Rn Comprehensive Exit Exam

25. A patient with a new ileostomy asks how much drainage to expect. The nurse explains that after the bowel adjusts to the ileostomy, the usual drainage will be about ____ cups daily a. 2 26. A patient with diverticulosis has a large bowel obstruction. The nurse will monitor for a. Abdominal distention 27. A patient being admitted with an acute exacerbation of ulcerative colitis reports crampy abdominal pain and passing 15 or more bloody stools a day. The nurse will plan to a. Discontinue the patient’s oral food intake 28. A patient has a new diagnosis of Crohn’s disease after having frequent diarrhea and a weight loss of 10 lb over 2 months. The nurse will plan to teach about a. Medication use 29. Which assessment should the nurse perform first for a patient who just vomited bright red blood? a. Taking the BP and the pulse 30. After bariatric surgery, a patient who is being discharged tells the nurse “I prefer to be independent. I am not interested in any support groups” which response by the nurse is best? a. “Tell me what types of resources you think you might use after surgery” A nurse is reviewing safety precautions w/a group of young adults at a community health fair. Which of the following recommendations should the nurse include specifically for this age group? Select all. A. Install bath rails & grab bars in bathrooms B. Wear a helmet while skiing C. Install a carbon monoxide detector D. Secure firearms in a safe location E. Remove throw rugs from the home B, C, D Rational: A is recommended for older adults and E as well for risk of falls A nurse is reviewing the CDC's immunization recommendations w/a young adult client. Which of the following recommendations should the nurse include in this discussion? Select all. A. Human papillomavirus B. Measles, mumps, rubella C. Varicella D. Haemophilus influenzae type b E. Polio A, B, C Rational: D is not for after 18 months of age and polio is also given as a child and not usually beyond 18 yrs old A nurse is caring for an 82-yr-old client in the ER who has an oral body temp of 38.3 C (101 F), a pulse rate of 114/min, & a RR of 22/min. He is restless & his skin is warm. Which of the following are appropriate nursing interventions for this client? Select all. A. Obtain culture specimens before initiating antimicrobials B. Restrict the client's oral fluid intake C. Encourage the client to limit activity & rest D. Allow the client to shiver to dispel excess heat E. Assist the client w/oral hygiene frequently A, C, E Rational: The nurse should prevent shivering & encourage the client to increase fluids. Oral hygiene helps prevent cracking of dry mucous membranes of the mouth 1 A nurse is caring for a client diagnosed w/severe acute respiratory syndrome (SARS). The nurse is aware that health care professionals are required to report communicable & infectious diseases. Which of the following illustrate the rationale for reporting? Select all. A. Planning & evaluating control & prevention strategies B. Determining public health priorities C. Ensuring proper medical treatment D. Identifying endemic disease E. Monitoring for common-source outbreaks A, B, C, E Rational: Not D because endemic disease is already prevalent within a population, so reporting is not necessary A confused client with carbon monoxide poisoning experiences dizziness when ambulating to the bathroom. The nurse should: A. Put all four side rails up on the bed B. Ask the unlicensed assistive personnel to place restraints on the client’s upper extremities C. Request that the client’s roommate put the call light on when the client is attempting to get out of bed D. Check on the client at regular intervals to ascertain the need to use the bathrooms The nurse should use which type of precautions for a client being admitted to the hospital with suspected tuberculosis? A. Hand hygiene B. Contact precautions C. Droplet precautions D. Airborne precautions The nurse is teaching a client with stomatitis about mouth care. Which instruction is most appropriate? A. Drink hot tea at frequent intervals B. Gargle with antiseptic mouthwash C. Use an electric toothbrush D. Eat a soft, bland diet A client with cancer of the stomach had a total gastrectomy 2 days earlier. Which indicates the client is ready to try a liquid diet? The client: A. Is hungry B. Has not requested pain medication for 8 h