To prevent gastroesophageal reflux in a male client with a hiatal hernia, the nurse should provide which of the following discharge instructions? A. “Lie down after meals to promote digestion.” B. “Avoid coffee and alcoholic beverages.” C. “Take antacids with meals.” D. “Limit fluid intake with meals.” … Read More »
You’re caring for Betty with liver cirrhosis. Which of the following assessment findings leads you to suspect hepatic encephalopathy in her? A. Asterixis B. Chvostek’s sign C. Trousseau’s sign D. Hepatojugular reflux Correct Answer: A. Asterixis Asterixis is an early neurologic sign of hepatic encephalopathy elicited by… Read More »
Fistulas are most common with which of the following bowel disorders? A. Crohn’s disease B. Diverticulitis C. Diverticulosis D. Ulcerative colitis Correct Answer: A. Crohn’s disease The lesions of Crohn’s disease are transmural; that is, they involve all thickness of the bowel. These lesions may perforate the… Read More »
The nurse instructs the ileostomy client to do which of the following as a part of essential care of the stoma? A. Cleanse the peristomal skin meticulously. B. Take in high-fiber foods such as nuts. C. Massage the area below the stoma. D. Limit fluid intake to prevent diarrhea. … Read More »
Which of the following would be an expected nutritional outcome for a client who has undergone a subtotal gastrectomy for cancer? A. Regain weight loss within 1 month after surgery. B. Resume normal dietary intake of three meals per day. C. Control nausea and vomiting through regular use of antiemetics. D.… Read More »
Findings during an endoscopic exam include a cobblestone appearance of the colon in your patient. The findings are characteristic of which disorder? A. Ulcer B. Crohn’s disease C. Chronic gastritis D. Ulcerative colitis Correct Answer: B. Crohn’s disease Crohn’s disease penetrates the mucosa of the colon through… Read More »
The nurse is reviewing the medication record of a female client with acute gastritis. Which medication, if noted on the client’s record, would the nurse question? A. Digoxin (Lanoxin) B. Furosemide (Lasix) C. Indomethacin (Indocin) D. Propranolol hydrochloride (Inderal) Correct Answer: C. Indomethacin (Indocin) Indomethacin (Indocin) is… Read More »
The nurse caring for a client with small bowel obstruction would plan to implement which nursing intervention first? A. Administering pain medication B. Obtaining a blood sample for laboratory studies C. Preparing to insert a nasogastric (NG) tube D. Administering I.V. fluids Correct Answer: D. Administering I.V.… Read More »
You are developing a care plan for Sally, a 67 y.o. patient with hepatic encephalopathy. Which of the following do you include? A. Administering a lactulose enema as ordered. B. Encouraging a protein-rich diet. C. Administering sedatives, as necessary. D. Encouraging ambulation at least four times a day. … Read More »
Which of the following areas is the most common site of fistulas in clients with Crohn’s disease? A. Anorectal B. Ileum C. Rectovaginal D. Transverse colon Correct Answer: A. Anorectal Fistulas occur in all these areas, but the anorectal area is most common because of the relative… Read More »