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The nurse cares for a client who receives continuous parenteral nutrition (PN)
through a Hickman catheter and notices that the client's solution has run out. No
PN solution is currently available from the pharmacy. What should the nurse do? -
--------CORRECT ANSWER-----------------hang 10% dextrose and water
A client who underwent abdominal surgery and has a nasogastric (NG) tube in
place begins to complain of abdominal pain that he describes as "feeling full and
uncomfortable." Which assessment should the nurse perform first? ---------
CORRECT ANSWER-----------------assess patency of the NG tube
The nurse is to insert a postpyloric feeding tube. How can the nurse aid in
placement of the tube past the pylorus? ---------CORRECT ANSWER-----------------
Administer prescribed metoclopramide.
Hickman and Groshong are examples of which type of central venous access
device? ---------CORRECT ANSWER-----------------tunneled central catheters
,The nurse administers a tube feeding to a client via the intermittent gravity drip
method. The nurse should administer the feeding over at least which period of
time? ---------CORRECT ANSWER-----------------30 minutes
The nurse is inserting a sump tube in a patient with Crohn's disease who is
suspected of having a bowel obstruction. What does the nurse understand is the
benefit of the gastric (Salem) sump tube in comparison to some of the other
tubes? ---------CORRECT ANSWER-----------------the tube is radiopaque
A client who underwent abdominal surgery and has a nasogastric (NG) tube in
place begins to complain of abdominal pain that he describes as "feeling full and
uncomfortable." Which assessment should the nurse perform first? ---------
CORRECT ANSWER-----------------assess the patancy of the NG tube
A nurse is preparing to assist a health care provider with a peripherally inserted
central catheter. The nurse demonstrates understanding of this procedure by
preparing which insertion site? ---------CORRECT ANSWER-----------------Basilic vein
A client receiving tube feedings has prescriptions for several drugs. Which drugs
would the nurse expect to administer to the client without any special
preparation? Select all that apply. ---------CORRECT ANSWER-----------------Liquid
stool softener
Sublingual nitroglycerin
,Client is postoperative following a graft reconstruction of the neck. What
intervention is the most important for the nurse to complete with the client? ------
---CORRECT ANSWER-----------------assess the graft for color and temperature
Cancer of the esophagus is most often diagnosed by which of the following? -------
--CORRECT ANSWER-----------------Esophagogastroduodenoscopy (EGD) with biopsy
and brushings
A patient describes a burning sensation in the esophagus, pain when swallowing,
and frequent indigestion. What does the nurse suspect that these clinical
manifestations indicate? ---------CORRECT ANSWER-----------------gastroesophageal
reflux disease
A client has been taking a 10-day course of antibiotics for pneumonia. The client
has been having white patches that look like milk curds in the mouth. What
treatment will the nurse educate the client about? ---------CORRECT ANSWER-------
----------nystatin
A nurse enters the room of a client who has returned to the unit after having a
radical neck dissection. Which assessment finding requires immediate
intervention? ---------CORRECT ANSWER-----------------The client lying in a lateral
position, with the head of bed flat
, A client is recovering from a neck dissection. What volume of serosanguineous
secretions would the nurse expect to drain over the first 24 hours? ---------
CORRECT ANSWER-----------------80-120 ml
The nurse is providing discharge instructions for a slightly overweight client seen
in the Emergency Department with gastroesophageal reflux disease (GERD). The
nurse notes in the client's record that the client is taking carbidopa/levodopa.
Which order for the client by the health care provider should the nurse question?
---------CORRECT ANSWER-----------------metoclopramide
Which of the following medications, used in the treatment of GERD, accelerate
gastric emptying? ---------CORRECT ANSWER-----------------Metoclopramide (Reglan)
Which of the following is a proton pump inhibitor used in the treatment of
gastroesophageal reflux disease (GERD)? Select all that apply. ---------CORRECT
ANSWER-----------------Lansoprazole (Prevacid)
Rabeprazole (AcipHex)
Esomeprazole (Nexium)
A home care nurse is caring for a client with reports of epigastric discomfort who
is scheduled for a barium swallow. Which statement by the client indicates an
understanding of the test? ---------CORRECT ANSWER-----------------"I'll avoid eating
or drinking anything 6 to 8 hours before the test."