RN TARGETED MEDICAL SURGICAL UPDATED STUDY
GUIDE QUESTIONS AND ANSWERS SURE A+
✔✔a nurse is providing dietary teaching for a client who has chronic pancreatitis. which
of the following food selections by the client indicates an understading of the teaching? -
✔✔-8 oz (0.24 L) sliced banana
Foods that are high in fat can cause diarrhea for clients who have pancreatitis. 8 oz
(0.24 L), or 1 cup of sliced banana, which contains 0.49 g of fat, is a low-fat food option.
Clients who have pancreatitis should consume a high-protein and low-fat diet with an
adequate amount of carbohydrates and calories.
✔✔a nurse is assessing a client who has appendicitis. which of the following findings
should the nurse expect? (Select all that apply.)
oral temperature of 38.4 C (101.1 F)
decreased WBC count
bloody diarrhea
N/V
RLQ pain - ✔✔-oral temperature of 38.4 C (101.1 F)
-nausea and vomiting
-right lower quadrant pain
, ✔✔a nurse is assessing a client who has peritonitis. which of the following findings
should the nurse expect? - ✔✔-board-like abdomen
A board-like, distended abdomen, accompanied by extreme pain and tenderness, is an
expected finding for a client who has peritonitis.
✔✔a nurse is caring for a client who has ulcerative colitis. the client has had several
exacerbations over the past 3 years. which of the following instructions should the nurse
include in the plan of care to minimize the risk of further exacerbations? (Select all that
apply.)
use progressive relaxation techniques
increase dietary fiber intake
drink two 8 oz (240 mL) glasses of milk per day
arrange activities to allow for daily rest periods
restrict intake of carbonated beverages - ✔✔-use progressive relaxation techniques
-arrange activities to allow for daily rest periods
-restrict intake of carbonated beverages
✔✔a nurse is assessing a client immediately following a paracentesis for the treatment
of ascites. which of the following findings indicates the procedure was effective? - ✔✔-
decreased shortness of breath
Increased abdominal fluid can limit the expansion of the diaphragm and prevent the
client from taking a deep breath. After excess peritoneal fluid is removed, the diaphragm
will expand more freely. The nurse should identify this finding as an indicator that the
procedure was effective.
✔✔a nurse is teaching a client how to prepare for a colonoscopy. which of the following
instructions should the nurse include in the teaching? - ✔✔-"Drink clear liquids for 24 hr
prior to the procedure, then nothing by mouth for 6 hr before the procedure."
The nurse should instruct the client to drink clear liquids for 24 hr prior to the
colonoscopy to promote adequate bowel cleansing.
✔✔a nurse is assessing a client who has a duodenal ulcer. which of the following
findings should the nurse expect? - ✔✔-the client reports that pain occurs during the
night
Pain associated with a duodenal ulcer occurs when the stomach is empty, which is
typically 1.5 to 3 hr after meals and during the night.
✔✔a nurse is reviewing the laboratory results of a client who has acute pancreatitis.
which of the following findings should the nurse expect? - ✔✔-increased amylase
GUIDE QUESTIONS AND ANSWERS SURE A+
✔✔a nurse is providing dietary teaching for a client who has chronic pancreatitis. which
of the following food selections by the client indicates an understading of the teaching? -
✔✔-8 oz (0.24 L) sliced banana
Foods that are high in fat can cause diarrhea for clients who have pancreatitis. 8 oz
(0.24 L), or 1 cup of sliced banana, which contains 0.49 g of fat, is a low-fat food option.
Clients who have pancreatitis should consume a high-protein and low-fat diet with an
adequate amount of carbohydrates and calories.
✔✔a nurse is assessing a client who has appendicitis. which of the following findings
should the nurse expect? (Select all that apply.)
oral temperature of 38.4 C (101.1 F)
decreased WBC count
bloody diarrhea
N/V
RLQ pain - ✔✔-oral temperature of 38.4 C (101.1 F)
-nausea and vomiting
-right lower quadrant pain
, ✔✔a nurse is assessing a client who has peritonitis. which of the following findings
should the nurse expect? - ✔✔-board-like abdomen
A board-like, distended abdomen, accompanied by extreme pain and tenderness, is an
expected finding for a client who has peritonitis.
✔✔a nurse is caring for a client who has ulcerative colitis. the client has had several
exacerbations over the past 3 years. which of the following instructions should the nurse
include in the plan of care to minimize the risk of further exacerbations? (Select all that
apply.)
use progressive relaxation techniques
increase dietary fiber intake
drink two 8 oz (240 mL) glasses of milk per day
arrange activities to allow for daily rest periods
restrict intake of carbonated beverages - ✔✔-use progressive relaxation techniques
-arrange activities to allow for daily rest periods
-restrict intake of carbonated beverages
✔✔a nurse is assessing a client immediately following a paracentesis for the treatment
of ascites. which of the following findings indicates the procedure was effective? - ✔✔-
decreased shortness of breath
Increased abdominal fluid can limit the expansion of the diaphragm and prevent the
client from taking a deep breath. After excess peritoneal fluid is removed, the diaphragm
will expand more freely. The nurse should identify this finding as an indicator that the
procedure was effective.
✔✔a nurse is teaching a client how to prepare for a colonoscopy. which of the following
instructions should the nurse include in the teaching? - ✔✔-"Drink clear liquids for 24 hr
prior to the procedure, then nothing by mouth for 6 hr before the procedure."
The nurse should instruct the client to drink clear liquids for 24 hr prior to the
colonoscopy to promote adequate bowel cleansing.
✔✔a nurse is assessing a client who has a duodenal ulcer. which of the following
findings should the nurse expect? - ✔✔-the client reports that pain occurs during the
night
Pain associated with a duodenal ulcer occurs when the stomach is empty, which is
typically 1.5 to 3 hr after meals and during the night.
✔✔a nurse is reviewing the laboratory results of a client who has acute pancreatitis.
which of the following findings should the nurse expect? - ✔✔-increased amylase
