EXAMINERS SET QUESTIONS AND ANSWERS SURE
A+
✔✔a nurse is caring for a client who has a new ileostomy.
click to highlight the day 4 findings that require immediate follow-up. to deselect a
finding, click on the finding again.
ileostomy pouch changed
skin around the stoma is inflamed and excoriated
client will not look at stoma
client states they are not interested in learning about stoma care
ileostomy stoma is red
urine output 650 mL/24 hr
weight 78.2 kg (172 lb)
stoma draining moderate brown liquid stool
client placed on a low-residue diet
client reports abdominal cramping, abdomen is distended and firm - ✔✔-skin around the
stoma is inflamed and excoriated
-client will not look at stoma
-client states they are not interested in learning about stoma care
-urine output 650 mL/24 hr
-weight 78.2 kg (172 lb)
, -client reports abdominal cramping, abdomen is distended and firm
✔✔a nurse in the emergency department (ED) is caring for a male client.
complete the diagram by dragging from the choices below to specify what condition the
client is most likely experiencing, 2 actions the nurse should take to address that
condition, and 2 parameters the nurse should monitor to assess the client's progress.
actions to take:
-obtain a stool culture
-prepare to insert a NG (nasogastric) tube for the client
-prepare to administer insulin to the client
-prepare to administer a bismuth salt
-place the client on contact precautions
potential condition:
-pancreatitis
-ulcerative colitis
-c. difficile infection
-peptic ulcer disease
parameters to monitor:
-h. pylori level
-blood in stools
-amylase level
-erythrocyte sedimentation rate
-jaundice - ✔✔actions to take:
-prepare to insert a NG (nasogastric) tube for the client
-prepare to administer insulin to the client
potential condition:
-pancreatitis
parameters to monitor:
-amylase level
-jaundice
✔✔ a nurse is caring for a client in an endoscopy suite at a surgical center.
a nurse is assessing the client following the procedure. which of the following findings
should the nurse report to the provider?
select all that apply.
throat sensation
voice quality
temperature
oxygen saturation
pain