NURS 498 Final EXAM latest |COMPREHENSIVE MOST TESTED
QUESTIONS AND VERIFIED SOLUTIONS | GET IT 100%
ACCURATE!!
A few months after bariatric surgery, an older-adult client tells the
nurse, "My skin is hanging in folds. I think I need cosmetic surgery."
Which of the following responses by the nurse is best?
a. "Perhaps you would like to talk to a counsellor about your body
image."
b. "The skin folds will gradually disappear once most of the weight
is lost."
c. "The important thing is that your weight loss is improving your
health."
d. "Cosmetic surgery is certainly a possibility once your weight has
stabilized." - ANSWER-d. "Cosmetic surgery is certainly a
possibility once your weight has stabilized."
- Reconstructive surgery may be used to eliminate excess skin
folds after at least a year has passed since the surgery. Skin folds
may not disappear over time, especially in older clients.
,After the nurse has completed teaching a client with newly
diagnosed celiac disease, which of the following breakfast choices
by the client indicates good understanding of the information?
a. Corn tortilla with eggs
b. Oatmeal with non-fat milk
c. Whole wheat toast with butter
d. Bagel with cream cheese - ANSWER-a. Corn tortilla with eggs
- Avoidance of gluten-containing foods is the only treatment for
celiac disease. Corn does not contain gluten, while oatmeal and
wheat do.
A client with ulcerative colitis who is taking azathioprine calls the
nurse in the outpatient clinic about all of these symptoms. Which of
the following symptoms is most important to communicate to the
health care provider?
a. Frequent headaches
b. Nausea
c. Elevated temperature
d. Joint pain - ANSWER-c. Elevated temperature
,- Since azathioprine suppresses immune function, rapid treatment
of infection is essential.
The nurse is providing discharge teaching to a client following
gastrectomy and should instruct the client to take measures to
assist in preventing dumping syndrome.
a. eat high-carbohydrate foods
b. limit the fluid taken with meals
c. sit in a high-fowlers position during meals.
d. ambulate following a meal - ANSWER-b. limit the fluid taken with
meals
- dumping syndrome is a term that refers to a constellation of
vasomotor symptoms that occurs after eating, especially following
gastrojejunostomy (Billroth). Early manifestations usually occur
within 30 minutes of eating and include vertigo, tachycardia,
syncope, sweating, pallor, palpitations, and the desire to lie down.
The nurse should instruct the client to decrease the amount of fluid
taken at meals and to avoid high-carbohydrate foods, including
fluids such as fruit nectars; to assume a low-fowler's position
during meals; to lie down 30 minutes after eating to delay gastric
emptying; and to take antispasmodics as prescribed.
, The nurse is caring for a client who returns to the surgical nursing
unit following a vertical banded gastroplasty with a nasogastric
tube to low, intermittent suction and a patient-controlled analgesia
(PCA) machine for pain control. Which of the following nursing
actions should be included in the postoperative plan of care?
a. Remind the client that PCA use may slow the return of bowel
function.
b. Irrigate the nasogastric (NG) tube frequently with normal saline.
c. Offer sips of sweetened liquids at frequent intervals.
d. Support the surgical incision during client coughing and turning
in bed. - ANSWER-d. Support the surgical incision during client
coughing and turning in bed.
- The incision should be protected from strain to decrease the risk
for wound dehiscence. The client should be encouraged to use the
PCA since pain control will improve cough effort and client mobility.
NG irrigation may damage the suture line or overfill the stomach
pouch. Sugar-free clear liquids are offered during the immediate
postoperative time to decrease the risk for dumping syndrome.
QUESTIONS AND VERIFIED SOLUTIONS | GET IT 100%
ACCURATE!!
A few months after bariatric surgery, an older-adult client tells the
nurse, "My skin is hanging in folds. I think I need cosmetic surgery."
Which of the following responses by the nurse is best?
a. "Perhaps you would like to talk to a counsellor about your body
image."
b. "The skin folds will gradually disappear once most of the weight
is lost."
c. "The important thing is that your weight loss is improving your
health."
d. "Cosmetic surgery is certainly a possibility once your weight has
stabilized." - ANSWER-d. "Cosmetic surgery is certainly a
possibility once your weight has stabilized."
- Reconstructive surgery may be used to eliminate excess skin
folds after at least a year has passed since the surgery. Skin folds
may not disappear over time, especially in older clients.
,After the nurse has completed teaching a client with newly
diagnosed celiac disease, which of the following breakfast choices
by the client indicates good understanding of the information?
a. Corn tortilla with eggs
b. Oatmeal with non-fat milk
c. Whole wheat toast with butter
d. Bagel with cream cheese - ANSWER-a. Corn tortilla with eggs
- Avoidance of gluten-containing foods is the only treatment for
celiac disease. Corn does not contain gluten, while oatmeal and
wheat do.
A client with ulcerative colitis who is taking azathioprine calls the
nurse in the outpatient clinic about all of these symptoms. Which of
the following symptoms is most important to communicate to the
health care provider?
a. Frequent headaches
b. Nausea
c. Elevated temperature
d. Joint pain - ANSWER-c. Elevated temperature
,- Since azathioprine suppresses immune function, rapid treatment
of infection is essential.
The nurse is providing discharge teaching to a client following
gastrectomy and should instruct the client to take measures to
assist in preventing dumping syndrome.
a. eat high-carbohydrate foods
b. limit the fluid taken with meals
c. sit in a high-fowlers position during meals.
d. ambulate following a meal - ANSWER-b. limit the fluid taken with
meals
- dumping syndrome is a term that refers to a constellation of
vasomotor symptoms that occurs after eating, especially following
gastrojejunostomy (Billroth). Early manifestations usually occur
within 30 minutes of eating and include vertigo, tachycardia,
syncope, sweating, pallor, palpitations, and the desire to lie down.
The nurse should instruct the client to decrease the amount of fluid
taken at meals and to avoid high-carbohydrate foods, including
fluids such as fruit nectars; to assume a low-fowler's position
during meals; to lie down 30 minutes after eating to delay gastric
emptying; and to take antispasmodics as prescribed.
, The nurse is caring for a client who returns to the surgical nursing
unit following a vertical banded gastroplasty with a nasogastric
tube to low, intermittent suction and a patient-controlled analgesia
(PCA) machine for pain control. Which of the following nursing
actions should be included in the postoperative plan of care?
a. Remind the client that PCA use may slow the return of bowel
function.
b. Irrigate the nasogastric (NG) tube frequently with normal saline.
c. Offer sips of sweetened liquids at frequent intervals.
d. Support the surgical incision during client coughing and turning
in bed. - ANSWER-d. Support the surgical incision during client
coughing and turning in bed.
- The incision should be protected from strain to decrease the risk
for wound dehiscence. The client should be encouraged to use the
PCA since pain control will improve cough effort and client mobility.
NG irrigation may damage the suture line or overfill the stomach
pouch. Sugar-free clear liquids are offered during the immediate
postoperative time to decrease the risk for dumping syndrome.
