Exam (elaborations) PN VATI Medical Surgical Re-evaluation Assessment

PN VATI Medical Surgical Re-evaluation Assessment A nurse is caring for a client who just had a endoscopic procedure. Which of the following is the monitoring priority for this client? A) Pain B) Nausea C) Gag reflex D) Level of consciousness - ANSWER C) Gag reflex A nurse is reinforcing discharge teaching for a client who has chronic pancreatitis. Which of the following statements by the nurse is appropriate? A)"You should decrease your caloric intake when abdominal pain is present." B) "You should increase your daily protein intake." C) "You should increase fat intake when experiencing loose stools." D) "You should limit alcohol intake to 2-2 drinks per week." - ANSWER B) "You should increase your daily protein intake." A nurse collects data on a client who returned to the unit four hr ago following a partial colectomy. Which of the following conditions should the nurse attend to first? A) Change the moderately saturated dressing. B) Administer analgesic medication for incisional pain. C) Catheterize for a distended bladder. D) Cough and deep breathe client. - ANSWER B) Administer analgesic medication for incisional pain. Rationale: Administer pain medication to establish comfort and then attend to the other reported condition. A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. Which of the following instructions should be included in the teaching? A) Resting in a supine position B) Elevating arms while performing ADLs C) Breathing in through the nose and out through pursed lips. D) Increasing oxygen delivery to 5 L/min during times of distress. - ANSWER C) Breathing in through the nose and out through pursed lips. A nurse is assessing a client who is African-American and who is jaundice. Which of the following areas are the most reliable for the nurse to inspect? A) Palms of hands B) Hard palate C) Sclera D) Nail beds - ANSWER Hard palate