ANSWERS 2023 COMPLETE
A nurse is contributing to the plan of care for a client who has a gastrostomy tube
through which he is receiving continuous eternal feedings. Which of the following
interventions should the nurse include in the plan?
flush the tube with 30 mL of water every 4 hr
A nurse is collecting data from a client who has a gastric ulcer. Which of the following
should the nurse identify as a priority and notify the provider?
abdominal pain radiating to the shoulder
A charge nurse is reinforcing teaching with a newly licensed nurse about the common
link between ulcerative colitis and Crohn disease. Which of the following statements by
the newly licensed nurse indicates an understanding of the teaching?
both illnesses and inflammatory in nature
A nurse is planning a diet who has an iron deficiency. To increase the clients iron
intake, which of the following foods should the nurse include in the clients diet?
roast beef
A nurse is assisting with the care of a client who has cirrhosis of the liver with ascites.
Which of the following actions should the nurse take?
measure the clients abdominal girth every 8 hr
A nurse is reinforcing teaching with a client who has an iron deficiency anemia and is to
start taking ferrous sulfate twice a day. Which of the following statements by the client
indicate an understanding of the teaching?
I will take the medication with orange juice
A nurse is reinforcing teaching with a client who has myasthenia gravis and has a new
prescription for pyridostigmine orally. Which of the following instructions should the
nurse include?
take the medication 45 minutes before eating
A nurse is contributing to the plan of a care who is postoperative following a
gastrectomy and has a double- lumen nasogastric (NG) tube. Which of the following
interventions should the nurse include in the plan?
avoid replacing the NG tube if it is accidentally dislodged
A nurse is caring for a client who is postoperative has an NG tube that has drained
2,500 mL in the past 6 hr. The nurse should monitor the client for which of the following
electrolyte imbalances?
decreased potassium level
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the
following findings should the nurse identify as a risk factor for this condition?
history of ibuprofen use
A nurse is reinforcing teaching for a client about following a low purine diet to manage
gout. Which of the following statements should the nurse identify as an indication that
the client understands the instructions?
ill eliminate liver from my diet
, A nurse is reinforcing dietary instructions with a client who has episodes of billary colic
from chronic cholecytitis. Which of the following diets should the nurse reinforce in the
teaching plan?
a low fat diet
A nurse is planning care for a client who has a peptic ulcer and a new prescription for
sucralfate 2 gm administered twice daily. Which of the following times should the nurse
plan to administer the medications?
one hour before breakfast and the evening meal
A nurse is collecting data from a client who is postoperative following the placement of a
pouch ileostomy. Which of the following should the nurse identify as a priority finding?
report of nausea
A nurse is reinforcing discharge teaching with a client who is postoperative for a
traditional cholecystectomy and has a T-tube in place. Which of the following
instructions should the nurse include in the teaching?
empty the drainage bag at the same time each day
A nurse is reinforcing with a client who has a new prescription for epoetin alfa. The
nurse should reinforce to the client to take which of the following dietary supplements
with this medication?
iron
A nurse is assisting with the plan of care for a client who had an upper endoscopy 1 hr
ago. The nurse should place the priority on minoring which of the following?
gag reflex
A nurse is assisting with discharge teaching for a client who is postoperative following a
laryngectomy. Which of the following instructions should the nurse include in the
teaching?
to aid in swallowing food, tip the chin before swallowing, swallow twice after each bite
A nurse is collecting data from a client who is 12 hr postoperative following a colectomy
with colostomy placement. Which of the following findings should the nurse report to the
provider?
purplish colored stoma
A nurse is reinforcing teaching with a client who reports right shoulder pain following a
laparoscopic cholecystectomy. Which of the following statements should the nurse
make?
the pain with dissipate if you ambulate frequently
A nurse is caring for a client who is 2 days postoperative for abdominal surgery. The
client reports discomfort from abdominal distention and flatus. Which of the following
suggestions should the nurse include?
ambulate several times a day
A nurse is reinforcing teaching with a client prescribed bethamethasone for chronic
osteoarthritis. Which of the following statements by the client indicated understating of
the teaching?
I will protect adrenal glands by taking medication every other day
A nurse is contributing to the plan of care for a client who has cirrhosis of the liver.
Which of the following interventions should the nurse include in the plan?
implement fall precautions, initiate low sodium diet, measure abdominal firth daily