NUR 1211 Medical Surgical Final Exam Questions & Answers (ANSWERED CORRECTLY) Verified 2023/2024.

NUR 1211 Medical Surgical Final Exam Questions & Answers (ANSWERED CORRECTLY) Verified 2023/2024. The patient with inflammatory bowel disease has a serum potassium of 3.4 mEq/L. Which action should the nurse implement first? Selected Answer: Incorrect a. Notify the healthcare provider Answers: a. Notify the healthcare provider Correct b. Assess the patient for muscle weakness c. Request telemetry for the patient d. Prepare to administer IV potassium 3 A client who experienced an upper GI bleed due to gastritis has had the bleeding controlled and the client's condition is now stable. For the next several hours, the nurse caring for this client should assess for what signs and symptoms of recurrence? Selected Answer: CorrectC. Tachycardia, hypotension, and tachypnea Answers: A. Sudden thirst, unrelieved by oral fluid administration B. Diaphoresis and sudden onset of abdominal pain CorrectC. Tachycardia, hypotension, and tachypnea D. Tarry, foul-smelling stools Response Feedback: Tachycardia, hypotension, and tachypnea are signs of recurrent bleeding. Clients who have had one GI bleed are at risk for recurrence. Tarry stools are expected short-term findings after a hemorrhage. Hemorrhage is not normally associated with sudden thirst or diaphoresis. NUR 1211 Medical Surgical Final Exam Questions & Answers Question 4 A 35-year-old male client presents at the emergency department with symptoms of a small bowel obstruction. In collaboration with the primary provider, what intervention should the nurse prioritize? Answers: A. Administration of a glycerin suppository and an oral laxative CorrectB. Insertion of a nasogastric tube C. Insertion of a central venous catheter D. Administration of a mineral oil enema Response Feedback: Decompression of the bowel through a nasogastric tube is necessary for all clients with small bowel obstruction. Peripheral IV access is normally sufficient. Enemas, suppositories, and laxatives are not indicated if an obstruction is present. Question 6 A nurse is providing care for a client who is postoperative day 2 following gastric surgery. The nurses assessment should be planned in light of the possibility of what potential complications? Select all that apply. Selected Answers: CorrectA. Hemorrhage CorrectB. Pneumonia CorrectD. Atelectasis Answers: CorrectA. Hemorrhage CorrectB. Pneumonia C. Chronic gastritis CorrectD. Atelectasis E. Malignant hyperthermia Response Feedback: After surgery, the nurse assesses the client for complications secondary to the surgical intervention, such as pneumonia, atelectasis, or metabolic imbalances resulting from the GI disruption. Malignant hyperthermia is an intraoperative complication. Chronic gastritis is not a surgical complication. Question 7 Correct A client has received a diagnosis of gastric cancer and is awaiting a surgical date. During the preoperative period, the client should adopt what dietary guidelines? Selected Answer: CorrectA. Eat small, frequent meals with high calorie and vitamin content. Answers: CorrectA. Eat small, frequent meals with high calorie and vitamin content. B. Try to maintain the pre-diagnosis pattern of eating. C. Eat frequent, low-fat meals with high protein content. D. Eat frequent meals with an equal balance of fat, carbohydrates, and protein. Response Feedback: The nurse encourages the client to eat small, frequent portions of nonirritating foods to decrease gastric irritation. Food supplements should be high in calories, as well as vitamins A and C and iron, to enhance tissue repair. Question 8 A community health nurse is preparing for an initial home visit to a client discharged following a total gastrectomy for treatment of gastric cancer. What would the nurse anticipate that the plan of care is most likely to include? Selected Answer: CorrectB. Administration of injections of vitamin B12 Answers: A. Enteral feeding via gastrostomy tube (G tube) CorrectB. Administration of injections of vitamin B12 C. Gastrointestinal decompression by nasogastric tube D. Periodic assessment for esophageal distension Response Feedback: Since vitamin B12 is absorbed in the stomach, the client requires vitamin B12 replacement to prevent pernicious anemia. A gastrectomy precludes the use of a G tube. Since the stomach is absent, a nasogastric tube would not be indicated. As well, this is not possible in the home setting. Since there is no stomach to act as a reservoir and fluids and nutrients are passing directly into the jejunum, distension is unlikely.