometer. Why is incentive spirometry essential after surgery in the upper abdominal area? Question 9 See full question In caring for the client with hepatitis B, which situation would expose the nurse to the virus? Question 10 See full question The nurse administers fat emulsion solution during TPN as prescribed based on the understanding that this type of solution: Question 1 See full question While reviewing the admission assessment of a client scheduled for colorectal surgery, the nurse discovers that the client stopped taking medications to treat emphysema 3 months ago. What would be a priority in planning collaborative care with the respiratory therapist? Question 2 See full question A client is diagnosed with Crohn's disease after undergoing two weeks of testing. The client's employer calls the medical-surgical floor requesting to speak with the nurse-manager. He expresses concern over the client and explains that he must know the client's diagnosis for insurance purposes. Which response by the nurse is best? Question 3 See full question Thirty minutes after a Sengstaken-Blakemore tube is inserted, the nurse observes that the client appears to be having difficulty breathing. What should the nurse do first? Question 4 See full question The nurse assesses the client’s stoma during the initial postoperative period. What observation should the nurse report to the health care provider (HCP) immediately? Question 5 See full question During the first few weeks after a cholecystectomy, the client should follow a diet that includes: Question 6 See full question To prevent gastroesophageal reflux in a client with hiatal hernia, the nurse should provide which discharge instruction? Question 7 See full question A client with acute liver failure exhibits confusion, a declining level of consciousness, and slowed respirations. The nurse finds him very difficult to arouse. The diagnostic information which best explains the client's behavior is: Question 8 See full question A client has been admitted to the medical surgical unit following an emergency cholecystectomy. There is a Jackson Pratt drain with a portable suction unit attached. After 4 hours, the drainage unit is full. What should the nurse do? Question 9 See full question Which of the following client statements indicates a need for further instruction about a duodenal ulcer? Question 10 See full question A client arrives for an annual physical. During the history, the client states recurrent symptoms of heartburn, a sour taste in the mouth and hoarseness in the throat. In anticipation of client teaching, illustrate on the diagram the location of the structure which frequently enables these symptoms to occur. You Selected: • 
 



Your selection and the correct area, market by the green box. Question 1 See full question A client with acute diarrhea is requesting an as-needed medication for loose, watery stools. After reviewing the physician's orders, which medication should the nurse administer? Question 2 See full question A client diagnosed with ulcerative colitis also experiences obsessive compulsive anxiety disorder (OCD). In helping the client understand her illness, the nurse should respond with which statement? Question 3 See full question A client has had an incisional cholecystectomy. Which of the following nursing interventions has the highest priority in postoperative care for this client? Question 4 See full question A client has undergone a laparoscopic cholecystectomy. Which instruction should the nurse include in the discharge teaching? Question 5 See full question When assessing a client’s inguinal hernia, the nurse should place the client in which position? Question 6 See full question A client has a nasogastric tube inserted at the time of abdominal perineal resection with permanent colostomy. This tube will most likely be removed when the client demonstrates: Question 7 See full question A nurse is providing postprocedure instructions for a client who is to undergo a esophagogastroduodenoscopy. The nurse should begin this process: Question 8 See full question A client with nausea, vomiting, and abdominal cramps and distention is admitted to the health care facility. Which test result is most significant? Question 9 See full question Which teaching instructions by the nurse is appropriate for a client with constipation? Question 10 See full question When a client has an acute attack of diverticulitis, the nurse should first: Question 1 See full question A client with severe inflammatory bowel disease is receiving total parenteral nutrition (TPN). When administering TPN, the nurse must take care to maintain the ordered flow rate because giving TPN too rapidly may cause: Question 2 See full question While ambulating, a client who had an open cholecystectomy complains of feeling dizzy and then falls to the floor. After attending to the client, a nurse completes an incident report. Which action by the nurse should the charge nurse correct? Question 3 See full question A client is scheduled to undergo an upper gastrointestinal (GI) series. The nurse should give the client which instructions in preparation for the test? Select all that apply. Question 4 See full question A client newly diagnosed with ulcerative colitis who has been placed on steroids asks the nurse why steroids are prescribed. The nurse shuld tell the client: Question 5 See full question Which risk factor would most likely contribute to the development of a client's hiatal hernia? Question 6 See full question After gastric resection surgery, which signs alert the nurse to the development of a leaking anastomosis? Question 7 See full question A nurse is assessing a client who is receiving total parenteral nutrition (TPN). Which finding suggests that the client has developed hyperglycemia? Question 8 See full question When evaluating a client for complications of acute pancreatitis, the nurse should observe for: Question 9 See full question A nurse is caring for a client with cholelithiasis. Which sign indicates obstructive jaundice? Question 10 See full question A nurse is caring for a client 24 hours after an abdominal-perineal resection for a bowel tumor. The client's wife asks if she can bring him some of his favorite home-cooked Italian minestrone soup. What should the nurse do first? Question 1 See full question When caring for a client with nonresectable colon cancer, which nursing diagnosis requires the nurse to function collaboratively to achieve the best outcome related to client comfort? Question 2 See full question A client who had an esophageal hernia repair 4 hours ago has a pulse rate of 90 bpm, respiration rate of 16 breaths/min, blood pressure of 130/80 mm Hg, pulse oximeter of 91%, and a temperature of 100.4° F (38° C). What should the nurse do first? Question 3 See full question Postoperative nursing care for a client after an appendectomy should include: Question 4 See full question One month following a subtotal gastrectomy for cancer, the nurse is evaluating the nursing care goal related to nutrition. What indicates that the client has attained the goal? The client has: Question 5 See full question The nurse assigns an unlicensed assistive personnel (UAP) to provide care for a client with peptic ulcer disease. Concerned about possible ulcer perforation, the nurse should instruct the UAP to report to the nurse immediately if the client has: Question 6 See full question Nursing assessment of a client with peritonitis reveals hypotension, tachycardia, and signs and symptoms of dehydration. The nurse also expects to find: Question 7 See full question A nurse is caring for a client who underwent a subtotal gastrectomy 24 hours ago. Question 8 See full question A client with constipation is prescribed an irrigating enema. Which steps should the nurse take when administering an enema? Select all that apply. Question 9 See full question The nurse has an order to administer 2 oz of lactulose to a client who has cirrhosis. How many milliliters of lactulose should the nurse administer? Record your answer using a whole number. Question 10 See full question The nurse is completing a health history and physical assessment on a client admitted with esophageal varices and cirrhosis. What signs and symptoms alert the nurse to a potential internal hemorrhage? Question 1 See full question During clindamycin therapy, a nurse monitors a client for pseudomembranous colitis. This serious adverse reaction to clindamycin results from superinfection with which organism? Question 2 See full question The nurse judges that the parents of a newborn with imperforate anus know what a low defect is when they say that the rectum: Question 3 See full question After teaching the mother of an infant with pyloric stenosis about the disease, what cause, if stated by the parent, indicates effective teaching? Question 4 See full question A client with nausea, vomiting, and abdominal cramps and distention is admitted to the health care facility. Which test result is most significant? Question 5 See full question A client with a history of alcohol abuse comes to the emergency department and complains of abdominal pain. Laboratory studies help confirm a diagnosis of acute pancreatitis. The client's vital signs are stable, but the client's pain is worsening and radiating to his back. Which intervention takes priority for this client? Question 6 See full question A client with a history of peptic ulcer disease is admitted to the hospital. Initial assessment reveals that his blood pressure is 96/60 mm Hg, his pulse rate is 120 bpm, and he has vomited coffee-ground-like material. Based on this assessment, what is the nurse's priority action? Question 7 See full question When assessing a client who has been diagnosed with hepatic cirrhosis, the nurse should obtain which information when conducting a focused assessment? Select all that apply. Question 8 See full question A nurse is planning care for an adult who is hospitalized for diarrhea and dehydration. The client is receiving intravenous fluids but continues to have watery stools. The nurse reviews the intake and output record for the last 24 hours (view the chart). Which action should the nurse take? Question 9 See full question The nurse is caring for an adult client who had a gastric resection on November 4. At 1700 the following day, the client requests pain medication. The client’s health care provider has prescribed meperidine, 75 to 100 mg every 3 to 4 hours. The nurse reviews the client’s progress notes (view the chart). What should the nurse do next? Question 10 See full question A client arrives for an annual physical. During the history, the client states recurrent symptoms of heartburn, a sour taste in the mouth and hoarseness in the throat. In anticipation of client teaching, illustrate on the diagram the location of the structure which frequently enables these symptoms to occur. You Selected: 
 



Your selection and the correct area, market by the green box. Question 1 See full question Which nursing intervention should the nurse perform for a client receiving enteral feedings through a gastrostomy tube? Question 2 See full question A client has just returned from surgery for a gastrectomy. The nurse should position the client in which position? Question 3 See full question A client with acute pancreatitis has a blood pressure of 88/40 mm Hg, heart rate of 128 bpm, respirations of 28/min, and Grey Turner’s sign. What prescription should the nurse implement first? Question 4 See full question Which lifestyle modification should the nurse encourage the client with a hiatal hernia to include in activities of daily living? Question 5 See full question A client with gastroenteritis is admitted to an acute care facility and presents with severe dehydration and electrolyte imbalances. Diagnostic tests reveal the Norwalk virus as the cause of gastroenteritis. Based on this information, the nurse knows that: Question 6 See full question A surgeon is discussing surgery with a client diagnosed with colon cancer. The client is visibly shaken over the possibility of a colostomy. Based on the client's response, the surgeon should collaborate with which health team member? Question 7 See full question A physician calls the nurse for an update on his client who underwent abdominal surgery 5 hours ago. The physician asks the nurse for the total amount of drainage collected in the Hemovac since surgery. The nurse reports that according to documentation, no drainage has been recorded. When the nurse finishes on the telephone, she goes to assess the client. Which assessment finding explains the Question 8 See full question An adult client had an abdominal perineal resection with a colostomy 4 days ago and is ready for discharge. Which is an expected outcome at this point? Question 9 See full question Metoclopramide is ordered as a premedication for a client about to undergo a gastroduodenoscopy. The expected therapeutic effect is: Question 10 See full question Which of the following client statements indicates a need for further instruction about a duodenal ulcer? Question 1 See full question When the nurse is assessing the client’s abdomen, which finding best indicates that a client’s peristaltic activity is returning to normal after surgery? Question 2 See full question Which position would be appropriate for a client with severe ascites? Question 3 See full question Which symptom would the nurse most likely observe in a client with cholecystitis from cholelithiasis? Question 4 See full question A client with an esophageal stricture is about to undergo esophageal dilatation. As the bougies are passed down the esophagus, the nurse should instruct the client to do which action to minimize the vomiting urge? Question 5 See full question A client with liver and renal failure has severe ascites. On initial shift rounds, his primary nurse finds his indwelling urinary catheter collection bag too full to store more urine. The nurse empties more than 2,000 ml from the collection bag. One hour later, she finds the collection bag full again. The nurse notifies the physician, who suspects that a bladder rupture is allowing the drainage of peritoneal fluid. The physician orders a urinalysis to be obtained immediately. The presence of which substance is considered abnormal? Question 6 See full question As the nurse administers a tap water enema, the client begins to have abdominal cramping. The nurse should first: Question 7 See full question A client has had sucralfate prescribed as treatment for peptic ulcer disease. Which statement indicates that the client understands how to take the medication? Question 8 See full question The nurse is assigned a client with a nasogastric (NG) tube. What intervention will the nurse include in the client’s plan of care? Question 9 See full question A client one day post-operative cholecystectomy, reports severe pain radiating to the shoulder. What should be the first nursing action? Question 10 See full question A client arrives to the emergency department with suspected appendicitis. The admitting nurse performs an assessment. Order the following steps according to the sequence in which they are performed. All options must be used. Question 1 See full question A client with severe inflammatory bowel disease is receiving total parenteral nutrition (TPN). When administering TPN, the nurse must take care to maintain the ordered flow rate because giving TPN too rapidly may cause: Question 2 See full question An adolescent girl with severe malnutrition is admitted to an acute care facility. After a thorough examination, the physician diagnoses anorexia nervosa. When developing the care plan for this client, the nurse is most likely to include which nursing diagnosis? Question 3 See full question A nurse must administer an enema to an adult client. The appropriate depth for inserting an enema into an average-sized adult is: Question 4 See full question Which discharge instruction would be appropriate for a client who has had a laparoscopic cholecystectomy and has sutures covered by a dressing? Question 5 See full question A client with gastric cancer is having a resection. What is the nursing management priority for this client? Question 6 See full question A nurse is caring for a client who had gastric bypass surgery two days ago. Which assessment finding requires immediate intervention? Question 7 See full question What is an expected outcome for a client during the first 2 weeks who is recovering from an abdominal-perineal resection with a colostomy? The client will: Question 8 See full question A client has a newly created colostomy. After participating in a teaching session with the nurse and receiving support from the spouse, the client decides to change the colostomy pouch unaided. Which behavior suggests that the client is beginning to accept the change in body image? Question 9 See full question What would be the priority treatment of a client who has reported severe lower right quadrant pain that has now resolved? Question 10 See full question The nurse is caring for a client one day after having a colectomy. The client is lethargic and difficult to arouse; the temperature is 101.5° F (38.6° C), blood pressure 92/36 mm Hg (MAP 55), heart rate 114 with SpO2 of 88% on oxygen at 2L/min/nasal cannula (previously 94%). A saline lock has been established and is patent. Which prescription should the nurse implement first? Question 1 See full question During clindamycin therapy, a nurse monitors a client for pseudomembranous colitis. This serious adverse reaction to clindamycin results from superinfection with which organism? Question 2 See full question One month following a subtotal gastrectomy for cancer, the nurse is evaluating the nursing care goal related to nutrition. What indicates that the client has attained the goal? The client has: Question 3 See full question Which dietary measure would be useful in preventing esophageal reflux? Question 4 See full question The comatose victim of a car accident is to have a gastric lavage. Which position would be most appropriate for the client during this procedure? Question 5 See full question Before inserting a nasogastric (NG) tube in an adult client, the nurse estimates the length of tubing to insert. Identify the point on the illustration where the nurse would end the measurement. You Selected: • 
 



Your selection and the correct area, market by the green box. Question 6 See full question A 10-year-old boy is 24 hours post appendectomy. He is awake, alert, and oriented. He tells the nurse that he is experiencing pain. He has a prescription for morphine 1 to 2 mg PRN for pain. What is the priority nursing action in managing the child's pain? Question 7 See full question The nurse should assess the client who is being admitted to the hospital with upper GI bleeding for which finding? Select all that apply. Question 8 See full question A client with chronic hepatitis C is experiencing nausea, anorexia, and fatigue. During the health history the client states that he is homosexual, drinks one to two glasses of wine with dinner, is taking St. John’s Wort for a “bit of depression,” and takes acetaminophen for frequent headaches. What should the nurse do? Select all that apply. Question 9 See full question A client is admitted to the hospital with a diagnosis of cholecystitis from cholelithiasis. The client has severe abdominal pain, nausea, and has vomited 120 mL. Based on these data, which nursing action would have the highest priority at this time? Question 10 See full question The nurse is assigned a client with an nasogastric (NG) tube attached to low intermittent suction. What intervention will the nurse include in the plan of care? Question 1 See full question After a nasogastric (NG) tube has been inserted, the nurse can most accurately determine that the tube is in the proper place when: Question 2 See full question The nurse is admitting a client with acute appendicitis to the emergency department. The client has abdominal pain of 10 on a pain scale of 1 to 10. The client will be going to surgery as soon as possible. The nurse should: Question 3 See full question Postoperative nursing care for a client after an appendectomy should include: Question 4 See full question A barium enema is not prescribed as a diagnostic test for a client with diverticulitis, because a barium enema: Question 5 See full question A client with pancreatitis returns from an endoscopic retrograde cholangiopancreatography (ERCP). Which assessment would be of most concern to the nurse? Question 1 See full question A client is to be discharged from same-day surgery 7 hours after his inguinal hernia repair. Which nursing observation indicates this client is ready to be discharged? Question 2 See full question Which risk factor would most likely contribute to the development of a client's hiatal hernia? Question 3 See full question A nurse is providing postprocedure instructions for a client who is to undergo a esophagogastroduodenoscopy. The nurse should begin this process: Question 4 See full question A nurse is assessing a client who is receiving total parenteral nutrition (TPN). Which finding suggests that the client has developed hyperglycemia? Question 5 See full question Which statement indicates that the client understands the home care of a colostomy? Question 1 See full question A client newly diagnosed with ulcerative colitis who has been placed on steroids asks the nurse why steroids are prescribed. The nurse shuld tell the client: Question 2 See full question Following a gastrectomy, the nurse should postion the client in which position? Question 3 See full question The nurse would expect a client with a hiatal hernia to report that the symptoms worsen when the client is: Question 4 See full question A client has a nasogastric tube inserted at the time of abdominal perineal resection with permanent colostomy. This tube will most likely be removed when the client demonstrates: Question 5 See full question A client is admitted to the hospital for diagnostic testing to rule out colorectal cancer. Which intervention should the nurse include on the plan of care? Question 6 See full question Which nursing action is most appropriate for a client hospitalized with acute pancreatitis? Question 7 See full question A client with acute appendicitis develops a fever, tachycardia, and hypotension. Based on these findings, the nurse should further assess the client for which complication? Question 8 See full question A client reports abdominal pain and vomiting for 24 hours. The client's blood pressure is 98/48 mm Hg. The client is diagnosed with large-bowel obstruction. What is the priority nursing diagnosis for the client? Question 9 See full question The nurse is caring for an adult client who had a gastric resection on November 4. At 1700 the following day, the client requests pain medication. The client’s health care provider has prescribed meperidine, 75 to 100 mg every 3 to 4 hours. The nurse reviews the client’s progress notes (view the chart). What should the nurse do next? Question 10 See full question A client has anemia resulting from bleeding from ulcerative colitis and is to receive two units of packed red blood cells (PRBCs). The client is receiving an infusion of total parenteral nutrition (TPN). In preparing to administer the PRBCs, what should the nurse do to ensure client comfort and safety? Question 1 See full question A nurse must administer an enema to an adult client. The appropriate depth for inserting an enema into an average-sized adult is: Question 2 See full question Four months ago, the son and daughter of a client who was in a vegetative state gave consent for a feeding tube and agreed to long-term care placement. Nurses in the long-term care facility note that the son and daughter have recently become more distraught over their mother's condition. One day while visiting together, the son and daughter approach the nurse about having the feeding tube removed. Which statement by the nurse best explains the legal rights of individuals in this situation? Question 3 See full question Which is a priority focus of care for a client experiencing an exacerbation of Crohn’s disease? Question 4 See full question The client with an intestinal obstruction continues to have acute pain even though the nasoenteric tube is patent and draining. The nurse should first: Question 5 See full question Which instruction should the nurse include in the teaching plan for a client who is experiencing gastroesophageal reflux disease (GERD)? Question 6 See full question Which activity should the nurse encourage the client with a peptic ulcer to avoid? Question 7 See full question A physician orders lactulose, 30 ml three times daily, for a client with cirrhosis to treat elevated serum ammonia level. The nurse will know that this medication is effective by which of the following? Question 8 See full question Metoclopramide is ordered as a premedication for a client about to undergo a gastroduodenoscopy. The expected therapeutic effect is: Question 9 See full question A client with chronic bowel inflammation reports abdominal cramping and diarrhea for the past 4 days. The nurse would anticipate which of the following tests based on the client's concerns? Question 10 See full question Which discharge instructions would the nurse give to the client with acute pancreatitis? Select all that apply. Question 1 See full question Which task may a nurse delegate to a nursing assistant? Question 2 See full question A client has had an incisional cholecystectomy. Which of the following nursing interventions has the highest priority in postoperative care for this client? Question 3 See full question The nurse assesses a client who is receiving a tube feeding. Which situation would require prompt intervention from the nurse? Question 4 See full question One month following a subtotal gastrectomy for cancer, the nurse is evaluating the nursing care goal related to nutrition. What indicates that the client has attained the goal? The client has: Question 5 See full question Which statement indicates the client understands the lifestyle modifications required when managing ulcerative colitis? Question 6 See full question A client with appendicitis is experiencing excruciating abdominal pain. An abdominal X-ray film reveals intraperitoneal air. What should the nurse prepare the client for? Question 7 See full question A client with chronic hepatitis C is experiencing nausea, anorexia, and fatigue. During the health history the client states that he is homosexual, drinks one to two glasses of wine with dinner, is taking St. John’s Wort for a “bit of depression,” and takes acetaminophen for frequent headaches. What should the nurse do? Select all Question 8 See full question A client is in a metabolic acidosis from severe diarrhea. What assessment finding would be most concerning? Question 9 See full question What would be the priority treatment of a client who has reported severe lower right quadrant pain that has now resolved? Question 10 See full question The nurse is caring for a client one day after having a colectomy. The client is lethargic and difficult to arouse; the temperature is 101.5° F (38.6° C), blood pressure 92/36 mm Hg (MAP 55), heart rate 114 with SpO2 of 88% on oxygen at 2L/min/nasal cannula (previously 94%). A saline lock has been established and is patent. Which prescription should the nurse implement first? Question 1 See full question A nurse must provide total parenteral nutrition (TPN) to a client through a triple-lumen central line. To prevent complications of TPN, the nurse should: Question 2 See full question A client who had an esophageal hernia repair 4 hours ago has a pulse rate of 90 bpm, respiration rate of 16 breaths/min, blood pressure of 130/80 mm Hg, pulse oximeter of 91%, and a temperature of 100.4° F (38° C). What should the nurse do first? Question 3 See full question A client is to be discharged from same-day surgery 7 hours after his inguinal hernia repair. Which nursing observation indicates this client is ready to be discharged? Question 4 See full question When planning care for a client with hepatitis A, the nurse should review labororatory reports for which laboratory value? Question 5 See full question A client newly diagnosed with ulcerative colitis who has been placed on steroids asks the nurse why steroids are prescribed. The nurse shuld tell the client: Question 6 See full question Which risk factor would most likely contribute to the development of a client's hiatal hernia? Question 7 See full question A client who is recovering from a subtotal gastrectomy experiences dumping syndrome. The client asks the nurse, "When will I be able to eat three meals a day again like I used to?" Which response by the nurse is most appropriate? Question 8 See full question The nurse instructs the client on health maintenance activities to help control symptoms from a hiatal hernia. Which statement would indicate that the client has understood the instructions? Question 9 See full question A nurse is caring for a client with cirrhosis. The nurse assesses the client at noon and discovers that the client is difficult to arouse. The client's morning ammonia level is 110 mcg/dl. The nurse should suspect which situation? Question 10 See full question The nurse is caring for an adult client who had a gastric resection on November 4. At 1700 the following day, the client requests pain medication. The client’s health care provider has prescribed meperidine, 75 to 100 mg every 3 to 4 hours. The nurse reviews the client’s progress notes (view the chart). What should the nurse do next? Question 1 See full question A client with severe inflammatory bowel disease is receiving total parenteral nutrition (TPN). When administering TPN, the nurse must take care to maintain the ordered flow rate because giving TPN too rapidly may cause: Question 2 See full question Which diet would be most appropriate for the client with ulcerative colitis? Question 3 See full question Postoperative nursing care for a client after an appendectomy should include: Question 4 See full question Following a gastrectomy, the nurse should postion the client in which position? Question 5 See full question Which nursing measure would be most effective in helping the client cough and deep breathe after a cholecystectomy? Question 6 See full question The comatose victim of a car accident is to have a gastric lavage. Which position would be mostappropriate for the client during this procedure? Question 7 See full question A nurse is assessing a client who is receiving total parenteral nutrition (TPN). Which finding suggests that the client has developed hyperglycemia? Question 8 See full question A client who underwent abdominal surgery and has a nasogastric (NG) tube in place begins to complain of abdominal pain that he describes as "feeling full and uncomfortable." Which assessment should the nurse perform first? Question 9 See full question A client with pancreatitis returns from an endoscopic retrograde cholangiopancreatography (ERCP). Which assessment would be of most concern to the nurse? Question 10 See full question The nurse is preparing to administer a 75% strength tube-feeding formula. The full-strength formula is available. To prepare 500 ml of feeding, the nurse would plan to dilute how many milliliters of the full-strength formula with water? Record your answer as a whole number. [Show More]

Last updated: 1 month ago

Preview 1 out of 183 pages