AND VERIFIED ANSWER; 100% CORRECT
A 16-year-old presents at the emergency department reporting
right lower quadrant pain and is subsequently diagnosed with
appendicitis. When planning this client's nursing care, the nurse
should prioritize what nursing diagnosis?
A) Imbalanced Nutrition: Less Than Body Requirements Related
to Decreased Oral Intake
B) Risk for Infection Related to Possible Rupture of Appendix
C) Constipation Related to Decreased Bowel Motility and
Decreased Fluid Intake
D) Chronic Pain Related to Appendicitis - correct answer-
B) Risk for Infection Related to Possible Rupture of Appendix
A 35-year-old male client presents at the emergency department
with symptoms of a small bowel obstruction. In collaboration
with the primary provider, what intervention should the nurse
prioritize?
A) Insertion of a nasogastric tube
B) Insertion of a central venous catheter
C) Administration of a mineral oil enema
,D) Administration of a glycerin suppository and an oral laxative -
correct answer- A) Insertion of a nasogastric tube
A client admitted with acute diverticulitis has experienced a
sudden increase in temperature and reports a sudden onset of
exquisite abdominal tenderness. The nurse's rapid assessment
reveals that the client's abdomen is uncharacteristically rigid on
palpation. What is the nurse's best response?
A) Administer a Fleet enema as prescribed and remain with the
client.
B) Contact the primary provider promptly and report these signs
of perforation.
C) Position the client supine and insert an NG tube.
D)
Page the primary provider and report that the client may be
obstructed. - correct answer- B) Contact the primary
provider promptly and report these signs of perforation.
A client admitted with inflammatory bowel disease asks the
nurse for help with menu selections. What menu selection is
most likely the best choice for this client?
A) Spinach
, B) Tofu
C) Multigrain bagel
D) Blueberries - correct answer- B) Tofu
A client has been diagnosed with a small bowel obstruction and
has been admitted to the medical unit. The nurse's care should
prioritize which of the following outcomes?
A) Preventing infection
B) Maintaining skin and tissue integrity
C) Preventing nausea and vomiting
D) Maintaining fluid and electrolyte balance - correct
answer- D) Maintaining fluid and electrolyte balance
A client has been experiencing occasional episodes of
constipation and has been unable to achieve consistent relief by
increasing physical activity and improving his diet. When
introducing the client to the use of laxatives, what teaching
should the nurse emphasize?
A) The effect of laxatives on electrolyte levels
B) The underlying causes of constipation