CHAPTER 32-35- UNDERSTANDING
MEDICAL-SURGICAL NURSING
(REVIEW QUESTIONS) & VERIFIED
ANSWERS PASSED 100% UPDATED
VERSION
The nurse is contributing to the plan of care for a 78-year-old patient’s elimination needs. Which
of the following interventions should the nurse recommend to reduce complications due to the
aging change of slowed motility? Select all that apply.
1. Decrease ambulation.
2. Decrease fluid intake.
3. Increase dairy products.
4. Increase dietary fiber.
5. Increase activity level.
4&5
The nurse is to collect data on a patient who reports diarrhea. What data should the nurse
collect? Select all that apply.
1. Bruising
2. Consistency of stools
3. Color of stools
4. Frequency of stools
5. Antibiotic use
6. Body piercings
2, 3, 4 & 5
The nurse is to palpate the patient's abdomen during data collection. Which of the following
techniques should the nurse use?
, 1. Firmly place hands on abdomen, depressing tissues 1 to 2 inches.
2. Lightly depress the abdomen 0.5 to 1 inch.
3. Randomly feel the patient's abdomen with fingertips.
4. Light palpation must be completed by an experienced practitioner.
2
The nurse is caring for a patient who had a barium enema. Which of the following actions
should the nurse implement? Select all that apply.
1. Have patient cough and deep breathe hourly while awake.
2. Encourage fluids.
3. Monitor for return of swallow and gag reflex.
4. Maintain the patient in semi-Fowler position.
5. Keep NPO, or nothing by mouth.
6. Provide ordered laxative.
2&6
A patient is admitted with an order for a nasogastric sump tube. The nurse knows this tube is
used for which of the following purposes? Select all that apply.
1. Supplemental feeding
2. Decompression
3. Irrigation
4. Lavage
5. Gavage
6. Parenteral nutrition
2, 3 & 4
The nurse assisted with inserting a flexible feeding tube into a patient. Which of the following
actions should the nurse take to confirm tube placement?
1. Aspirate gastric contents to observe for green-colored fluid.
2. Measure the pH of secretions from tube.
3. Obtain ordered chest x-ray results.
4. Look in the back of the mouth for coiling of the tube.
MEDICAL-SURGICAL NURSING
(REVIEW QUESTIONS) & VERIFIED
ANSWERS PASSED 100% UPDATED
VERSION
The nurse is contributing to the plan of care for a 78-year-old patient’s elimination needs. Which
of the following interventions should the nurse recommend to reduce complications due to the
aging change of slowed motility? Select all that apply.
1. Decrease ambulation.
2. Decrease fluid intake.
3. Increase dairy products.
4. Increase dietary fiber.
5. Increase activity level.
4&5
The nurse is to collect data on a patient who reports diarrhea. What data should the nurse
collect? Select all that apply.
1. Bruising
2. Consistency of stools
3. Color of stools
4. Frequency of stools
5. Antibiotic use
6. Body piercings
2, 3, 4 & 5
The nurse is to palpate the patient's abdomen during data collection. Which of the following
techniques should the nurse use?
, 1. Firmly place hands on abdomen, depressing tissues 1 to 2 inches.
2. Lightly depress the abdomen 0.5 to 1 inch.
3. Randomly feel the patient's abdomen with fingertips.
4. Light palpation must be completed by an experienced practitioner.
2
The nurse is caring for a patient who had a barium enema. Which of the following actions
should the nurse implement? Select all that apply.
1. Have patient cough and deep breathe hourly while awake.
2. Encourage fluids.
3. Monitor for return of swallow and gag reflex.
4. Maintain the patient in semi-Fowler position.
5. Keep NPO, or nothing by mouth.
6. Provide ordered laxative.
2&6
A patient is admitted with an order for a nasogastric sump tube. The nurse knows this tube is
used for which of the following purposes? Select all that apply.
1. Supplemental feeding
2. Decompression
3. Irrigation
4. Lavage
5. Gavage
6. Parenteral nutrition
2, 3 & 4
The nurse assisted with inserting a flexible feeding tube into a patient. Which of the following
actions should the nurse take to confirm tube placement?
1. Aspirate gastric contents to observe for green-colored fluid.
2. Measure the pH of secretions from tube.
3. Obtain ordered chest x-ray results.
4. Look in the back of the mouth for coiling of the tube.
