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?
A. "I will decrease the amount of carbonated beverages I drink."
B. "I will avoid drinking liquids for 30 minutes after taking a chewable antacid
tablet."
C. "I will eat a snack before going to bed."
D. "I will lie down for at least 30 minutes after eating each meal." correct
answer -A. "I will decrease the amount of carbonated beverages I drink."
The nurse should instruct the client to limit or eliminate fatty foos, coffee, cola,
tea, carbonated beverages, and chocolate from his diet because they irritate
the lining of the stomach. The nurse should instruct the client to drink a glass
of water immediately after taking an antacid tablet. The nurse should instruct
the client to eat four to six small meals per day and avoid snacking before bed.
The nurse should instruct the client to sit upright for 1 to 2 hours after meals.
The nurse is teaching a client how to prepare for a colonoscopy. Which of the
following instructions should the nurse include in the teaching?
A. Begin drinking the oral liquid preparation for bowel cleansing in the
morning of the procedure.
B. Drink full liquids for breakfast the day of the procedure, and then taking
nothing by mouth for 2 hr prior to the procedure
C. Drink clear liquids 24 hr prior to the procedure, and then taking nothing by
mouth for 6 hr before the procedure.
D. Drink the oral liquid preparation for bowel cleansing slowly. correct
answer -C. Drink clear liquids 24 hr prior to the procedure, and then taking
nothing by mouth for 6 hr before the procedure.
The nurse should instruct the client to drink clear liquids for 24 hours prior to
the colonoscopy to promote adequate bowel cleansing. Maintaining NPO
status for 4 to 6 hr prior to the colonoscopy preserves the bowel's cleansed
state.
A nurse is admitting a client who has acute pancreatitis. Which of the
following actions should the nurse take first?
A. Insert a nasogastric tube for the client.
, B. Administer ceftazidime to the client.
C. Identify the client's current level of pain.
D. Instruct the client to remain NPO. correct answer -C. Identify the client's
current level of pain
The first action the nurse should take when using the nursing process is to
assess the client. Clients who have acute pancreatitis often have severe pain.
By assessing the client's level of pain, the nurse can identify the need for and
implement interventions to alleviate the client's pain.
A nurse is assessing a client who has appendicitis. Which of the following
findings should the nurse expect? (Select all that apply.)
A. Oral temperature 38.4 C (101.1 F)
B. WBC 6,000/mm^3
C. Bloody diarrhea
D. Nausea and vomiting
E. Right lower quadrant pain. correct answer -A, D, E - Oral temperature
38.4 C (101.1 F), Nausea and vomiting, Right lower quadrant pain
A low grade temperature is an expected finding in a client who has
appendicitis.
A WBC of 10,000 to 18,000/mm^3 is an an expected finding in a client who
has appendicitis.
Bloody diarrhea is an expected finding in a client who has colorectal cancer.
Nausea and vomiting are expected findings in a client who has appendicitis.
Right lower quadrant pain is an expected finding in a client who has
appendicitis.
A nurse is providing discharge teaching for a client who has peptic ulcer
disease and a new prescription for famotidine. Which of the following
statements by the client indicates an understanding of the teaching?
A. "I should take this medication at bedtime."
B. "I should expect this medication to discolor my stools."
C. "I will drink iced tea with my meals and snacks."
D. "I will monitor my blood glucose level regularly while taking this
medication." correct answer -A. "I should take this medication at bed
time."
The nurse should instruct the client to take the medication at bed time to
inhibit the action of histamine at the H-2 receptor site in the stomach.