Answers
After taking spironolactone, the client inquires about foods and fluids that
contain potassium. Which juice should the nurse recommend? correct
answer -Cranberry juice
A nurse is assessing a client with severe liver disease. Which assessment
finding will the nurse expect to observe? correct answer -Icterus
The nurse has provided postoperative teaching to a client who is scheduled
for a bilateral herniorrhaphy. Which client statement indicates correct
understanding of the teaching? correct answer -"I should cough and deep
breathe regularly."
A client is scheduled for an abdominal surgery. What is the priority
preoperative nursing objective when caring for this client? correct answer
-Alleviating the client's anxiety
A client with a diagnosis of stomach cancer expresses a lack of interest in food
and consumes only small amounts. What is the best intervention the nurse
should offer this client? correct answer -Nutritional supplements between
meals
A client with ascites has been scheduled for a paracentesis. What intervention
should the nurse implement immediately before the procedure? correct
answer -Instruct the client to void
A client has a low hemoglobin level that is attributed to a nutritional
deficiency. Which foods should the nurse teach the client to increase in the
diet? Select all that apply. correct answer -Liver
Spinach
Which should the nurse identify as a risk factor for hyponatremia? correct
answer -Drainage from a T-tube
, The nurse teaches the client about foods to help prevent constipation after
pelvic surgery. Which foods selected by the client indicate that the teaching is
understood? Select all that apply. correct answer -Green vegetables
Steamed cabbage
Whole grain bread
A client with ascites has a paracentesis, and 1500 mL of fluid is removed. The
nurse recognizes that it is important to monitor the client for what signs of
complications that may occur immediately after the procedure? Select all that
apply. correct answer -Rapid, thready pulse
Decreased blood pressure
A client had part of the ileum surgically removed. The nurse monitors the
client closely for anemia. What is the rationale for the nurse's action?
correct answer -Cobalamin is absorbed in the ileum.
A nurse is preparing a morbidly obese client for gastric bypass surgery. What
should the nurse teach the client to do after surgery? correct answer -Take
medications in liquid form.
To help prevent long-term complications associated with gastric bypass
surgery, the nurse needs to educate the client. Identify the factors that should
be included in the nurse's teaching plan for this client. Select all that apply.
correct answer -Eat foods rich in calcium.
Consume a diet high in protein.
Receive cyanocobalamin injections routinely.
A client with a long history of alcohol abuse is admitted to the hospital with
ascites and jaundice. A diagnosis of hepatic cirrhosis is made. Which is a
nursing priority? correct answer -Institute fall prevention/safety
measures.
A nurse is providing discharge instructions for a client with a diagnosis of
gastroesophageal reflux disease (GERD). What should the nurse advise the
client to do to limit symptoms of GERD? Select all that apply. correct answer
-Avoid heavy lifting.
Avoid drinking alcohol.
Eat small, frequent meals.