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PRACTICE I)
A patient is scheduled for an upper GI series. Which information is most
important for the nurse to obtain before the procedure?
a. Allergy to shellfish
b. Last bowel movement
c. Time the enema was administered
d. Any difficulty swallowing - ANSWERS-d
Which discharge instruction does the nurse provide to the patient following
a colonoscopy?
a. Some discomfort and bleeding are normal postprocedure.
b. Return to the emergency room if you experience abdominal cramping.
c. Do not drive or operate heavy machinery for 12 hours postprocedure.
d. Return to your normal bowel pattern immediately postprocedure. -
ANSWERS-c
Select the most appropriate goal for a patient experiencing diarrhea related
to antibiotic use:
a. the patient will return to previous elimination pattern.
b. the patient will increase intake of grains, rice, and cereals.
c. the patient will discontinue antibiotic use.
,d. the patient will increase fluid intake. - ANSWERS-d
What would be included in teaching for a patient who will be discharged
with a prescription for a laxative?
a. Calling the health care provider if nausea, vomiting, or abdominal pain
occurs
b. Continuing use of laxatives to encourage bowel evacuation
c. Adding regular exercise, sufficient fluids, and regular defecation habits to
his/her routine
d. Knowing the difference between laxatives and cathartics - ANSWERS-c
The nursing instructor is teaching information about constipation in the
elderly. Which statement from the student indicates a need for further
instruction on this topic?
a. Patients receiving tube feedings often experience constipation.
b. Poor fluid intake and inability to eat a high-fiber diet often cause
constipation.
c. Patients with impaired mobility may experience constipation.
d. Medications commonly taken by elders often contribute to constipation. -
ANSWERS-a
Prior to discharge, the nurse teaches the patient the proper techniques for
applying an ostomy pouch. When evaluating the teaching, the nurse
observes the patient apply a new ostomy pouch without cleansing the skin
underneath. What actions would the nurse implement following this
patient's return demonstration? (Select all that apply.)
a. Repeat the demonstration to show the patient how to clean the ostomy
site.
b. Document that the patient performed the initial return demonstration
accurately and safely.
, c. Offer positive reinforcement regarding the need to cleanse the site to
prevent skin breakdown below the appliance.
d. Discharge the patient with written instructions and illustrations that
demonstrate the correct procedure.
e. Notify the health care provider that a repeat demonstration of the ostomy
appliance procedure is needed. - ANSWERS-a,c,d
A patient with an indwelling catheter reports a need to void. What is the
priority intervention for the nurse to perform?
a. Check to see if the catheter is patent.
b. Reassure the patient that it is not possible to void while catheterized.
c. Catheterize the patient again with a larger gauge catheter.
d. Notify the primary care provider. - ANSWERS-a
Which nursing instruction is correct when a urine specimen is collected for
culture and sensitivity testing from a patient without a urinary catheter?
a. Tell the patient to void and pour the urine into a labeled specimen
container.
b. Ask the patient to void first into the toilet, stop midstream, and finish
voiding into the sterile specimen container.
c. Instruct the patient to discard the first void and collect the next void for
the specimen.
d. Have the patient keep all voided urine for 24 hours in a chilled, opaque
collection container. - ANSWERS-b
A female patient has had frequent urinary tract infections. Which statement
by the patient indicates that the nurse's teaching on prevention has been
effective?
a. "I will limit my fluid intake to 40 ounces per day."