Which of the following tasks should be included in the immediate postoperative management of a client who has undergone gastric resection? A. Monitoring gastric pH to detect complications. B. Assessing for bowel sounds. C. Providing nutritional support. D. Monitoring for symptoms of hemorrhage. Correct Answer: D. Monitoring… Read More »
Your patient, post-op drainage of a pelvic abscess secondary to diverticulitis, begins to cough violently after drinking water. His wound has ruptured and a small segment of the bowel is protruding. What’s your priority? A. Ask the patient what happened, call the doctor, and cover the area with a water-soaked bed sheet. B.… Read More »
For Jayvin who is taking antacids, which instruction would be included in the teaching plan? A. “Take the antacids with 8 oz of water.” B. “Avoid taking other medications within 2 hours of this one.” C. “Continue taking antacids even when pain subsides.” D. “Weigh yourself daily when taking this medication.”… Read More »
The nurse must be alert for complications with Sengstaken-Blakemore intubation including: A. Pulmonary obstruction B. Pericardiectomy syndrome C. Pulmonary embolization D. Cor pulmonale Correct Answer: A. Pulmonary obstruction. Rupture or deflation of the balloon could result in upper airway obstruction. Esophageal rupture is a well-known but rarely… Read More »
Brenda, a 36 y.o. patient is on your floor with acute pancreatitis. Treatment for her includes: A. Continuous peritoneal lavage. B. Regular diet with increased fat. C. Nutritional support with TPN. D. Insertion of a T tube to drain the pancreas. Correct Answer: C. Nutritional support with… Read More »
A client with gastric cancer can expect to have surgery for resection. Which of the following should be the nursing management priority for the preoperative client with gastric cancer? A. Discharge planning B. Correction of nutritional deficits C. Prevention of DVT D. Instruction regarding radiation treatment Correct… Read More »
One of your patients is receiving digitalis orally and is also to receive an antacid at the same time. Your most appropriate action, based on the pharmacokinetics of antacids, is to: A. Delay the digitalis for 1 to 2 hours until the antacid is absorbed. B. Give the antacid at least 2 to… Read More »
If a gastric acid perforates, which of the following actions should not be included in the immediate management of the client? A. Blood replacement B. Antacid administration C. Nasogastric tube suction D. Fluid and electrolyte replacement Correct Answer: B. Antacid administration Antacids aren’t helpful in perforation. The… Read More »
Which clinical manifestation would the nurse expect a client diagnosed with acute cholecystitis to exhibit? A. Jaundice, dark urine, and steatorrhea B. Acute right lower quadrant (RLQ) pain, diarrhea, and dehydration C. Ecchymosis petechiae, and coffee-ground emesis D. Nausea, vomiting, and anorexia Correct Answer: D. Nausea, vomiting,… Read More »
Peptic ulcer disease may be caused by which of the following? A. Helicobacter pylori B. Clostridium difficile C. Candida albicans D. Staphylococcus aureus Correct Answer: A. Helicobacter pylori Helicobacter pylori is considered to be the major cause of ulcer formation. Peptic ulcer disease (PUD) has various causes;… Read More »