EXAM 120 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |
ALREADY GRADED A
A nurse is teaching a client to prepare for a colonoscopy. Which of the following
instructions should the nurse include in the teaching - ANSWER: "Drink clear liquids
for 24 hr prior to the procedure, then take nothing by mouth for 6 hr before the
procedure
The nurse should instruct the client to drink clear liquids for 24 hr prior to the
colonoscopy to promote adequate bowel cleansing.
A nurse is providing discharge teaching for a client who has mild diverticulitis. Which
of the following statements made by the client indicates an understanding of the
teaching - ANSWER: "I should eat foods that are low in fiber
The nurse should instruct a client who has diverticulitis to follow a low-fiber diet.
When the inflammation subsides, the client should consume foods that are high in
fiber.
A nurse is providing discharge teaching for a client following an ileostomy. The nurse
should instruct the client to report which of the following to the provider? -
ANSWER: Dark purple stoma
The nurse should instruct the client to contact the provider if the stoma is a dark
purple color, which is an indication of bowel ischemia.
A nurse is assessing a client who has a duodenal ulcer. Which of the following
findings should the nurse expect? - ANSWER: The client reports that the pain occurs
during the night
Pain associated with a duodenal ulcer occurs when the stomach is empty, which is
typically 1.5 to 3 hr after meals and during the night.
A nurse is reviewing the laboratory results of a client whose has acute pancreatitis.
Which of the following findings should the nurse expect? - ANSWER: Increased
amylase
Serum amylase levels are increased in a client who has acute pancreatitis due to
pancreatic cell injury.
A nurse is caring for a client who has GERD and a new prescription for
metoclopramide. The nurse should plan to monitor for which of the following
adverse effects? - ANSWER: Ataxia
, The nurse should plan to monitor the client for extrapyramidal symptoms, such as
ataxia, and should report any of these findings to the provider.
A nurse is caring for a client who has colorectal cancer and is having chemotherapy.
The client ask the nurse why blood is being drawn for a carcinoembryonic antigen
(CEA) level. Which of the following responses should the nurse make - ANSWER:
"The CEA determines the efficacy of your chemotherapy"
A provider uses the CEA level to determine the efficacy of the chemotherapy. The
client's CEA levels will decrease if the chemotherapy is effective.
A nurse is assessing a client who has acute hepatitis B. Which of the following
findings should the nurse expect? - ANSWER: Joint pain
Joint pain is an expected finding in a client who has acute hepatitis B.
A nurse is providing discharge teaching for a client who has GERD. Which of the
following statements by the client indicates an understanding of the teaching? -
ANSWER: "I will decrease the amount of carbonated beverages I drink"
The nurse should instruct the client to limit or eliminate fatty foods, coffee, tea,
carbonated beverages, and chocolate from the diet because they irritate the lining of
the stomach.
A nurse is providing discharge teaching for a client who has chronic hepatitis C.
Which of the following statements by the client indicates understanding of the
teaching? - ANSWER: "I will avoid medications that contain acetaminophen"
A client who has hepatitis C should avoid medications that contain acetaminophen,
which can cause additional liver damage.
A nurse is assessing a client who has upper gastrointestinal bleeding. Which of the
following findings should the nurse expect? - ANSWER: Hypotension
A client who has upper gastrointestinal bleeding is at risk for hemorrhagic shock.
Hypotension is a manifestation of hemorrhagic shock.
A nurse is reviewing the laboratory values of a client who has colorectal cancer.
Which of the following findings should the nurse expect? - ANSWER: Hemoglobin 9.1
g.dL
A hemoglobin level of 9.1 g/dL is below the expected reference range. Decreased
hemoglobin is an expected finding in a client who has colorectal cancer due to occult
intestinal bleeding.