A patient complaining of nausea receives a dose of metoclopramide. Which potential
adverse effect should the nurse tell the patient to report?
Tremors
Constipation
Double vision
Numbness in fingers and toes
Give this one a try later!
Tremors
A patient who has sustained severe burns in a motor vehicle accident is starting
parenteral nutrition (PN). Which principle should guide the nurse's administration of PN?
,Administration of PN requires clean technique.
Central PN requires rapid dilution in a large volume of blood.
Peripheral PN delivery is preferred over the use of a central line.
Only water-soluble medications may be added to the PN by the nurse.
Give this one a try later!
Central PN requires rapid dilution in a large volume of blood.
The patient with systemic lupus erythematosus is diagnosed with syndrome of
inappropriate antidiuretic hormone (SIADH). What should be included in the plan of care
(select all that apply.)?
Obtain weekly weights.
Limit fluids to 1000 mL/day.
Monitor for signs of hypernatremia.
Administration of diuretics as ordered.
Minimize turning and range of motion.
Keep the head of the bed at 10 degrees or less elevation.
Give this one a try later!
Limit fluids to 1000 mL/day.
Administration of diuretics as ordered.
Keep the head of the bed at 10 degrees or less elevation.
After an exploratory laparotomy, a patient on a clear liquid diet reports severe gas pains
and abdominal distention. Which action by the nurse is most appropriate?
Return the patient to NPO status.
,Place cool compresses on the abdomen.
Encourage the patient to ambulate as ordered.
Administer an as-needed dose of IV morphine sulfate.
Give this one a try later!
Encourage the patient to ambulate as ordered.
The nurse performs a detailed assessment of the abdomen of a patient with a possible
bowel obstruction, knowing that manifestations of an obstruction in the large intestine
are (select all that apply)
a. persistent abdominal pain.
b. marked abdominal distention.
c. diarrhea that is loose or liquid.
d. colicky, severe, intermittent pain.
e. profuse vomiting that relieves abdominal pain.
Give this one a try later!
a. persistent abdominal pain.
b. marked abdominal distention.
The nurse is preparing to administer famotidine to a postoperative patient with a
colostomy. The patient states they do not have heartburn. What response by the nurse
would be the most appropriate?
"It will reduce the amount of acid in the stomach."
"It will prevent air from accumulating in the stomach, causing gas pains."
, "It will prevent the heartburn that occurs as a side effect of general anesthesia."
"The stress of surgery is likely to cause stomach bleeding if you do not receive it."
Give this one a try later!
"It will reduce the amount of acid in the stomach."
A patient with an intestinal obstruction has a nasogastric (NG) tube to suction but
complains of nausea and abdominal distention. The nurse irrigates the tube as necessary
as ordered, but the irrigating fluid does not return. What should be the priority action by
the nurse?
Notify the physician.
Auscultate for bowel sounds.
Reposition the tube and check for placement.
Remove the tube and replace it with a new one.
Give this one a try later!
Reposition the tube and check for placement.
A patient with suspected bowel obstruction had a nasogastric tube inserted at 4:00 AM.
The nurse shares in the morning report that the day shift staff should check the tube for
patency at what times?
7:00 AM, 10:00 AM, and 1:00 PM
8:00 AM, 12:00 PM, and 4:00 PM
9:00 AM and 3:00 PM
9:00 AM, 12:00 PM, and 3:00 PM
adverse effect should the nurse tell the patient to report?
Tremors
Constipation
Double vision
Numbness in fingers and toes
Give this one a try later!
Tremors
A patient who has sustained severe burns in a motor vehicle accident is starting
parenteral nutrition (PN). Which principle should guide the nurse's administration of PN?
,Administration of PN requires clean technique.
Central PN requires rapid dilution in a large volume of blood.
Peripheral PN delivery is preferred over the use of a central line.
Only water-soluble medications may be added to the PN by the nurse.
Give this one a try later!
Central PN requires rapid dilution in a large volume of blood.
The patient with systemic lupus erythematosus is diagnosed with syndrome of
inappropriate antidiuretic hormone (SIADH). What should be included in the plan of care
(select all that apply.)?
Obtain weekly weights.
Limit fluids to 1000 mL/day.
Monitor for signs of hypernatremia.
Administration of diuretics as ordered.
Minimize turning and range of motion.
Keep the head of the bed at 10 degrees or less elevation.
Give this one a try later!
Limit fluids to 1000 mL/day.
Administration of diuretics as ordered.
Keep the head of the bed at 10 degrees or less elevation.
After an exploratory laparotomy, a patient on a clear liquid diet reports severe gas pains
and abdominal distention. Which action by the nurse is most appropriate?
Return the patient to NPO status.
,Place cool compresses on the abdomen.
Encourage the patient to ambulate as ordered.
Administer an as-needed dose of IV morphine sulfate.
Give this one a try later!
Encourage the patient to ambulate as ordered.
The nurse performs a detailed assessment of the abdomen of a patient with a possible
bowel obstruction, knowing that manifestations of an obstruction in the large intestine
are (select all that apply)
a. persistent abdominal pain.
b. marked abdominal distention.
c. diarrhea that is loose or liquid.
d. colicky, severe, intermittent pain.
e. profuse vomiting that relieves abdominal pain.
Give this one a try later!
a. persistent abdominal pain.
b. marked abdominal distention.
The nurse is preparing to administer famotidine to a postoperative patient with a
colostomy. The patient states they do not have heartburn. What response by the nurse
would be the most appropriate?
"It will reduce the amount of acid in the stomach."
"It will prevent air from accumulating in the stomach, causing gas pains."
, "It will prevent the heartburn that occurs as a side effect of general anesthesia."
"The stress of surgery is likely to cause stomach bleeding if you do not receive it."
Give this one a try later!
"It will reduce the amount of acid in the stomach."
A patient with an intestinal obstruction has a nasogastric (NG) tube to suction but
complains of nausea and abdominal distention. The nurse irrigates the tube as necessary
as ordered, but the irrigating fluid does not return. What should be the priority action by
the nurse?
Notify the physician.
Auscultate for bowel sounds.
Reposition the tube and check for placement.
Remove the tube and replace it with a new one.
Give this one a try later!
Reposition the tube and check for placement.
A patient with suspected bowel obstruction had a nasogastric tube inserted at 4:00 AM.
The nurse shares in the morning report that the day shift staff should check the tube for
patency at what times?
7:00 AM, 10:00 AM, and 1:00 PM
8:00 AM, 12:00 PM, and 4:00 PM
9:00 AM and 3:00 PM
9:00 AM, 12:00 PM, and 3:00 PM
