You’re caring for Lewis, a 67 y.o. patient with liver cirrhosis who developed ascites and requires paracentesis. Relief of which symptom indicates that the paracentesis was effective? A. Pruritus B. Dyspnea C. Jaundice D. Peripheral Neuropathy Correct Answer: B. Dyspnea Ascites put pressure on the diaphragm. Paracentesis… Read More »
Which area of the alimentary canal is the most common location for Crohn’s disease? A. Ascending colon B. Descending colon C. Sigmoid colon D. Terminal ileum Correct Answer: D. Terminal ileum Studies have shown that the terminal ileum is the most common site for recurrence in clients… Read More »
The nurse is teaching the client how to perform a colostomy irrigation. To enhance the effectiveness of the irrigation and fecal returns, what measure should the nurse instruct the client to do? A. Increase fluid intake. B. Reduce the amount of irrigation solution. C. Perform the irrigation in the evening. D.… Read More »
A client has been diagnosed with adenocarcinoma of the stomach and is scheduled to undergo a subtotal gastrectomy (Billroth II procedure). During preoperative teaching, the nurse is reinforcing information about the procedure. Which of the following explanations is most accurate? A. The procedure will result in enlargement of the pyloric sphincter. B. The… Read More »
A patient who underwent abdominal surgery now has a gaping incision due to delayed wound healing. Which method is correct when you irrigate a gaping abdominal incision with sterile normal saline solution, using a piston syringe? A. Rapidly instill a stream of irrigating solution into the wound. B. Apply a wet-to-dry dressing to… Read More »
The nurse is performing an abdominal assessment and inspects the skin of the abdomen. The nurse performs which assessment technique next? A. Palpates the abdomen for size B. Palpates the liver at the right rib margin C. Listens to bowel sounds in all four quadrants D. Percusses the right lower abdominal… Read More »
When preparing a male client, age 51, for surgery to treat appendicitis, the nurse formulates a nursing diagnosis of Risk for infection related to inflammation, perforation, and surgery. What is the rationale for choosing this nursing diagnosis? A. Obstruction of the appendix may increase venous drainage and cause the appendix to rupture. B.… Read More »
You’re caring for Jane, a 57 y.o. patient with liver cirrhosis who developed ascites and requires paracentesis. Before her paracentesis, you instruct her to: A. Empty her bladder. B. Lie supine in bed. C. Remain NPO for 4 hours. D. Clean her bowels with an enema. Correct… Read More »
Which of the following factors is believed to be linked to Crohn’s disease? A. Constipation B. Diet C. Hereditary D. Lack of exercise Correct Answer: C. Hereditary Although the definite cause of Crohn’s disease is unknown, it’s thought to be associated with infectious, immune, or psychological factors.… Read More »
The nurse is reviewing the physician’s orders written for a client admitted with acute pancreatitis. Which physician order would the nurse question if noted on the client’s chart? A. NPO status B. Insert a nasogastric tube C. An anticholinergic medication D. Morphine for pain Correct Answer: D.… Read More »