Questions and Answers Rated A
a nurse is caring for a client in an endoscopy
suite at a surgical center. Joint pain is an expected finding in a client who
a nurse is assessing the client following the has acute hepatitis B.
procedure. which of the following findings should
the nurse report to the provider?
select all that apply. a nurse is admitting a client who has acute
pancreatitis. which of the following actions should
throat sensation the nurse take first? - - -identify the client's
voice quality current level of pain
temperature
oxygen saturation The first action the nurse should take when using
pain the nursing process is to assess the client.
swallowing ability Clients who have acute pancreatitis often have
bloating - - -swallowing ability severe abdominal pain. By assessing the client's
-pain level of pain, the nurse can identify the need for,
-oxygen saturation and implement interventions, to alleviate the
-temperature client's pain. Therefore, this is the priority action
the nurse should take.
a nurse is caring for a client on a medical-
surgical unit. a nurse is assessing a client who is postoperative
click to highlight the findings that require following a gastrectomy. the nurse should identify
immediate follow-up. to deselect a finding, click which of the following findings as an indication of
on the finding again. abdominal distension? - - -hiccups
nurses notes: Following surgery, hiccups can be caused by
drainage from NG is dark brown drainage with irritation of the phrenic nerve, due to abdominal
small amount of old blood noted. distension. If the hiccups are intractable, the
coughing and hoarse voice after swallowing. nurse should anticipate a prescription for
client supports abdomen when coughing. chlorpromazine. This is because persistent
client reports feeling of abdominal fullness and is hiccups are distressful to the client and can lead
unable to belch. to complications, such as vomiting.
vital signs:
day 9: a nurse is providing discharge teaching for a
oxygen saturation 90% on room air - -- client who has peptic ulcer disease and a new
coughing and hoarse voice after swallowing. prescription for once daily famotidine. which of
-oxygen saturation 90% on room air the following statements by the client indicates an
-client reports feeling of abdominal fullness and understanding of the teaching? - - -"i
is unable to belch. should take this medication at bedtime."
The nurse should instruct the client to take the
a nurse is assessing a client who has acute medication at bedtime to inhibit the overnight
hepatitis B. which of the following findings should action of histamine at the H2-receptor site in the
the nurse expect? - - -joint pain stomach.
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, RN targeted medical surgical gastrointestinal online practice
Questions and Answers Rated A
a nurse is assessing a client who has peritonitis.
a nurse is providing dietary teaching for a client which of the following findings should the nurse
who has a new diagnosis of celiac disease. expect? - - -board-like abdomen
which of the following statements by the client
indicates an understanding of the teaching? - A board-like, distended abdomen, accompanied
- -"I will eat beans to ensure I get enough by extreme pain and tenderness, is an expected
fiber in my diet." finding for a client who has peritonitis.
Clients who have celiac disease must maintain a a nurse is caring for a client who has ulcerative
gluten-free diet, which eliminates fiber-rich whole colitis. the client has had several exacerbations
wheat products. Clients should eat beans, nuts, over the past 3 years. which of the following
fruits, and vegetables to ensure an adequate instructions should the nurse include in the plan
intake of fiber. of care to minimize the risk of further
exacerbations? (Select all that apply.)
a nurse is providing dietary teaching for a client use progressive relaxation techniques
who has chronic pancreatitis. which of the increase dietary fiber intake
following food selections by the client indicates drink two 8 oz (240 mL) glasses of milk per day
an understading of the teaching? - - -8 oz arrange activities to allow for daily rest periods
(0.24 L) sliced banana restrict intake of carbonated beverages - --
use progressive relaxation techniques
Foods that are high in fat can cause diarrhea for -arrange activities to allow for daily rest periods
clients who have pancreatitis. 8 oz (0.24 L), or 1 -restrict intake of carbonated beverages
cup of sliced banana, which contains 0.49 g of
fat, is a low-fat food option. Clients who have
pancreatitis should consume a high-protein and a nurse is assessing a client immediately
low-fat diet with an adequate amount of following a paracentesis for the treatment of
carbohydrates and calories. ascites. which of the following findings indicates
the procedure was effective? - --
decreased shortness of breath
a nurse is assessing a client who has
appendicitis. which of the following findings Increased abdominal fluid can limit the expansion
should the nurse expect? (Select all that apply.) of the diaphragm and prevent the client from
taking a deep breath. After excess peritoneal fluid
oral temperature of 38.4 C (101.1 F) is removed, the diaphragm will expand more
decreased WBC count freely. The nurse should identify this finding as an
bloody diarrhea indicator that the procedure was effective.
N/V
RLQ pain - - -oral temperature of 38.4 C
(101.1 F) a nurse is teaching a client how to prepare for a
-nausea and vomiting colonoscopy. which of the following instructions
-right lower quadrant pain should the nurse include in the teaching? -
- -"Drink clear liquids for 24 hr prior to the
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