Exam 1: NSG 124/ NSG124 (NEW 2024/ 2025 UpdatE) pharmacoloGy | rEviEW With QUEStioNS aNd vErifiEd aNSWErS| 100% corrEct| GradEd a- hErziNG A self-help group of clients with irritable bowel syndrome have invited a nurse to present a program on nutri

Exam 1: NSG 124/ NSG124 (NEW 2024/ 2025 UpdatE) pharmacoloGy | rEviEW With QUEStioNS aNd vErifiEd aNSWErS| 100% corrEct| GradEd a- hErziNG A self-help group of clients with irritable bowel syndrome have invited a nurse to present a program on nutrition. Which substance should the nurse teach the clients to minimize in the diet to decrease gastrointestinal (GI) irritability? - correct answer-Cola drinks The postoperative prescriptions for a client who had repair of an inguinal hernia include docusate sodium (Colace) daily. Before discharge, the nurse teaches the client that an intermittent side effect of this medication may be: - correct answer-Mild abdominal cramping A nurse is caring for a client who is recovering from an acute episode of alcoholism. Which component of a therapeutic diet should the nurse encourage the client to consume? - correct answer-High protein A client is scheduled to begin chemotherapy two weeks after the client had surgery for colon cancer. The nurse explains to the client that the delay in instituting drug therapy is planned because the chemotherapy: - correct answer-Interferes with cell growth and delays wound healing A nurse is caring for a client with a diagnosis of cholecystitis. For which clinical manifestation of obstructive jaundice should the nurse assess the client? - correct answer-Clay-colored stools A health care provider prescribes a sigmoidoscopy for one client and a barium enema for another client. What is a nursing responsibility common to preparing both of these clients for these procedures? - correct answer-Ensuring an understanding of the procedure A client has a paracentesis during which 1500 mL of fluid is removed. The nurse should monitor the client carefully for - correct answer-Hypovolemic shock A client who had abdominal surgery asks the nurse about when the client can return to work after discharge. The most appropriate response by the nurse is: - correct answer-"What type of work did you have in mind?" A client with gastric ulcer disease asks the nurse why the health care provider has prescribed metronidazole (Flagyl). The nurse explains, "Antibiotics are prescribed to: - correct answer-Treat Helicobacter pylori infection." After a bilateral inguinal hernia repair (herniorrhaphy) the nurse should assess the client for the development of: - correct answer-Urinary retention A client is admitted with a diagnosis of cancer of the colon. What information about malignant tumors of the colon should the nurse consider when caring for this client? - correct answer-Intestinal obstructions usually are malignant An 85-year-old client has a three-day history of nausea, vomiting, and diarrhea. The client develops weakness and confusion and is admitted to the hospital. To best monitor the client's rehydration status, the nurse should assess the client's: - correct answer-Daily weight A client is admitted via the emergency department with the tentative diagnosis of diverticulitis. Which test commonly is prescribed to assess for this problem? - correct answer-CT scan A nurse is obtaining a history and performing a physical assessment of a client who has cancer of the tongue. Which clinical findings should the nurse expect to identify? (Select all that apply.) - correct answer-Leukoplakia Alterations in taste Enlarged cervical lymph nodes A nurse is assessing a client for dehydration, The client has had diarrhea and vomiting for 48 hours. What are indicators of dehydration? (Select all that apply.) - correct answer-Headache The skin on the client's forehead remains tented after being pinched A client is admitted for repair of bilateral inguinal hernias. Before surgery the nurse assesses the client for signs that strangulation of the intestine may have occurred. What is an early sign of strangulation? - correct answer-Sharp abdominal pain Famotidine (Pepcid) is prescribed for a client with peptic ulcer disease. The client asks the nurse what this medication does. The nurse responds, "It: - correct answer-Inhibits gastric acid secretion Which clinical indicators identified by the nurse support the probable presence of a fecal impaction in a client? (Select all that apply.) - correct answer-Abdominal cramps Fecal liquid seepage Hyperactive bowel sounds A client has a colon resection with an anastomosis. What assessments by the nurse support a suspicion of impending shock? Select all that apply. - correct answer-Oliguria Irritability Hypotension A nurse is providing dietary teaching for a client with celiac disease. Which foods should the nurse teach the client to avoid when following a gluten-free diet? (Select all that apply.) - correct answer-Rye Oats Wheat A client with a long history of alcohol abuse is admitted to the hospital with ascites and jaundice. A diagnosis of hepatic cirrhosis is made. A nursing priority is to: - correct answer-Institute fall prevention/safety measures When planning discharge teaching for a client who had an ileostomy, the nurse places primary emphasis on: - correct answer-Telling the client whom to contact if assistance is needed A nurse is caring for a client who is admitted to the hospital with ascites and a diagnosis of cirrhosis of the liver. The nurse concludes that the probable cause of ascites is: - correct answer-Impaired portal venous return To help prevent long-term complications associated with gastric bypass surgery, the nurse needs to educate the client. Identify the factors that should be included in the nurse's teaching plan for this client. (Select all that apply.) - correct answer-Eat foods rich in calcium. Consume a diet high in protein. Receive vitamin B12 injections routinely A nurse is teaching a group of adults about the signs and symptoms of colorectal cancer. What is the most common clinical manifestation that the nurse should include in the teaching program? - correct answer-Change in bowel habits The serum ammonia level of a client with hepatic cirrhosis and ascites is elevated. The priority nursing intervention is to: - correct answer-Observe the client for increasing confusion