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Med Surge 3 - Final Exam Review_Nursing Interventions & Patient Care | Actual Latest 2026 Test | Verified Solutions

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Med Surge 3 - Final Exam Review_Nursing Interventions & Patient Care | Actual Latest 2026 Test | Verified Solutions

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Med3 - Final Exam Review_Nursing Interventions & Patient Care | Actual
Latest 2026 Test | Verified Solutions

EXAM III QUESTIONS

1. The nurse working in an outpatient center has instructed a client who is scheduled to have endoscopic retrograde
cholangiopancreatography (ERCP). Which of the following client statements indicates a correct understanding?

WilI will notify my primary health care provider (PHCP) if I experience abdominal pain 1 to 2 days following this procedure



2. The nurse is caring for a client who is 4 hours postoperative for a Roux-en-Y bariatric surgery. Which of the following nursing
interventions should the nurse include in the clients plan of care? Select all that apply
-Provide the client with clear liquids 1 ounce at a time

-Place a sign above the clients bed that stated, " do not manipulate nasogastric (NG) tube"
-Administer prescribed anticoagulant therapy
-Apply an abdominal binder over dressing
1,3,5,6



3. The nurse is teaching a client about lifestyle modifications to manage gastroesophageal reflux disease (GERD). Which of the following
statements should the nurse include?

"Avoid bent over or stooped positions"



4. The nurse is caring for a client with a peptic ulcer perforation. Which of the following actions is a Priority for the nurse to take?

Prepare the client for surgery



5. The nurse is assessing a client who has peptic ulcer disease (PUD). Which of the following findings should the nurse ident ify as the
priority?

Melena



6. The nurse is caring for a client who has peptic ulcer disease (PUD) and has a new prescription for omeprazole. The nurse u nderstands
that this medication may be used in the management of PUD to?

Decrease gastric acid secretions



7. The nurse is caring for a group of clients. The nurse recognizes that the client who should be routinely evaluated for pep tic ulcer
disease (PUD) is the client who is

Being treated with high-dose prednisone.



8. The nurse is reviewing the plan of care for a client who has gastroenteritis. Which of the following interventions should the nurse
include?

Monitor for development of cardiac dysrhythmias.



9. The nurse is assessing a client who has a duodenal ulcer. The nurse would expect that the client will report having pain t hat

Occurs 30 to 60 minutes after eating a meal.



10. The nurse is caring for a client who is 3 hours postoperative from bowel surgery. The nurse auscultates all abdominal qua drants and
hears no sounds. The nurse understands this finding likely indicates

, Nonmechanical obstruction.



11. The nurse is admitting a client who has a large bowel obstruction. Which of the following assessment findings should the nurse
anticipate the client will have?

Ribbon-like stools.



12. The nurse is teaching a client with ulcerative colitis about the disease. The nurse states, " Ulcerative colitis is commo nly associated
with"

Bloody diarrhea



13. The nurse is caring for a client who is experiencing an acute exacerbation of ulcerative colitis. The nurse recognizes wh ich of the
following actions as the priority?

Evaluate fluids and electrolyte levels.



14. The nurse is teaching a client who has ulcerative colitis about the common link with Crohn's disease. Which of the following
information should the nurse include?

Both have unknown etiology.



15. The nurse planning care for a client who has active diverticulitis. Which of the following menu selections should the nurse include in
the plan?

Grilled chicken breast with white rice.



16. The nurse is caring for a client with anorexia nervosa who is severely malnourished. A nasogastric feeding tube is inserted, and tube
feedings are started. Which of the following laboratory findings is the best indication that the clients nutritional s tatus is improving?

Prealbumin level has risen from 9 to 17 mg/dL.



17. The nurse is caring for a client who is admitted with suspected acute appendicitis. Which of the following manifestations should
indicate to the nurse that the client's appendix is perforated?

Abdominal pain that worsens with coughing.



18. The nurse is observing a newly hired nurse care for a client who has an ileostomy. Which of the following observations would
indicate correct technique by the newly hired nurse?

Applying an ostomy skin cream to fill in areas that may come in contact with ostomy contents.



19. The home health nurse is reviewing self-care instructions with a client who has an ileostomy. Which of the following client
statements requires additional teaching by the nurse?

I will give myself an enema if I have not passed any stool in 6 to 12 hours.



20. The nurse is admitting a client who is suspected of having acute cholelithiasis. The nurse should assess the client for

Episodic upper abdominal pain

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