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Exam (elaborations)

NRSG 301 Test 6 – Questions With Right Solutions

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NRSG 301 Test 6 – Questions With Right Solutions

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NRSG 301 Test 6 – Questions With Right Solutions

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Terms in this set (66)



After educating a client about life style "I will have only a light snack before I go to bed."
changes to control gastroesophageal reflux
(GERD), the nurse recognizes the need for
further teaching when the client says:


The nurse should expect the client with Hamburger, french fries and chocolate shake
gastroesophageal reflux disease (GERD) to
report discomfort following which of these
meals?


A patient with a known peptic ulcer is Keeping the patient on bed rest with bathroom privileges and
admitted to the emergency room after monitoring his condition.
vomiting a large amount of coffee ground
appearing emesis. His vital signs are: 100/60-
100-24, Temp 99.0°. The nurse anticipates the
initial treatment plan for this patient will
include:


The nurse is instructing a patient with a One of these drugs will decrease acid production in your
peptic ulcer about his medications. He is stomach and the other will enhance the condition of the
taking the following medications: stomach lining
1 Protonix (pantoprazole) 40mg daily
2 Cytotec (misoprostol) 200mcg bid
What would be appropriate information for
this client about these medications?


The nurse is administering antibiotics to a "You have a specific bacteria in your stomach that is frequently
patient with a duodenal ulcer. The patient involved in ulcer development. The antibiotics will kill that
asks why he is taking antibiotics for an ulcer. bacteria."
He thought antibiotics were for infections.
What would be an appropriate response?


A patient who had gastric surgery which Lie down for a short period of time after each meal
involved removal of the pyloric sphincter
has been experiencing "dumping syndrome".
To control the dumping syndrome the nurse
suggests that the patient:

, A male patient who is newly diagnosed with 1. Eliminate coffee form diet
peptic ulcer disease asks the nurse if there 2. That because alcohol stimulates hydrochloric acid
are any life style changes he can make to production in the stomach, it should be consumed only
prevent an exacerbation of his disease. The occasionally
nurse correctly tells the patient: (select all 3. Control stress in life.
that apply)


In the post operative period an abdominal Decreased serum potassium level
surgical patient has developed an "ileus" (
non-mechanical intestinal obstruction).
Considering this diagnosis, the nurse
reviews the patient's laboratory data and
finds all of the following abnormalities.
Which would be contributing to his
decreased peristalsis?


A client calls his medical clinic and tells the Is your abdomen bloated?
nurse, "I think my bowels are blocked up".
The nurse reviews the client's medical
history which reveals a recent diagnosis of a
tumor in the sigmoid colon with plans for
colon surgery in four weeks. To determine if
the client has developed an intestinal
obstruction in the sigmoid colon the priority
question the nurse should ask the client
would be:


A registered nurse (RN) and a student nurse Dizziness with movement and ambulation
are caring for a client with a small bowel
obstruction in the jejunum. The RN reviews
the plan of care for this client with the
student and cautions the student to monitor
this client closely for:


The nurse is caring for a patient who has "There is no specific medical treatment to fix the aneurysm
been diagnosed with a 3 cm abdominal now. The doctor will recommend monitoring the aneurysm
aortic aneurysm. He wants to know what and keeping your B/P under control."
medical treatment he can expect to "fix this
thing in my belly". Which is the nurse's best
response?


A nurse is admitting a patient to the surgical Bilateral cool lower extremities with weak peripheral pulses.
unit after a surgical repair of an abdominal
aortic aneurysm. While doing the initial
patient assessment the nurse collects all of
the following data. Which would prompt the
nurse to call the physician immediately?


Which actions should a nurse include in the 1. Monitoring urine output, BUN, and serum creatinine.
plan of care for a patient after an abdominal 2. Maintaining nasogastric tube suction
aortic aneurysm repair? (select all that 3. Frequent monitoring of peripheral pulses
apply) 4. Reporting any episode of hypertension


The nurse suspects the presence of a deep Edema and redness of the leg
vein thrombosis in a client's left leg based
on the findings of:


Which intervention should the nurse plan to Administer anticoagulants as ordered.
include in the care of the patient with a
lower extremity deep vein thrombosis?

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