NURS 321 Exam 2 – Questions & Accurate Answers
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Terms in this set (132)
What increases an individual's risk for C.Diff? a, b, and d
Select all that apply.
a. Antibiotic therapy
b. Immunosuppression
c. Intake of fatty foods
d. Old age
e. Sedentary lifestyle
A patient undergoes a laparoscopic a, b, d, and f
cholecystectomy and returns to the clinical
unit after recovering from anesthesia. Select
the appropriate nursing interventions when
caring for the patient in the immediate
postoperative period. There are 4 correct
statements.
a. Administer NSAIDS for relief of pain.
b. Encourage deep breathing and
ambulation.
c. Keep patient NPO for 24 hours
postoperatively.
d. Monitor for potential complications such
as bleeding.
e. Position patient on right side to help with
CO2 gas pocket.
f. Provide wound care per health care
provider's order.
g. Maintain a NG tube to intermittent wall
suction.
,You realize that a post cholecystectomy a, b, d, and e
patient's teaching needs are not restricted
to dietary needs. Select the appropriate
teaching statements when preparing the
patient for discharge. There are 4 correct
statements.
a. Notify your surgeon if you experience
severe abdominal pain, nausea, vomiting,
fever, or chills.
b. Report any redness, swelling, or bile-
colored drainage from any of the incisions.
c. You may not shower for 3 days
postoperatively.
d. You may remove bandages on the
puncture site the day after surgery.
e. You will most likely be allowed to return
to work within 1 week of surgery.
f. You will need to take fat-soluble vitamins
for the rest of your life in order to prevent
bleeding complications.
A patient reports abdominal pain, fever, and d. Computed tomography (CT)
vomiting. The primary healthcare provider
suspects appendicitis. Which diagnosis will
confirm the condition?
a. X-ray of abdomen
b. Physical assessment
c. White blood cell count
d. Computed tomography (CT)
Which findings would be consistent with a d and e
clinical diagnosis of acute appendicitis?
Select all that apply.
a. Elevated white blood cell count with a
shift to the right
b. Hypothermia
c. Presentation of pain in the left lower
quadrant correlated with McBurney's point
d. Presence of Rovsing's sign eliciting
referred pain in the right lower quadrant
e. Nausea and vomiting
The nurse is taking care of a client d. Place an ice pack to the right lower quadrant.
diagnosed with acute appendicitis who is
awaiting surgical intervention. The client has
been medicated for pain as ordered. What
additional comfort measure should the
nurse include in the plan of care to relieve
the client's pain?
a. Place a warm compress on the area that
the client identifies as the source of pain.
b. Position for comfort on the right side with
pillow support.
c. Maintain patient's position in high Fowler's
to decrease pressure on the diaphragm.
d. Place an ice pack to the right lower
quadrant.
, An appendectomy is performed, revealing c. Monitoring nasogastric (NG) tube attached to low
that the appendix has ruptured. Based on intermittent suction for drainage
this finding, what should the nurse include in
the postoperative care?
a. Providing nourishment by administering
total parenteral nutrition (TPN) in the
postoperative period
b. Advancing diet as tolerated within 24
hours of surgery
c. Monitoring nasogastric (NG) tube
attached to low intermittent suction for
drainage
d. Maintaining complete bedrest with both
side rails up to ensure safety
Andrew continues to recover from surgery d. Presence of bowel sounds.
and hopes that the NG tube will be
removed soon. What clinical finding
supports the removal of the NG tube?
a. Client has resumed ambulation with
minimal assistance.
b. Less pain medication has been
administered during a 12-hour shift.
c. Client is able to tolerate small sips of
liquids without nausea or vomiting.
d. Presence of bowel sounds.
In hopes of promoting a prompt recovery, a, b, and d
which of the following aspects will be
included in care planning for this client?
Select all that apply.
a. Use of incentive spirometer
b. Early ambulation as tolerated
c. Discontinuation of antibiotic therapy upon
client becoming afebrile
d. Assistance with turning, coughing, and
deep breathing techniques (TCDB)
e. Limiting oral fluids
Which assessment findings are consistent a, c, and d
with identification of positive McBurney's
point in a client with suspected
appendicitis? Select all that apply.
a. Abdominal tenderness
b. Left lower quadrant pain
c. Guarding in response to pain
d. Right lower quadrant pain
e. Hyperactive bowel sounds
Save
Students also studied
Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Terms in this set (132)
What increases an individual's risk for C.Diff? a, b, and d
Select all that apply.
a. Antibiotic therapy
b. Immunosuppression
c. Intake of fatty foods
d. Old age
e. Sedentary lifestyle
A patient undergoes a laparoscopic a, b, d, and f
cholecystectomy and returns to the clinical
unit after recovering from anesthesia. Select
the appropriate nursing interventions when
caring for the patient in the immediate
postoperative period. There are 4 correct
statements.
a. Administer NSAIDS for relief of pain.
b. Encourage deep breathing and
ambulation.
c. Keep patient NPO for 24 hours
postoperatively.
d. Monitor for potential complications such
as bleeding.
e. Position patient on right side to help with
CO2 gas pocket.
f. Provide wound care per health care
provider's order.
g. Maintain a NG tube to intermittent wall
suction.
,You realize that a post cholecystectomy a, b, d, and e
patient's teaching needs are not restricted
to dietary needs. Select the appropriate
teaching statements when preparing the
patient for discharge. There are 4 correct
statements.
a. Notify your surgeon if you experience
severe abdominal pain, nausea, vomiting,
fever, or chills.
b. Report any redness, swelling, or bile-
colored drainage from any of the incisions.
c. You may not shower for 3 days
postoperatively.
d. You may remove bandages on the
puncture site the day after surgery.
e. You will most likely be allowed to return
to work within 1 week of surgery.
f. You will need to take fat-soluble vitamins
for the rest of your life in order to prevent
bleeding complications.
A patient reports abdominal pain, fever, and d. Computed tomography (CT)
vomiting. The primary healthcare provider
suspects appendicitis. Which diagnosis will
confirm the condition?
a. X-ray of abdomen
b. Physical assessment
c. White blood cell count
d. Computed tomography (CT)
Which findings would be consistent with a d and e
clinical diagnosis of acute appendicitis?
Select all that apply.
a. Elevated white blood cell count with a
shift to the right
b. Hypothermia
c. Presentation of pain in the left lower
quadrant correlated with McBurney's point
d. Presence of Rovsing's sign eliciting
referred pain in the right lower quadrant
e. Nausea and vomiting
The nurse is taking care of a client d. Place an ice pack to the right lower quadrant.
diagnosed with acute appendicitis who is
awaiting surgical intervention. The client has
been medicated for pain as ordered. What
additional comfort measure should the
nurse include in the plan of care to relieve
the client's pain?
a. Place a warm compress on the area that
the client identifies as the source of pain.
b. Position for comfort on the right side with
pillow support.
c. Maintain patient's position in high Fowler's
to decrease pressure on the diaphragm.
d. Place an ice pack to the right lower
quadrant.
, An appendectomy is performed, revealing c. Monitoring nasogastric (NG) tube attached to low
that the appendix has ruptured. Based on intermittent suction for drainage
this finding, what should the nurse include in
the postoperative care?
a. Providing nourishment by administering
total parenteral nutrition (TPN) in the
postoperative period
b. Advancing diet as tolerated within 24
hours of surgery
c. Monitoring nasogastric (NG) tube
attached to low intermittent suction for
drainage
d. Maintaining complete bedrest with both
side rails up to ensure safety
Andrew continues to recover from surgery d. Presence of bowel sounds.
and hopes that the NG tube will be
removed soon. What clinical finding
supports the removal of the NG tube?
a. Client has resumed ambulation with
minimal assistance.
b. Less pain medication has been
administered during a 12-hour shift.
c. Client is able to tolerate small sips of
liquids without nausea or vomiting.
d. Presence of bowel sounds.
In hopes of promoting a prompt recovery, a, b, and d
which of the following aspects will be
included in care planning for this client?
Select all that apply.
a. Use of incentive spirometer
b. Early ambulation as tolerated
c. Discontinuation of antibiotic therapy upon
client becoming afebrile
d. Assistance with turning, coughing, and
deep breathing techniques (TCDB)
e. Limiting oral fluids
Which assessment findings are consistent a, c, and d
with identification of positive McBurney's
point in a client with suspected
appendicitis? Select all that apply.
a. Abdominal tenderness
b. Left lower quadrant pain
c. Guarding in response to pain
d. Right lower quadrant pain
e. Hyperactive bowel sounds
