exit k 3 GRADE A Q&A
A nurse is caring for a client who just had a gastrectomy. What should the nurse
emphasize when teaching the client how to avoid dumping syndrome? - (correct
answer)Eat small meals with low carbohydrate and moderate fat content
The nurse is caring for a client in the postanesthesia care unit immediately after the
client had a subtotal gastrectomy. The nurse identifies small blood clots in the client's
gastric drainage. The nurse should: - (correct answer)Consider this an expected event.
A client is diagnosed with cancer of the pancreas and is apprehensive and restless.
Which nursing action should be included in the plan of care? - (correct
answer)Encouraging expression of concerns
A health care provider schedules a paracentesis. What should the nurse instruct the
client to do to prepare for the procedure? - (correct answer)Empty the bladder before
the procedure.
A nurse is caring for a client who just had a liver biopsy. After the procedure, the nurse
should monitor for which common complication associated with the biopsy? - (correct
answer)Hemorrhage
After a subtotal gastrectomy a client is returned to the surgical unit. Which is the best
nursing action to prevent pulmonary complications? - (correct answer)Promoting
frequent turning and deep breathing to mobilize secretions
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 client has inoperable cancer of the head of the pancreas, and the health care provider
inserts a T-tube to gravity drainage. Several days after surgery, the client reports that
the skin around the T-tube is raw and uncomfortable. After assessing the skin, what
,should the nurse do next? - (correct answer)Apply a skin barrier around the T-tube exit
site
Immediately after a subtotal gastrectomy, a client is admitted to the postanesthesia care
unit (PACU). The nurse irrigates the nasogastric tube and observes small blood clots in
the return. What is the next best nursing intervention? - (correct answer)Document this
expected response.
A client who had previously signed a consent form for a liver biopsy reconsiders and
decides not to have the procedure. What is the nurse's best initial response? - (correct
answer)Can you tell me your reasons for refusing the procedure?"
After revision of the pancreas because of cancer, total parenteral nutrition is instituted
via a central venous infusion route. During the fourth hour of the infusion the client
complains of nausea, fatigue, and a headache. The hourly urine output is twice the
amount of the previous hour. After contacting the primary health care provider, what is
the next action the nurse should take? - (correct answer)Check the serum glucose level
The nurse identifies a decrease in serum sodium when reviewing the laboratory reports
of an older client with diarrhea. A decrease in which additional electrolyte is a cause for
the greatest concern for this client? - (correct answer)Potassium
Three days after surgery for cancer of the colon, a nurse introduces the client to
colostomy care. Which should the nurse teach the client about skin care around the
stoma? - (correct answer)Wash the area with soap and water and then apply a
protective ointment
When inserting a catheter to irrigate a client's colostomy, the nurse meets some
resistance. What should the nurse do? - (correct answer)nstill a small amount of
solution from the irrigating container into the stoma
A client is hospitalized after four days of epigastric pain, nausea, and vomiting. The
nurse reviews the laboratory test results: plasma pH 7.51, Pco2 50 mm Hg, bicarbonate
, 58 mEq/L, chloride 55 mEq/L, sodium 132 mEq/L, and potassium 3.8 mEq/L. The nurse
determines that the results indicate: - (correct answer)Metabolic alkalosis
The nurse is taking care of a client with cirrhosis of the liver. The best choice of a lunch
for a client with this disorder is: - (correct answer)Penne pasta with tomatoes, spinach,
banana, and decaffeinated iced tea.
When caring for a client in the early postoperative period after a hemorrhoidectomy, to
ensure the client's safety, the nurse would place the client in which position? - (correct
answer)Side-lying
A client is cautioned to avoid vitamin D toxicity while increasing protein intake. Which
nutrient selected by the client indicates to the nurse that the dietary teaching is
understood? - (correct answer)Tofu
Before a cholecystectomy vitamin K is prescribed. Which element, formed in the
presence of vitamin K, should the nurse determine is the purpose of administering this
medication? - (correct answer)Prothrombin
A nurse instructs a client with viral hepatitis about the type of diet that should be
ingested. Which lunch selected by the client indicates understanding about dietary
principles associated with this diagnosis? - (correct answer)Salad, sliced chicken
sandwich, gelatin dessert
On the third postoperative day after a subtotal gastrectomy, a client reports having
severe abdominal pain. The nurse palpates the client's abdomen and determines
rigidity. What should be the nurse's first action? - (correct answer)Obtain the client's vital
signs.
A nurse has provided teaching to a client with a newly prescribed proton pump inhibitor
(PPI). The nurse determines that the teaching is effective when the client states that the
medication is used for the treatment of: - (correct answer)Gastroesophageal reflux
(GERD)
A nurse is caring for a client who just had a gastrectomy. What should the nurse
emphasize when teaching the client how to avoid dumping syndrome? - (correct
answer)Eat small meals with low carbohydrate and moderate fat content
The nurse is caring for a client in the postanesthesia care unit immediately after the
client had a subtotal gastrectomy. The nurse identifies small blood clots in the client's
gastric drainage. The nurse should: - (correct answer)Consider this an expected event.
A client is diagnosed with cancer of the pancreas and is apprehensive and restless.
Which nursing action should be included in the plan of care? - (correct
answer)Encouraging expression of concerns
A health care provider schedules a paracentesis. What should the nurse instruct the
client to do to prepare for the procedure? - (correct answer)Empty the bladder before
the procedure.
A nurse is caring for a client who just had a liver biopsy. After the procedure, the nurse
should monitor for which common complication associated with the biopsy? - (correct
answer)Hemorrhage
After a subtotal gastrectomy a client is returned to the surgical unit. Which is the best
nursing action to prevent pulmonary complications? - (correct answer)Promoting
frequent turning and deep breathing to mobilize secretions
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 client has inoperable cancer of the head of the pancreas, and the health care provider
inserts a T-tube to gravity drainage. Several days after surgery, the client reports that
the skin around the T-tube is raw and uncomfortable. After assessing the skin, what
,should the nurse do next? - (correct answer)Apply a skin barrier around the T-tube exit
site
Immediately after a subtotal gastrectomy, a client is admitted to the postanesthesia care
unit (PACU). The nurse irrigates the nasogastric tube and observes small blood clots in
the return. What is the next best nursing intervention? - (correct answer)Document this
expected response.
A client who had previously signed a consent form for a liver biopsy reconsiders and
decides not to have the procedure. What is the nurse's best initial response? - (correct
answer)Can you tell me your reasons for refusing the procedure?"
After revision of the pancreas because of cancer, total parenteral nutrition is instituted
via a central venous infusion route. During the fourth hour of the infusion the client
complains of nausea, fatigue, and a headache. The hourly urine output is twice the
amount of the previous hour. After contacting the primary health care provider, what is
the next action the nurse should take? - (correct answer)Check the serum glucose level
The nurse identifies a decrease in serum sodium when reviewing the laboratory reports
of an older client with diarrhea. A decrease in which additional electrolyte is a cause for
the greatest concern for this client? - (correct answer)Potassium
Three days after surgery for cancer of the colon, a nurse introduces the client to
colostomy care. Which should the nurse teach the client about skin care around the
stoma? - (correct answer)Wash the area with soap and water and then apply a
protective ointment
When inserting a catheter to irrigate a client's colostomy, the nurse meets some
resistance. What should the nurse do? - (correct answer)nstill a small amount of
solution from the irrigating container into the stoma
A client is hospitalized after four days of epigastric pain, nausea, and vomiting. The
nurse reviews the laboratory test results: plasma pH 7.51, Pco2 50 mm Hg, bicarbonate
, 58 mEq/L, chloride 55 mEq/L, sodium 132 mEq/L, and potassium 3.8 mEq/L. The nurse
determines that the results indicate: - (correct answer)Metabolic alkalosis
The nurse is taking care of a client with cirrhosis of the liver. The best choice of a lunch
for a client with this disorder is: - (correct answer)Penne pasta with tomatoes, spinach,
banana, and decaffeinated iced tea.
When caring for a client in the early postoperative period after a hemorrhoidectomy, to
ensure the client's safety, the nurse would place the client in which position? - (correct
answer)Side-lying
A client is cautioned to avoid vitamin D toxicity while increasing protein intake. Which
nutrient selected by the client indicates to the nurse that the dietary teaching is
understood? - (correct answer)Tofu
Before a cholecystectomy vitamin K is prescribed. Which element, formed in the
presence of vitamin K, should the nurse determine is the purpose of administering this
medication? - (correct answer)Prothrombin
A nurse instructs a client with viral hepatitis about the type of diet that should be
ingested. Which lunch selected by the client indicates understanding about dietary
principles associated with this diagnosis? - (correct answer)Salad, sliced chicken
sandwich, gelatin dessert
On the third postoperative day after a subtotal gastrectomy, a client reports having
severe abdominal pain. The nurse palpates the client's abdomen and determines
rigidity. What should be the nurse's first action? - (correct answer)Obtain the client's vital
signs.
A nurse has provided teaching to a client with a newly prescribed proton pump inhibitor
(PPI). The nurse determines that the teaching is effective when the client states that the
medication is used for the treatment of: - (correct answer)Gastroesophageal reflux
(GERD)
