Answers
A nurse is assisting in the plan of care for a client who had surgery for a bowel
obstruction. The client has a nasogastric tube in place. Which of the following
actions should the nurse include in the client's plan of care? (SATA)
a. Perform leg exercises every 2 hours
b. Encourage hourly use of IS while awake
C. Document NG drainage characteristics and amount
D. Irrigate NG every 4 to 8 hours
E. Maintain best for 48 hours correct answer -A, B, C
A nurse is caring for a client with a h/x of pancreatitis. Which of the following
food choices should the client avoid?
a. Noodles
b. Vegetable soup
c. Baked fish
d. Cheddar cheese correct answer -D (avoid foods high in fat)
A nurse is preparing to administer an enteral feeding via an established NG
tube. In which order should the following steps take place?
1. Evaluate tolerance to feeding
2. Administer the feeding
3. Verify tube placement
4. Check the residual feeding contents correct answer -3, 4, 2, 1
A nurse is contributing to the plan of care for a client who has an intestinal
obstruction and is receiving continuous GI decompression using an NG tube.
Which of the following interventions should the nurse include in the plan of
care?
a. Measure abdominal girth daily.
b. Use sterile water to irrigate.
c. Maintain client in Fowler's position.
d. Moisten lips with lemon-glycerin swabs. correct answer -C
A nurse is contributing to the plan of care for a client who acute pancreatitis.
Which of the following interventions should the nurse include?
, a. Monitor peripheral pulses every 8 hours.
b. Measure urinary output every 4 hours.
c. Ambulate client tid.
d. Maintain NPO status. correct answer -D
A nurse is contributing to the plan of care for a client who has acute
pancreatitis. Which of the following interventions should the nurse include in
the plan of care?
a. Provide frequent small snacks.
b. Ambulate client bid.
c. Monitor urine output hourly.
d. Encourage deep breathing and coughing every 2 hours. correct answer -
C
A nurse is reinforcing discharge teaching with a client who has acute
pancreatitis and a prescription for fat-soluble vitamin supplements. Which of
the following supplements should the nurse include in the teaching?
Vitamin A
Vitamin B1
Vitamin C
Vitamin B12 correct answer -Vitamin A
At which of the following times should the nurse instill 15 to 30 mL of water
with gastrostomy medication administration? (SATA)
After each medication
Before aspirating gastric contents
When flow of medication by gravity slows
Prior to administering each medication
After giving multiple medications correct answer -After each medication,
prior to administering each medication, after giving multiple medications
A nurse is caring for a client who is postoperative and has a NG tube that has
drained 2500 mL in the past 6 hours. The nurse should monitor for which of
the following electrolyte imbalances? correct answer -Decreased
potassium level
The nurse is caring for a client who has a bowel obstruction and a new
prescription for the insertion of a NG tube. Which of the following
interventions should the nurse take when inserting the NG tube?