The client with Crohn’s disease has a nursing diagnosis of acute pain. The nurse would teach the client to avoid which of the following in managing this problem? A. Lying supine with the legs straight. B. Massaging the abdomen. C. Using antispasmodic medication. D. Using relaxation techniques. … Read More »
A client has been taking aluminum hydroxide 30 mL six times per day at home to treat his peptic ulcer. He tells the nurse that he has been unable to have a bowel movement for 3 days. Based on this information, the nurse would determine which of the following is the most likely cause of… Read More »
Your patient with peritonitis is NPO and complaining of thirst. What is your priority? A. Increase the I.V. infusion rate. B. Use diversion activities. C. Provide frequent mouth care. D. Give ice chips every 15 minutes. Correct Answer: C. Provide frequent mouth care. Frequent mouth care helps… Read More »
The nurse is caring for a male client postoperatively following the creation of a colostomy. Which nursing diagnosis should the nurse include in the plan of care? A. Sexual dysfunction B. Body image, disturbed C. Fear related to poor prognosis D. Nutrition: more than body requirements, imbalanced … Read More »
The nurse is caring for a female client with active upper GI bleeding. What is the appropriate diet for this client during the first 24 hours after admission? A. Regular diet B. Skim milk C. Nothing by mouth D. Clear liquids Correct Answer: C. Nothing by mouth… Read More »
Jason, a 22 y.o. accident victim, requires an NG tube for feeding. What should you immediately do after inserting an NG tube for liquid enteral feedings? A. Aspirate for gastric secretions with a syringe. B. Begin feeding slowly to prevent cramping. C. Get an X-ray of the tip of the tube within… Read More »
During the first few days of recovery from ostomy surgery for ulcerative colitis, which of the following aspects should be the first priority of client care? A. Body image B. Ostomy care C. Sexual concerns D. Skin care Correct Answer: B. Ostomy care Although all of these… Read More »
A client with ulcerative colitis has an order to begin salicylate medication to reduce inflammation. The nurse instructs the client to take the medication: A. 30 minutes before meals B. On an empty stomach C. After meals D. On arising Correct Answer: C. After meals Salicylate compounds… Read More »
A client is taking an antacid for treatment of a peptic ulcer. Which of the following statements best indicates that the client understands how to correctly take the antacid? A. “I should take my antacid before I take my other medications.” B. “I need to decrease my intake of fluids so that I… Read More »
Kevin has a history of peptic ulcer disease and vomits coffee-ground emesis. What does this indicate? A. He has fresh, active upper GI bleeding. B. He needs immediate saline gastric lavage. C. His gastric bleeding occurred 2 hours earlier. D. He needs a transfusion of packed RBCs. … Read More »