100% Verified Answers
A client who had a splenectomy yesterday has a nasogastric (NG) tube. What should the nurse
assess to determine the effectiveness of the NG tube? - ANS -absence of abdominal
distention
A client is scheduled for oral cholecystography. Prior to the test, the nurse should: - ANS -
ask the client about possible allergies to iodine or shellfish.
The health care provider prescribes metoclopramide hydrochloride for the client with hiatal
hernia. The nurse should assess the client to determine which expected outcome? - ANS -
Increase tone of the esophageal sphincter.
A nurse is caring for a client 1 hour post-laparotomy who reports abdominal pain rating 5/10.
What will the nurse prioritize when administering the ordered morphine? - ANS -
administer the medication before the pain becomes severe
Which measure should be implemented promptly after a client's nasogastric (NG) tube has been
removed? - ANS -Provide the client with oral hygiene.
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 - ANS -"Has your partner had recent forceful vomiting?"
A client has been diagnosed with an intestinal obstruction and has a nasogastric tube set to low
continuous suction. Which acid-base disturbance is this client at risk for developing? -
1
ANS -metabolic alkalosis
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, A nurse has been asked to obtain a client's signature on an operative consent form. When the
nurse approaches the client, who is scheduled for a cholycystectomy later in the day, the client
asks the nurse why the procedure is needed. Which response by the nurse is appropriate? -
ANS -"I will ask the surgeon to come speak to you about the procedure."
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. - ANS -Avoid all alcoholic beverages.
Avoid a diet high in fatty foods.
Avoid beverages that contain caffeine.
When administering intermittent enteral feeding to an unconscious client, what should the
nurse do? - ANS -Place the client in a semi-Fowler's position.
A client has been diagnosed with cirrhosis. When obtaining a health history, the nurse should
specifically determine if the client takes? - ANS -Acetaminophen.
A client with acute appendicitis develops a fever, tachycardia, and hypotension. Based on these
findings, the nurse should further assess the client for which complication? - ANS -
peritonitis
A nurse is talking to a neighbor who asks about reoccurring symptoms of gnawing epigastric
pain following meals and heartburn. Recognizing these symptoms, what suggestion could the
nurse make? - ANS -Avoid alcohol and nonsteroidal anti-inflammatory medications.
The nurse is providing discharge instructions for a client who had an inguinal herniorrhaphy.
What information should the nurse give the client? - ANS -avoid lifting anything heavier
than 5 lbs
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