NURS 1102 Passpoint gastrointestinal correct Answers provided100%

NURS 1102 Passpoint gastrointestinal Question 1 See full question A nurse is caring for a client with gastroenteritis. The nurse administers an as­needed dose of kaolin and pectin mixture as ordered. The nurse should complete which assessment 30 minutes after administering the medication? You Selected: • Perform a pain assessment. Correct response: • Determine if the client has had any more loose stools. Explanation: Question 2 See full question A client has had a nasogastric tube connected to low intermittent suction. The client is at risk for: You Selected: • muscle cramping. Correct response: • muscle cramping. Explanation: Remediation: 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. You Selected: • Monitor vital signs once a shift. • Weigh the client daily. • Monitor the IV infusion rate hourly. Correct response: • Weigh the client daily. • Monitor the IV infusion rate hourly. • Tape all IV tubing connections securely.Explanation: Remediation: Question 4 See full question A client with peptic ulcer disease is taking ranitidine. What is the expected outcome of this drug? You Selected: • Reduce acid concentration. Correct response: • Limit gastric acid secretion. Explanation: Remediation: Question 5 See full question The nurse develops a plan of care for a client with a t­tube. Which nursing intervention should be included? You Selected: • Inspect skin around the t­tube daily for irritation. Correct response: • Inspect skin around the t­tube daily for irritation. Explanation: Remediation: 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: You Selected: • learn to self­administer enteral feedings every 4 hours. Correct response: • maintain adequate nutrition through oral or parenteral feedings. Explanation: Remediation: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? You Selected: • Administering morphine I.V. as ordered Correct response: • Administering morphine I.V. as ordered Explanation: Remediation: 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 magnesium­based antacids? You Selected: • constipation Correct response: • diarrhea Explanation: Remediation: 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. You Selected:• Your selection and the correct area, market by the green box. Explanation: Remediation: 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: You Selected: • “The treatment is complex. There are new antiviral drugs available that may make treatment more effective and help you tolerate it better.” Correct response: “The treatment is complex. There are new antiviral drugs available that may make treatment more effective and help you tolerate it better.” Queston 1 See full queston A nurse is caring for a client who just had an appendectomy. The client is receiving opioid analgesics routnely for pain. The nurse should focus her follow-up assessment on which complicaton? You Selected:  Diarrhea Correct response:  Constpaton Explanaton: Remediaton:Queston 2 See full queston A physician orders morphine for a client who complains of postoperatve abdominal pain. For maximum pain relief, when should the nurse antcipate administering morphine? You Selected:  Before the pain becomes severe Correct response:  Before the pain becomes severe Explanaton: Remediaton: Queston 3 See full queston The nurse is checking the client's chart for possible contraindicatons, before administering meperidine, 50 mg I.M., to a client with pain afer an appendectomy. The nurse should hold the meperidine when she sees an order for what type of drug? You Selected:  An antbiotc Correct response:  A monoamine oxidase (MAO) inhibitor Explanaton: Remediaton: Queston 4 See full queston A client is scheduled to undergo an exploratory laparoscopy. The registered nurse (RN) asks the licensed practcal nurse (LPN) to prepare the client for surgery. The RN must confrm that the LPN has specialized training before delegatng which task? You Selected:  Weighing the client Correct response:  Initatng I.V. therapy, as ordered Explanaton: Queston 5 See full questonA 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? You Selected:  Read the consent form to the client and ask him if he has any questons. Correct response:  Read the consent form to the client and ask him if he has any questons. Explanaton: Remediaton: Queston 6 See full queston The nurse assesses a client with divertculits and suspects peritonits when which of the following symptoms is noted? You Selected:  rigid abdominal wall Correct response:  rigid abdominal wall Explanaton: Remediaton: Queston 7 See full queston A nurse is assessing a client who has a potental diagnosis of pancreatts. Which risk factors predispose the client to pancreatts? Select all that apply. You Selected:  excessive alcohol use  hypertension  gallstones Correct response:  excessive alcohol use  gallstones  abdominal trauma  hyperlipidemia with excessive triglyceridesExplanaton: Remediaton: Queston 8 See full queston The nurse administers a tap water enema to a client. While the soluton is being infused, the client has abdominal cramping. What should the nurse do frst? You Selected:  Clamp the tubing, and carefully withdraw the tube. Correct response:  Temporarily stop the infusion, and have the client take deep breaths. Explanaton: Remediaton: Queston 9 See full queston A client's abdominal incision eviscerates. The nurse should frst: You Selected:  cover the incision with a dressing moistened with sterile normal saline soluton. Correct response:  cover the incision with a dressing moistened with sterile normal saline soluton. Explanaton: Remediaton: Queston 10 See full queston Prochlorperazine is prescribed postoperatvely. The nurse should evaluate the drug's therapeutc effect when the client expresses relief from: You Selected:  abdominal distenton. Correct response:  nausea. Explanaton: Remediaton: Queston 11 See full questonThe nurse notes that a client with acute pancreatts occasionally experiences muscle twitching and jerking. How should the nurse interpret the signifcance of these symptoms? You Selected:  The client is experiencing a reacton to meperidine. Correct response:  The client may be developing hypocalcemia. Explanaton: Remediaton: Queston 12 See full queston The nurse monitors a client with cirrhosis for the development of hepatc encephalopathy. Which would be an indicaton that hepatc encephalopathy is developing? You Selected:  decreased mental status Correct response:  decreased mental status Explanaton: Remediaton: Queston 13 See full queston 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? You Selected:  her job as a schoolteacher Correct response:  three vaginal delivery pregnancies Explanaton: Remediaton: Queston 14 See full queston A client who has a history of Crohn's disease is admited to the hospital with fever, diarrhea, cramping, abdominal pain, and weight loss. The nurse should monitor the client for: You Selected: hypokalemia. Correct response:  hypokalemia. Explanaton: Remediaton: Queston 15 See full queston The nurse should teach the client with divertculits to integrate which measure into a daily routne at home? You Selected:  using enemas to relieve constpaton Correct response:  refraining from straining and lifing actvites Explanaton: Remediaton: Queston 16 See full queston Which instructon should the nurse include in the teaching plan for a client who is experiencing gastroesophageal reflux disease (GERD)? You Selected:  Limit caffeine intake to two cups of coffee per day. Correct response:  Do not lie down for 2 hours afer eatng. Explanaton: Remediaton: Queston 17 See full queston The nurse determines that a client’s abdominal wound has eviscerated. What should the nurse do frst? You Selected:  Reinsert the protruding viscera into the abdominal cavity. Correct response:  Cover the wound with sterile saline-moistened dressings.Explanaton: Remediaton: Queston 18 See full queston A client has been hospitalized with pancreatts for 3 days. The nurse assesses the client and documents the accompanying results. The nurse realizes these fndings are a manifestaton of what sign? You Selected:  Cullen's sign Correct response:  Cullen's sign Explanaton: Remediaton: Queston 19 See full queston The client with a peptc ulcer is prescribed antbiotcs and bismuth salts. The nurse explains that this combinaton of medicatons will: You Selected:  eradicate the Helicobacter pylori bacteria. Correct response:  eradicate the Helicobacter pylori bacteria. Explanaton: Remediaton: Queston 20 See full queston A client develops chronic pancreatts. What would be the appropriate home diet for a client with chronic pancreatts? You Selected:  a low-protein, high-fber diet distributed over four to fve moderate-sized meals daily Correct response:  A low-fat, bland diet distributed over fve to six small meals daily Explanaton: Remediaton: Queston 21 See full questonWhich nursing recommendaton is most appropriate for a client to decrease discomfort from hemorrhoids? You Selected:  Use warm sitz baths. Correct response:  Use warm sitz baths. Explanaton: Remediaton: Queston 22 See full queston Which statement indicates the client understands the lifestyle modifcatons required when managing ulceratve colits? You Selected:  ”I will have to stop smoking.” Correct response:  ”I will have to stop smoking.” Explanaton: Remediaton: Queston 23 See full queston 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: You Selected:  discuss the situaton and possible courses of acton with the diettan and the client. Correct response:  discuss the situaton and possible courses of acton with the diettan and the client. Explanaton: Remediaton: Queston 24 See full queston A client has been diagnosed with cirrhosis. When obtaining a health history, the nurse should specifcally determine if the client takes? You Selected: Cimetdine. Correct response:  Acetaminophen. Explanaton: Remediaton: Queston 25 See full queston The nurse monitors IV replacement therapy for a client with a nasogastric (NG) tube atached to low sucton in order to: You Selected:  promote urinaton. Correct response:  maintain fluid and electrolyte balance. Explanaton: Remediaton: Queston 26 See full queston The nurse assigns an unlicensed assistve personnel (UAP) to provide care for a client with peptc ulcer disease. Concerned about possible ulcer perforaton, the nurse should instruct the UAP to report to the nurse immediately if the client has: You Selected:  constpaton. Correct response:  severe abdominal pain. Explanaton: Remediaton: Queston 27 See full queston The nurse is assessing a client’s abdominal incision 48 hours afer surgery. Which fnding indicates that the wound is inflamed? You Selected:  Serous-sanguineous drainage is noted from the wound drain. Correct response: Localized warmth over the incisional area. Explanaton: Remediaton: Queston 28 See full queston A nurse is assessing a client who reports abdominal pain, nausea, and diarrhea. The nurse knows that palpatng the abdomen frst would: You Selected:  make it easier to hear the bowel sounds in all four quadrants. Correct response:  alter abdominal sounds from baseline. Explanaton: Remediaton: Queston 29 See full queston A client with a recent history of rectal bleeding is being prepared for a colonoscopy. Initally. The nurse knows that positoning the client lying on his/her lef side with the knees bent is an appropriate interventon. The nurse recognizes that this positon will: You Selected:  allow for proper visualizaton of the small intestne. Correct response:  allow proper visualizaton of the large intestne. Explanaton: Remediaton: Queston 30 See full queston A client is admited for suspected GI disease. Assessment data reveal muscle wastng, a decrease in chest and axillary hair, and increased bleeding tendency. The nurse suspects the client has: You Selected:  appendicits. Correct response:  cirrhosis. Explanaton:Remediaton: Queston 31 See full queston A client with a peptc ulcer is about to begin a therapeutc regimen that includes a bland diet, antacids, and famotdine. Before the client is discharged, the nurse should provide which instructon? You Selected:  "Increase your intake of fluids containing caffeine." Correct response:  "Avoid aspirin and products that contain aspirin." Explanaton: Remediaton: Queston 32 See full queston The nurse is caring for a client with cirrhosis. Which assessment fndings indicate that the client has defcient vitamin K absorpton caused by this hepatc disease? You Selected:  Gynecomasta and testcular atrophy Correct response:  Purpura and petechiae Explanaton: Remediaton: Queston 33 See full queston A client is admited to the hospital for diagnostc testng to rule out colorectal cancer. Which interventon should the nurse include on the plan of care? You Selected:  Test all stools for occult blood. Correct response:  Test all stools for occult blood. Explanaton: Remediaton: Queston 34 See full questonA nurse is caring for a client with actve upper GI bleeding. What is the appropriate diet for this client during the frst 24 hours afer admission? You Selected:  Increased dairy products Correct response:  Nothing by mouth Explanaton: Remediaton: Queston 35 See full queston A nurse is teaching an elderly client about developing good bowel habits. Which statement by the client indicates to the nurse that additonal teaching is required? You Selected:  "I should try to drink twice as much water as I am now." Correct response:  "I need to use laxatves regularly to prevent constpaton." Explanaton: Remediaton: Queston 36 See full queston A nurse is monitoring a client recovering from moderate sedaton that was administered during a colonoscopy. Which fnding requires the nurse's immediate atenton? You Selected:  Oxygen saturaton (SaO2) of 89% Correct response:  Oxygen saturaton (SaO2) of 89% Explanaton: Remediaton: Queston 37 See full queston 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? You Selected: Serve the client a regular diet. Correct response:  Encourage plenty of fluids. Explanaton: Remediaton: Queston 38 See full queston A client is scheduled for an ileostomy. Which would be most helpful in preparing the client psychologically for the surgery? You Selected:  Encourage the client to ask questons about managing an ileostomy. Correct response:  Provide a brief, thorough explanaton of all preoperatve and postoperatve procedures. Explanaton: Remediaton: Queston 39 See full queston A nurse is giving instructons to a client with a new colostomy. The client states, “I am so tred today; I just cannot think.” The nurse should: You Selected:  reschedule the appointment at a tme when the client is rested. Correct response:  reschedule the appointment at a tme when the client is rested. Explanaton: Queston 40 See full queston A client with chronic hepatts C is experiencing nausea, anorexia, and fatgue. 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. You Selected:  Encourage the client to obtain sufcient rest.  Instruct the client to ask the health care provider (HCP) about taking any other medicatons as they may interact with medicatons the client is currently taking. Instruct the client that the wine with meals can be benefcial for cardiovascular health. Correct response:  Instruct the client to ask the health care provider (HCP) about taking any other medicatons as they may interact with medicatons the client is currently taking.  Advise the client of the need for additonal testng for HIV.  Encourage the client to obtain sufcient rest. Explanaton: Remediaton: Queston 41 See full queston A client is suspected of having a slow gastrointestnal bleed. The nurse should evaluate the client for which sign? You Selected:  tarry stools Correct response:  tarry stools Explanaton: Remediaton: Queston 42 See full queston The health care provider prescribes sulfasalazine for the client with ulceratve colits. Which instructon should the nurse give the client about taking this medicaton? You Selected:  Take it with a full glass (240 mL) of water. Correct response:  Take it with a full glass (240 mL) of water. Explanaton: Remediaton: Queston 43 See full queston A client has been diagnosed with an intestnal obstructon and has a nasogastric tube set to low contnuous sucton. Which acid-base disturbance is this client at risk for developing? You Selected: Respiratory alkalosis Correct response:  Metabolic alkalosis Explanaton: Remediaton: Queston 44 See full queston The nurse is aware that client teaching has been effectve about the potental toxic reactons to a vitamin B12 injecton by the following statement. Select all that apply. You Selected:  "I will need to check with my physician about contnued use."  "Vitamin B12 is generally free of toxicity because it is water soluble."  "Vitamin B12 will cause ringing in the ears before a toxic level is reached." Correct response:  "I may be asked to remain in the clinic for 30 minutes afer my frst injecton."  "I will need to check with my physician about contnued use."  "Vitamin B12 is generally free of toxicity because it is water soluble." Explanaton: Queston 45 See full queston A nurse is administering medicatons to a client diagnosed with hepatts B. When the nurse hands the client his/her medicatons, the client says, "I would rather not take that pill or any others. I know there is no cure for hepatts 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. You Selected:  "I'm going to let the physician talk to you."  "You seem frustrated. Would you like to talk?"  "You can lead a long and fairly healthy life if you are compliant with your medicatons." Correct response:  "You can lead a long and fairly healthy life if you are compliant with your medicatons."  "You seem frustrated. Would you like to talk?" "You have the right to refuse any medicatons. Would you like to discuss your feelings about this disease?" Explanaton: Queston 46 See full queston A client diagnosed with peptc ulcer disease (PUD) has an H. pylori infecton. The client is following a 2- week drug regimen that includes clarithromycin along with omeprazole and amoxicillin. The nurse should instruct the client to: You Selected:  take the drugs for the entre 2-week period. Correct response:  take the drugs for the entre 2-week period. Explanaton: Queston 47 See full queston 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. You Selected:  Lie down afer consuming each meal for 30 min.  Use over-the-counter (OTC) antsecretory agents rather than prescriptons.  Avoid beverages that contain caffeine. Correct response:  Avoid a diet high in faty foods.  Avoid beverages that contain caffeine.  Avoid all alcoholic beverages. Explanaton: Queston 48 See full queston A client had a colon resecton yesterday. The client’s hemoglobin was 14.1 g/dL yesterday and today it is 7.2 g/dl. The client’s oxygen saturaton is 87%. Afer reviewing the chart (see chart) and notfying the health care provider (HCP), the nurse should frst: You Selected:  Increase the saline infusion to 150 gts/hour.Correct response:  Administer oxygen at 2 liters per minute. Explanaton: Queston 49 See full queston When a client has an acute atack of divertculits, the nurse should frst: You Selected:  encourage the client to drink a glass of water every 2 hr. Correct response:  assess the client for signs of peritonits. Explanaton: Remediaton: Queston 50 See full queston The nurse is caring for a client recently diagnosed with hepatts C. In reviewing the client’s history, what informaton will be most helpful as the nurse develops a teaching plan? The client: You Selected:  has a known history of sexually transmited disease. Correct response:  has a known history of sexually transmited disease. Queston 1 See full queston For a client who must undergo colon surgery, the physician orders preoperatve cleansing enemas and neomycin. The ratonale for neomycin use in this client is to: You Selected:  increase the intestnal bacteria count. Correct response:  decrease the intestnal bacteria count. Explanaton: Remediaton: Queston 2 See full queston A nurse preceptor is working with a student nurse who is administering medicatons. Which statement by the student indicates an understanding of the acton of an antacid?You Selected:  "The acton occurs in the small intestne, where the drug coats the lining and prevents further ulceraton." Correct response:  "The acton occurs in the stomach by increasing the pH of the stomach contents and decreasing pepsin actvity." Explanaton: Queston 3 See full queston An enterostomy nurse is providing an in-service session on caring for colostomies. Which statement by a nurse indicates the need for further teaching? You Selected:  "I can place an odor-relieving tablet in the bag when changing the appliance to reduce odors." Correct response:  "I can make a small pin hole in the bag to let the gas out, so I don't have to change the appliance frequently." Explanaton: Remediaton: Queston 4 See full queston A graduate nurse and her preceptor are establishing priorites for their morning assessments. Which client should they assess frst? You Selected:  The sleeping client who received pain medicaton 1 hour ago Correct response:  The newly admited client with acute abdominal pain Explanaton: Queston 5 See full queston A client with a history of alcohol abuse was admited with bleeding esophageal varices. Afer several days of treatment, the client is ready for discharge. The nurse enters the client's room to review discharge instructons with the client when he tells the nurse that he wants help to quit drinking. How should the nurse respond? You Selected:  "Let me fnish reviewing your discharge instructons, then we can discuss your concerns."Correct response:  "I'll notfy your physician and call the social worker so she can discuss treatment optons with you." Explanaton: Remediaton: Queston 6 See full queston A client with esophageal cancer decides against placement of a jejunostomy tube. Which ethical principle is a nurse upholding by supportng the client's decision? You Selected:  Nonmalefcence Correct response:  Autonomy Explanaton: Queston 7 See full queston 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: You Selected:  have the client sign the form and ask the physician explain the procedure again. Correct response:  notfy the physician that the client doesn't understand the procedure. Explanaton: Remediaton: Queston 8 See full queston A client diagnosed with ulceratve colits also experiences obsessive compulsive anxiety disorder (OCD). In helping the client understand her illness, the nurse should respond with which statement? You Selected:  "It is possible that your desire to have everything be perfect has caused stress that may have worsened your colits, but there is no proof that either disorder caused the other." Correct response:  "It is possible that your desire to have everything be perfect has caused stress that may have worsened your colits, but there is no proof that either disorder caused the other."Explanaton: Remediaton: Queston 9 See full queston When giving a client a tube feeding, the nurse should: You Selected:  verify positon of the tube before beginning feeding. Correct response:  verify positon of the tube before beginning feeding. Explanaton: Remediaton: Queston 10 See full queston A client is admited with acute pancreatts. The nurse should monitor which laboratory values? You Selected:  increased serum amylase and lipase levels Correct response:  increased serum amylase and lipase levels Explanaton: Remediaton: Queston 11 See full queston Afer teaching the parents of a child with lactose intolerance about the disorder, the nurse determines that the teaching was effectve when the mother used which statement to describe the conditon? You Selected:  "Inability to digest fats completely." Correct response:  "The lack of an enzyme to break down lactose." Explanaton: Remediaton: Queston 12 See full queston The nurse measures the amount of bile drainage from a t-tube and records it by which method?You Selected:  subtractng it from the total intake for each day Correct response:  chartng it separately on the output record Explanaton: Remediaton: Queston 13 See full queston The nurse should monitor the client with acute pancreatts for which complicaton? You Selected:  heart failure Correct response:  pneumonia Explanaton: Remediaton: Queston 14 See full queston Which fnding is normal for a client during the icteric phase of hepatts A? You Selected:  shortness of breath Correct response:  yellowed sclera Explanaton: Remediaton: Queston 15 See full queston The nurse is reviewing the chart informaton for a client with increased ascites. The data include the following: temperature 98.9° F (37.2° C), heart rate 118 bpm, shallow respiratons 26/min, blood pressure 128/76 mm Hg, and SpO2 89% on room air. The nurse should frst: You Selected:  assess heart sounds. Correct response: raise the head of the bed. Explanaton: Queston 16 See full queston 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 frst? You Selected:  Provide parenteral rehydraton therapy as prescribed. Correct response:  Provide parenteral rehydraton therapy as prescribed. Explanaton: Remediaton: Queston 17 See full queston A client has been taking aluminum hydroxide 30 ml six tmes per day at home to treat his peptc ulcer. He tells the nurse that he has been unable to have a bowel movement for 3 days. Based on this informaton, the nurse would determine that the most likely cause of the client's constpaton is because the client: You Selected:  has not been including enough fber in his diet. Correct response:  is experiencing an adverse effect of the aluminum hydroxide. Explanaton: Remediaton: Queston 18 See full queston 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? You Selected:  heartburn Correct response:  heartburn Explanaton: Remediaton:Queston 19 See full queston In developing a teaching plan for the client with a hiatal hernia, the nurse's assessment of which workrelated factors would be most useful? You Selected:  body mechanics used in lifing Correct response:  body mechanics used in lifing Explanaton: Remediaton: Queston 20 See full queston When preparing a client for a scheduled colonoscopy, the nurse should tell the client that this procedure will involve: You Selected:  administering an antbiotc to decrease the risk of infecton. Correct response:  cleansing the bowel with laxatves or enemas. Explanaton: Remediaton: Queston 21 See full queston Which outcome is expected for a client who has undergone surgical repair of an inguinal hernia? You Selected:  The client will remain on a sof diet untl the wound is healed. Correct response:  The client will verbalize understanding of instructons to avoid lifing for 2 to 6 weeks afer surgery. Explanaton: Remediaton: Queston 22 See full queston The client who is in Buck’s tracton is constpated. A plan of care that incorporates which breakfast would be most helpful in reestablishing a normal bowel routne?You Selected:  orange juice, breakfast pastries (doughnut and Danish), and coffee Correct response:  an orange, raisin bran and milk, and wheat toast with buter Explanaton: Remediaton: Queston 23 See full queston When admitng an elderly client for nausea and vomitng that has lasted for 3 days, the nurse should assess for which clinical fndings? You Selected:  bradycardia Correct response:  poor skin turgor Explanaton: Remediaton: Queston 24 See full queston A nurse is teaching a client with malabsorpton 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 digeston are absorbed mainly in the: You Selected:  small intestne. Correct response:  small intestne. Explanaton: Remediaton: Queston 25 See full queston During preparaton for bowel surgery, a client receives an antbiotc to reduce intestnal bacteria. The nurse knows that hypoprothrombinemia may occur as a result of antbiotc therapy. Which of the following vitamins would be affected by this? You Selected:  Vitamin ECorrect response:  Vitamin K Explanaton: Remediaton: Queston 26 See full queston When assessing a client during a routne checkup, the nurse reviews the history and notes that the client had aphthous stomatts at the tme of the last visit. Aphthous stomatts is best described as: You Selected:  acid indigeston. Correct response:  a canker sore of the oral sof tssues. Explanaton: Remediaton: Queston 27 See full queston A client is diagnosed with a hiatal hernia. Which statement indicates effectve client teaching about hiatal hernia and its treatment? You Selected:  "I'll eat three large meals every day without any food restrictons." Correct response:  "I'll eat frequent, small, bland meals that are high in fber." Explanaton: Remediaton: Queston 28 See full queston A client with dysphagia is being prepared for discharge. Which outcome indicates that the client is ready for discharge? You Selected:  The client has normal gastric structures. Correct response:  The client is free from esophagits and achalasia. Explanaton:Remediaton: Queston 29 See full queston A nurse on a medical surgical unit is assessing a client and obtains the following fndings: abdominal discomfort, mild diarrhea, and a temperature of 100° F (37.8° C). The nurse suspects that these are symptoms ofen associated with: You Selected:  divertculits. Correct response:  inflammatory bowel disease (IBD). Explanaton: Queston 30 See full queston When caring for a client with acute pancreatts, the nurse should use which comfort measure? You Selected:  Administering an analgesic once per shif, as ordered, to prevent drug addicton Correct response:  Positoning the client on the side with the knees flexed Explanaton: Remediaton: Queston 31 See full queston A nurse is caring for a client immediately following an appendectomy. The nurse should assign which nursing diagnosis the highest priority? You Selected:  Acute pain Correct response:  Acute pain Explanaton: Remediaton: Queston 32 See full queston Which client requires immediate nursing interventon? The client who: You Selected: presents with a rigid, boardlike abdomen. Correct response:  presents with a rigid, boardlike abdomen. Explanaton: Remediaton: Queston 33 See full queston A male client has just had an inguinal herniorrhaphy. Which instructon would be most appropriate to include in the discharge plan? You Selected:  Turn, cough, and deep breathe every 2 hours. Correct response:  Apply an ice bag to the scrotum. Explanaton: Remediaton: Queston 34 See full queston A 4-year-old with a history of urinary reflux returned from surgery for bilateral ureteral re-implants 2 days ago. Which assessment fnding is most concerning? You Selected:  small amounts of blood-tnged urine Correct response:  decreased oral intake Explanaton: Remediaton: Queston 35 See full queston The correct procedure for auscultatng the client’s abdomen for bowel sounds is to: You Selected:  place the client on the lef side to aid auscultaton. Correct response:  listen for 5 minutes in all four quadrants to confrm absence of bowel sounds.Explanaton: Remediaton: Queston 36 See full queston A client is recovering from a gastric resecton for peptc ulcer disease. Which outcome indicates that the goal of adequate nutritonal intake is being achieved 3 weeks following surgery? The client: You Selected:  experiences a rapid weight gain within 1 week. Correct response:  increases food intake and tolerance gradually. Explanaton: Remediaton: Queston 37 See full queston The nurse irrigates a client’s colostomy. If the client has abdominal cramping afer receiving about 150 mL of soluton during the colostomy irrigaton, the nurse should: You Selected:  remove the irrigatng cone or tube. Correct response:  stop the flow of soluton. Explanaton: Remediaton: Queston 38 See full queston A client who has had ulceratve colits for the past 5 years is admited to the hospital with an exacerbaton of the disease. Which factor is of greatest signifcance in causing an exacerbaton of ulceratve colits? You Selected:  beginning a weight-training program Correct response:  a demanding and stressful job Explanaton: Remediaton:Queston 39 See full queston Which laboratory fnding is expected when a client has divertculits? You Selected:  decreased platelet count Correct response:  elevated white blood cell count Explanaton: Remediaton: Queston 40 See full queston Afer completng assessment rounds, which client should the nurse discuss with the health care provider (HCP) frst? You Selected:  a client with stable vital signs that has been receiving IV cipro following a cholecystectomy for 1 day and has developed a rash on the chest and arms Correct response:  a client with hepatts whose pulse was 84 bpm and regular and is now 118 bpm and irregular Explanaton: Remediaton: Queston 41 See full queston A client who has ulceratve colits 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: You Selected:  disturbed thought. Correct response:  difculty coping. Explanaton: Remediaton: Queston 42 See full questonThe nurse prepares to administer promethazine 35 mg IM as prescribed PRN for a client with cholecystts who has nausea. The ampule label reads that the medicaton is available in 25 mg/mL. How many milliliters should the nurse administer? Record your answer using one decimal place. Your Response:  1.4 Correct response:  1.4 Explanaton: Queston 43 See full queston A client has vomited several tmes over the past 12 hours. The nurse should recognize the risk of what complicaton? You Selected:  Metabolic alkalosis Correct response:  Metabolic alkalosis Explanaton: Remediaton: Queston 44 See full queston The nurse manager of a surgical unit observes a nurse providing colostomy care to a client without using any personal protectve equipment (PPE). What is the most appropriate response by the nurse manager in relaton to the use of PPE? You Selected:  “In the future, have the physician write an order for PPE for clients with colostomies.” Correct response:  “PPE should be used when you risk exposure to blood or bodily fluids.” Explanaton: Remediaton: Queston 45 See full queston A nurse has been asked to obtain a client’s signature on an operatve 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?You Selected:  “I will ask the surgeon to come speak to you about the procedure.” Correct response:  “I will ask the surgeon to come speak to you about the procedure.” Explanaton: Remediaton: Queston 46 See full queston At 0800, the nurse reviews the amount of t-tube drainage for a client who underwent an open cholecystectomy yesterday. Afer reviewing the output record (see chart), the nurse should: You Selected:  evaluate the tube for patency. Correct response:  evaluate the tube for patency. Explanaton: Remediaton: Queston 47 See full queston 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? You Selected:  Hepatts C virus test Correct response:  Hepatts C virus test Explanaton: Remediaton: Queston 48 See full queston At the beginning of the shif, the nurse is assigned a client with an ascending colostomy. Which picture identfes the correct placement where the nurse will assess the stoma? You Selected:  Image B Correct response: Image D Explanaton: Remediaton: Queston 49 See full queston The nurse is providing discharge instructons for a client who had an inguinal herniorrhaphy. The nurse should teach the client to: You Selected:  cough and deep breathe every 2 hours. Correct response:  avoid lifing items weighing more than 5 lb (2.3 kg). Explanaton: Queston 50 See full queston A client with cholecystts contnues to have severe right upper quadrant pain. The nurse obtains the following vital signs: temperature 101.1° F (38.4° C); pulse 114 bpm; respiratons 22/min; blood pressure 142/90 mm Hg. Using the SBAR (Situaton-Background-Assessment-Recommendaton) technique for communicaton, the nurse recommends to the health care provider for the client to receive: You Selected:  promethazine IM. Correct response:  hydromorphone IV. Queston 1 See full queston A client with pancreatts has been receiving total parenteral nutriton (TPN) for the past week. Which nursing interventon helps determine if TPN is providing adequate nutriton? You Selected:  Ensuring that the TPN tubing has an in-line flter Correct response:  Monitoring the client's weight every day Explanaton: Remediaton: Queston 2 See full queston Which task may a nurse delegate to a nursing assistant?You Selected:  Assistng a client who had surgery to ambulate in the hallway Correct response:  Assistng a client who had surgery to ambulate in the hallway Explanaton: Queston 3 See full queston A nurse is preparing to perform complex abdominal wound care. Which acton should the nurse take while performing this task? You Selected:  Positon the client on the far side of the bed. Correct response:  Raise the bed to approximately waist level. Explanaton: Remediaton: Queston 4 See full queston When the nurse is assessing the client’s abdomen, which fnding best indicates that a client’s peristaltc actvity is returning to normal afer surgery? You Selected:  Bowel sounds are hypoactve on auscultaton. Correct response:  The client passes flatus. Explanaton: Remediaton: Queston 5 See full queston The client is to take nothing by mouth afer 0400. The nurse recognizes that the client has defcient knowledge when he states that he: You Selected:  ate a gelatn dessert at 0330. Correct response:  smoked a cigarete at 0600.Explanaton: Remediaton: Queston 6 See full queston When administering intermitent enteral feeding to an unconscious client, the nurse should: You Selected:  heat the formula in a microwave. Correct response:  place the client in a semi-Fowler's positon. Explanaton: Remediaton: Queston 7 See full queston College freshman are partcipatng in a study abroad program. When teaching them about hepatts B, the nurse should instruct the students on the need for: You Selected:  single dormitory rooms. Correct response:  safe sexual practces. Explanaton: Queston 8 See full queston When planning diet teaching for the client with a colostomy, the nurse should develop a plan that emphasizes which dietary instructon? You Selected:  A high-fber diet will produce a regular passage of stool. Correct response:  Clients should experiment to fnd the diet that is best for them. Explanaton: Remediaton: Queston 9 See full queston Which is an expected outcome for a client with peptc ulcer disease? The client will:You Selected:  verbalize the importance of monitoring hemoglobin and hematocrit every 3 months. Correct response:  explain the ratonale for eliminatng alcohol from the diet. Explanaton: Remediaton: Queston 10 See full queston A client who had a splenectomy yesterday has a nasogastric (NG) tube. The expected outcome of using the NG tube is to: You Selected:  move the stomach away from where the spleen was removed. Correct response:  decrease abdominal distenton. Explanaton: Remediaton: Queston 11 See full queston Immediately following endoscopy of the upper gastrointestnal tract, it is most important for the nurse to assess for: You Selected:  intake and output. Correct response:  return of the gag reflex. Explanaton: Remediaton: Queston 12 See full queston Which nursing measure would be most effectve in helping the client cough and deep breathe afer a cholecystectomy? You Selected:  Teach the client to use a folded blanket or pillow to splint the incision. Correct response: Teach the client to use a folded blanket or pillow to splint the incision. Explanaton: Remediaton: Queston 13 See full queston In caring for the client with hepatts B, which situaton would expose the nurse to the virus? You Selected:  disposing of syringes and needles without recapping Correct response:  a blood splash into the nurse’s eyes Explanaton: Remediaton: Queston 14 See full queston A client is learning about caring for an ileostomy. Which statement would indicate that the client understands how to care for the ileostomy pouch? You Selected:  ”I should change my pouch immediately afer lunch.” Correct response:  "I will empty my pouch when it is about one-third full.” Explanaton: Remediaton: Queston 15 See full queston The nurse observes that the client’s total parenteral nutriton (TPN) soluton is infusing too slowly. The nurse calculates that the client has received 300 mL less than was prescribed for the day. The nurse should: You Selected:  maintain the flow rate at the current rate and document any discrepancy in the chart. Correct response:  assess the infusion system, note the client’s conditon, and notfy the health care provider. Explanaton: Remediaton:Queston 16 See full queston A client with inflammatory bowel disease undergoes an ileostomy. On the frst day afer surgery, the nurse notes that the client's stoma appears dusky. How should the nurse interpret this fnding? You Selected:  The ostomy bag should be adjusted. Correct response:  Blood supply to the stoma has been interrupted. Explanaton: Remediaton: Queston 17 See full queston A client is evaluated for severe pain in the right upper abdominal quadrant, which is accompanied by nausea and vomitng. The physician diagnoses acute cholecystts and cholelithiasis. For this client, which nursing diagnosis takes top priority? You Selected:  Acute pain related to biliary spasms Correct response:  Acute pain related to biliary spasms Explanaton: Remediaton: Queston 18 See full queston While palpatng a client's right upper quadrant (RUQ), the nurse would expect to fnd which structure? You Selected:  Spleen Correct response:  Liver Explanaton: Remediaton: Queston 19 See full queston Why are antacids administered regularly, rather than as needed, in peptc ulcer disease? You Selected: To keep gastric pH at 3.0 to 3.5 Correct response:  To keep gastric pH at 3.0 to 3.5 Explanaton: Remediaton: Queston 20 See full queston A nurse is caring for a client who had gastric bypass surgery two days ago. Which assessment fnding requires immediate interventon? You Selected:  The client's surgical site is reddened and swollen. Correct response:  The client's right lower leg is red, swollen, and warm to touch. Explanaton: Remediaton: Queston 21 See full queston 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? You Selected:  Apply moist heat to the client's abdomen. Correct response:  Encourage the client to ambulate at least three tmes per day. Explanaton: Remediaton: Queston 22 See full queston As a nurse completes the admission assessment of a client admited 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? You Selected:  "How do you feel recovery will be afer surgery?" Correct response: "Can you tell me your best understanding of the procedure?" Explanaton: Remediaton: Queston 23 See full queston An elderly client asks the nurse how to treat chronic constpaton. What is the best recommendaton the nurse can make? You Selected:  Administer a tap-water enema weekly. Correct response:  Take a stool sofener such as docusate sodium daily. Explanaton: Remediaton: Queston 24 See full queston A client is recovering from a gastric resecton for peptc ulcer disease. Which outcome indicates that the goal of adequate nutritonal intake is being achieved 3 weeks following surgery? The client: You Selected:  drinks 2,000 mL/day of water. Correct response:  increases food intake and tolerance gradually. Explanaton: Remediaton: Queston 25 See full queston The nurse irrigates a client’s colostomy. If the client has abdominal cramping afer receiving about 150 mL of soluton during the colostomy irrigaton, the nurse should: You Selected:  have the client sit up in bed. Correct response:  stop the flow of soluton. Explanaton: Remediaton:Queston 26 See full queston The nurse is irrigatng a client’s colostomy. The client has abdominal cramping afer receiving about 100 mL of the irrigatng soluton. The nurse should frst: You Selected:  remove the irrigaton tube. Correct response:  stop the flow of soluton. Explanaton: Remediaton: Queston 27 See full queston The nurse is evaluatng the lifestyle modifcatons a client has made to prevent gastroesophageal reflux. Which statement indicates that the client understands how to prevent reflux? You Selected:  “I lie down and rest for 45 minutes afer each meal.” Correct response:  “I try to eat smaller amounts of food more ofen throughout the day.” Explanaton: Remediaton: Queston 28 See full queston Following a subtotal gastrectomy, a client has a nasogastric (NG) tube connected to low sucton. The nurse should: You Selected:  monitor the client for nausea, vomitng, and abdominal distenton. Correct response:  monitor the client for nausea, vomitng, and abdominal distenton. Explanaton: Remediaton: Queston 29 See full queston Afer a subtotal gastrectomy, the nurse is developing a plan with the client to assist the client to gain weight. To help the client meet nutritonal goals at home, the nurse should:You Selected:  inform the client that bland foods are typically less nutritonal and should be used minimally. Correct response:  encourage the client to eat smaller amounts more frequently. Explanaton: Remediaton: Queston 30 See full queston A client who has had ulceratve colits for the past 5 years is admited to the hospital with an exacerbaton of the disease. Which factor is of greatest signifcance in causing an exacerbaton of ulceratve colits? You Selected:  a demanding and stressful job Correct response:  a demanding and stressful job Explanaton: Remediaton: Queston 31 See full queston Immediately afer surgery to create an ileostomy, which goal has the highest priority? You Selected:  minimizing odor formaton Correct response:  maintaining fluid and electrolyte balance Explanaton: Remediaton: Queston 32 See full queston On the second day following an abdominal perineal resecton, the nurse notes that the wound edges aren't approximated and one half of the incision has torn apart. What should the nurse do frst? You Selected:  Apply strips of tape. Correct response: Cover the wound with a sterile dressing moistened with normal saline. Explanaton: Remediaton: Queston 33 See full queston College freshmen are partcipatng in a study abroad program. When teaching them about hepatts B, the nurse should instruct the students on the need for: You Selected:  single dormitory rooms. Correct response:  safe sexual practces. Explanaton: Remediaton: Queston 34 See full queston A client has had an exacerbaton of ulceratve colits with cramping and diarrhea persistng longer than 1 week. The nurse should assess the client for which complicaton? You Selected:  hypocalcemia Correct response:  hypokalemia Explanaton: Remediaton: Queston 35 See full queston A client who is recovering from gastric surgery is receiving IV fluids to be infused at 100 mL/hour. The IV tubing delivers 15 gt/mL. The nurse should infuse the soluton 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. Your Response:  15 Correct response:  25 Explanaton:Remediaton: Queston 36 See full queston The nurse on a surgical unit is caring for a client recovering from recent surgery with the placement of a nasogastric tube to low contnuous sucton Which acid–base imbalance is most likely to occur? You Selected:  Metabolic alkalosis Correct response:  Metabolic alkalosis Explanaton: Remediaton: Queston 37 See full queston A client is scheduled to have surgery to relieve an intestnal obstructon. Prior to surgery, the nurse should verify that the client has: You Selected:  discontnued use of blood thinners. Correct response:  discontnued use of blood thinners. Explanaton: Remediaton: Queston 38 See full queston A nurse is talking to a neighbor who asks about reoccurring symptoms of gnawing epigastric pain following meals and heartburn. Recognizing these symptoms, what suggestons could the nurse make? You Selected:  Sip green tea throughout the day Correct response:  Avoid alcohol and non-steroidal ant-inflammatory medicatons Explanaton: Remediaton: Queston 39 See full questonA client who had abdominal surgery 4 days ago reports that "something gave way" when he sneezed. The nurse observes a wound evisceraton. What should the nurse do next? You Selected:  Notfy the health care provider. Correct response:  Apply a sterile, moist dressing. Explanaton: Remediaton: Queston 40 See full queston A nurse is assessing a client who has a history of a bleeding peptc ulcer. Which of the following assessments should the nurse report immediately? You Selected:  Abdominal distension; cool, clammy skin; weak, thready pulse Correct response:  Abdominal distension; cool, clammy skin; weak, thready pulse Explanaton: Remediaton: Queston 41 See full queston 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? You Selected:  Informing the client of the extent of damage to the liver and drawing up a contract to start the rehabilitatve process Correct response:  Discussing collaboratve goals and involving the client in identfying and prioritzing important interventons Explanaton: Remediaton: Queston 42 See full queston 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. Identfy the site that should have marked.You Selected:  Your selecton and the correct area, market by the green box. Explanaton: Queston 43 See full queston Which statement indicates that a client with esophageal reflux disorder understands the dietary teaching? You Selected:  “I won’t drink any carbonated drinks.” Correct response:  “I won’t drink any carbonated drinks.” Explanaton: Remediaton: Queston 44 See full queston A client one day post-operatve cholecystectomy, reports severe pain radiatng to the shoulder. What should be the frst nursing acton? You Selected:  Assess the patency of the T-tube Correct response:  Assess the patency of the T-tube Explanaton: Remediaton:Queston 45 See full queston A client has been admited 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 antcipate preparing for which diagnosis? You Selected:  Crohn’s disease. Correct response:  Pancreatts. Explanaton: Remediaton: Queston 46 See full queston Within 6 hours following a subtotal gastrectomy, the drainage from the client’s NG tube is bright red. The nurse should frst: You Selected:  clamp the NG tube. Correct response:  chart the fnding in the client’s medical record. Explanaton: Queston 47 See full queston The nurse is caring for a client with esophageal varices. The nurse should discuss which laboratory report fnding with the health care provider (HCP)? You Selected:  decreased ammonia Correct response:  elevated PT/INR Explanaton: Queston 48 See full queston A health care provider and nurse are discussing treatment optons with a client diagnosed with severe ulceratve colits. When providing client teaching during early treatment, the symptoms of which diagnosis would be discussed? You Selected: Bowel perforaton Correct response:  Bowel perforaton Explanaton: Queston 49 See full queston A client has been taking prescribed aspirin in large doses and reports having stomach irritaton, sometmes with vomitng. Which food or beverage noted from the client’s diet history should the nurse suggest the client avoid? You Selected:  glass of wine Correct response:  glass of wine Explanaton: Remediaton: Queston 50 See full queston A client with cholecystts contnues to have severe right upper quadrant pain. The nurse obtains the following vital signs: temperature 101.1° F (38.4° C); pulse 114 bpm; respiratons 22/min; blood pressure 142/90 mm Hg. Using the SBAR (Situaton-Background-Assessment-Recommendaton) technique for communicaton, the nurse recommends to the health care provider for the client to receive: You Selected:  meperidine IM. Correct response:  hydromorphone IV. Queston 1 See full queston The nurse is checking the client's chart for possible contraindicatons, before administering meperidine, 50 mg I.M., to a client with pain afer an appendectomy. The nurse should hold the meperidine when she sees an order for what type of drug? You Selected:  A monoamine oxidase (MAO) inhibitor Correct response:  A monoamine oxidase (MAO) inhibitorExplanaton: Remediaton: Queston 2 See full queston A client with cholecystts is taking propantheline bromide. The expected outcome of this drug is: You Selected:  decreased biliary spasm. Correct response:  decreased biliary spasm. Explanaton: Remediaton: Queston 3 See full queston The nurse administers a tap water enema to a client. While the soluton is being infused, the client has abdominal cramping. What should the nurse do frst? You Selected:  Temporarily stop the infusion, and have the client take deep breaths. Correct response:  Temporarily stop the infusion, and have the client take deep breaths. Explanaton: Remediaton: Queston 4 See full queston A client who has been vomitng 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: You Selected:  hypokalemia. Correct response:  hypokalemia. Explanaton: Remediaton: Queston 5 See full questonThe nurse is obtaining a nursing history of a client suspected of having hepatts C. The nurse should ask the client if he has: You Selected:  had a tatoo. Correct response:  had a tatoo. Explanaton: Remediaton: Queston 6 See full queston The client is receiving propantheline bromide to treat cholecystts. The nurse should evaluate the client's response to the medicaton by observing for which adverse effect? You Selected:  diarrhea Correct response:  urine retenton Explanaton: Queston 7 See full queston The nurse notes that a client with acute pancreatts occasionally experiences muscle twitching and jerking. How should the nurse interpret the signifcance of these symptoms? You Selected:  The client may be developing hypocalcemia. Correct response:  The client may be developing hypocalcemia. Explanaton: Remediaton: Queston 8 See full queston Which positon would be best for the client in the early postoperatve period afer a hemorrhoidectomy? You Selected:  supine Correct response: side-lying Explanaton: Remediaton: Queston 9 See full queston Which instructon should the nurse include in the teaching plan for a client who is experiencing gastroesophageal reflux disease (GERD)? You Selected:  Do not lie down for 2 hours afer eatng. Correct response:  Do not lie down for 2 hours afer eatng. Explanaton: Remediaton: Queston 10 See full queston The nurse determines that a client’s abdominal wound has eviscerated. What should the nurse do frst? You Selected:  Cover the wound with sterile saline-moistened dressings. Correct response:  Cover the wound with sterile saline-moistened dressings. Explanaton: Remediaton: Queston 11 See full queston A client is scheduled for oral cholecystography. Prior to the test, the nurse should: You Selected:  ask the client about possible allergies to iodine or shellfsh. Correct response:  ask the client about possible allergies to iodine or shellfsh. Explanaton: Remediaton: Queston 12 See full questonA client develops chronic pancreatts. What would be the appropriate home diet for a client with chronic pancreatts? You Selected:  A low-fat, bland diet distributed over fve to six small meals daily Correct response:  A low-fat, bland diet distributed over fve to six small meals daily Explanaton: Remediaton: Queston 13 See full queston When caring for a client with ulceratve colits the nurse should: You Selected:  encourage the use of stool sofeners. Correct response:  suggest sitz baths as needed. Explanaton: Remediaton: Queston 14 See full queston A client has been diagnosed with cirrhosis. When obtaining a health history, the nurse should specifcally determine if the client takes? You Selected:  Acetaminophen. Correct response:  Acetaminophen. Explanaton: Remediaton: Queston 15 See full queston The nurse monitors IV replacement therapy for a client with a nasogastric (NG) tube atached to low sucton in order to: You Selected:  maintain fluid and electrolyte balance.Correct response:  maintain fluid and electrolyte balance. Explanaton: Remediaton: Queston 16 See full queston Which statement indicates to the nurse that the client with Crohn’s disease understands the needed nutritonal modifcatons? You Selected:  ”A diet high in vitamins and protein is important.” Correct response:  ”A diet high in vitamins and protein is important.” Explanaton: Remediaton: Queston 17 See full queston The nurse is assessing a client’s abdominal incision 48 hours afer surgery. Which fnding indicates that the wound is inflamed? You Selected:  Localized warmth over the incisional area. Correct response:  Localized warmth over the incisional area. Explanaton: Remediaton: Queston 18 See full queston Which is an appropriate nursing goal for the client who has ulceratve colits? The client: You Selected:  verbalizes the importance of small, frequent feedings. Correct response:  verbalizes the importance of small, frequent feedings. Explanaton:Remediaton: Queston 19 See full queston A nurse is assessing a client who reports abdominal pain, nausea, and diarrhea. The nurse knows that palpatng the abdomen frst would: You Selected:  alter abdominal sounds from baseline. Correct response:  alter abdominal sounds from baseline. Explanaton: Remediaton: Queston 20 See full queston A client with a recent history of rectal bleeding is being prepared for a colonoscopy. Initally. The nurse knows that positoning the client lying on his/her lef side with the knees bent is an appropriate interventon. The nurse recognizes that this positon will: You Selected:  allow proper visualizaton of the large intestne. Correct response:  allow proper visualizaton of the large intestne. Explanaton: Remediaton: Queston 21 See full queston A client with viral hepatts A is being treated in an acute care facility. Because the client requires enteric precautons, the nurse should: You Selected:  wash her hands afer touching the client. Correct response:  wash her hands afer touching the client. Explanaton: Remediaton: Queston 22 See full questonA client has just been diagnosed with hepatts A. On assessment, the nurse expects to note: You Selected:  anorexia, nausea, and vomitng. Correct response:  anorexia, nausea, and vomitng. Explanaton: Remediaton: Queston 23 See full queston The nurse is caring for a client that has undergone a colon resecton. While turning him, wound dehiscence with evisceraton occurs. What is the nurse's frst response? You Selected:  Return the client to his back. Correct response:  Place saline-soaked sterile dressings on the wound. Explanaton: Remediaton: Queston 24 See full queston A nurse is