Gastrointestinal EAQ - Due 7-9-17 @ 10pm
Incorrect Answers: 4
13263220788
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4.
The nurse is caring for a client following a laparoscopic cholecystectomy.
Which nursing action is priority?
1
Monitor the abdominal dressing for bleeding
Incorrect 2
Instruct on using patient-controlled analgesia
3
Teach about six-week activity restriction
Correct 4
Assess puncture sites for bleeding
The one to four puncture sites used to perform the surgery laparoscopically
should be monitored for any possible bleeding. There will not be an
abdominal dressing unless a traditional cholecystectomy is performed.
Patient-controlled analgesia is not necessary as there is no abdominal
incision. Activity restriction is about one week with a laparoscopic
cholecystectomy.
13262004008
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7.
A nurse is assessing different clients. Which female client has the greatest risk
of develop correct answer -a
A client is recently diagnosed with a cancerous lesion of the mouth. Which
question should the nurse ask when assessing the client's need for health
education in relation to this condition?
1
"Are you having difficulty sleeping?"
, 2
"Do feel like your gums are inflamed?"
3
"How frequently are you seeing the dentist?"
Correct 4
"Have you noticed any change in your appetite?"
Problems involving the oral cavity often result in nutritional problems and
weight loss, requiring the nurse to intervene. The question "Have you noticed
any change in your appetite?" will elicit more information. The nurse needs to
determine a client's past and current appetite and nutritional status. An
inability to sleep usually is not a characteristic symptom of cancer of the oral
cavity; it may occur after the diagnosis because of worry or fear. Gum
infections usually are not an early problem after diagnosis of oral cancer.
Although a dentist correct answer -a
A client who had a laparoscopic cholecystectomy reports pain in the shoulder.
In what position should the nurse place the client?
1
Prone
2
Supine
Correct 3
Left Sims
4
Trendelenburg
Retained carbon dioxide can irritate the phrenic nerve. Placing the client in
the left Sims position helps to move the gas pocket away from the diaphragm.
Deep breathing and ambulation should be encouraged. Prone, supine, and
Trendelenburg positions will not help to alleviate the problem but could
aggravate the problem.
Test-Taking Tip: On a test day, eat a normal meal before going to school. If the
test is late in the morning, take a high-powered snack with you to eat 20
minutes before the examination. The brain works best when it has the glucose
necessary for cellular function.
13263241393
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2.