and CORECT Answers
Which nursing measure would be most effective in helping the client cough and deep breathe
after a cholecystectomy? - CORRECT ANSWER -Teach the client to use a folded blanket
or pillow to splint the incision.
When caring for the client with hepatitis B, which situation would expose the nurse to the virus?
- CORRECT ANSWER -a blood splash into the nurse's eyes
The nurse is caring for a client that has undergone a colon resection. While turning the client,
wound dehiscence with evisceration occurs. What is the nurse's first response? - CORRECT
ANSWER -Place saline-soaked sterile dressings on the wound.
The nurse is developing a care management plan with a client who has been diagnosed with
gastroesophageal reflux disease. What should the nurse should instruct the client to do? Select all
that apply. - CORRECT ANSWER -Avoid beverages that contain caffeine.
Avoid all alcoholic beverages.
Avoid a diet high in fatty foods.
A client underwent insertion of a nasogastric (NG) tube for partial bowel obstruction the
previous evening. The nurse notes that the tube is not secured to the client's face. How will the
nurse proceed? - CORRECT ANSWER -Verify placement of the tube.
TPN is prescribed for a client with Crohn's disease. What indicates to the nurse that the TPN has
been effective? - CORRECT ANSWER -has met nutritional needs.
A client with extreme weakness, pallor, weak peripheral pulses, and disorientation is admitted to
the emergency department. The client's partner reports that the client has been "spitting up
blood." A Mallory-Weiss tear is suspected, and the nurse begins taking a client history from the
client's partner. The question by the nurse that demonstrates the nurse's understanding of
Mallory-Weiss tearing is - CORRECT ANSWER -"Has your partner had recent forceful
vomiting?"