MEDICAL SURGICAL PRACTICE QUESTIONS AND ANSWERS

MEDICAL SURGICAL PRACTICE QUESTIONS AND ANSWERS 1. A nurse is collecting data from a client who has peptic ulcer disease. Which of the following finding is a manifestation of gastrointestinal perforation? A.Hyperactive bowel sounds B.Severe upper abdominal pain C.Report of epigastric fullness D. Bradycardia ANS: Severe upper abdominal pain. Sudden, severe abdominal pain that radiates to the shoulder is a manifestation of gastrointestinal perforation. 2. A nurse is reinforcing dietary teaching with a client who tells the nurse she would like to reduce her solid fat intake and increase oil intake in her diet. Which of the following instructions should the nurse include in her teaching? A.Replace tub margarine with stick margarine B.Use safflower oil instead of butter when baking C.Consume 2% or whole milk D.Choose ground beef that is at least 80% lean meat ANS: Use safflower oil instead of butter when baking The client should replace butter with safflower oil when baking to decrease solid fats and increase oil intake. 3. A nurse is administering a tap water enema to a client. The client reports cramping as the nurse instills the irrigating solution. Which of the following actions should the nurse take to relieve the client’s discomfort? A.Lower the height of the solution container B.Encourage the client to bear down C.Allow the client to expel some fluid before continuing D.Stop the enema and document that the client did not tolerate the procedure ANS: Lower the height of the solution container If nausea or cramping occurs, the nurse should slow the flow of water, leaving the tube in place. The nurse should then raise the solution container when the cramping has passed.