After a right hemicolectomy for treatment of colon cancer, a 57-year old client is reluctant to turn while on bed rest. Which action by the nurse would be appropriate? A. Asking a coworker to help turn the client. B. Explaining to the client why turning is important. C. Allowing the client to… Read More »
Which of the following tests can be performed to diagnose a hiatal hernia? A. Colonoscopy B. Lower GI series C. Barium swallow D. Abdominal x-rays Correct Answer: C. Barium swallow A barium swallow with fluoroscopy shows the position of the stomach in relation to the diaphragm. A… Read More »
A patient is admitted with lacerated liver as a result of blunt abdominal trauma. Which of the following nursing interventions would not be appropriate for this patient? A. Monitor for respiratory distress. B. Monitor for coagulation studies. C. Administer pain medications as ordered. D. Administer normal saline, crystalloids as ordered. … Read More »
A 52-year-old man was referred to the clinic due to increased abdominal girth. He is diagnosed with ascites by the presence of a fluid thrill and shifting dullness on percussion. After administering diuretic therapy, which nursing action would be most effective in ensuring safe care? A. Measuring serum potassium for hyperkalemia B. Assessing… Read More »
The nurse can expect a 60-year old patient with ischemic bowel to report a history of: A. Diabetes mellitus B. Asthma C. Addison’s Disease D. Cancer of the bowel Correct Answer: A. Diabetes mellitus Ischemic bowel occurs in patients over 50 with a history of diabetes mellitus.… Read More »
You’re teaching Anthony how to use his new colostomy. How much skin should remain exposed between the stoma and the ring of the appliance? 1/16” 1/4” 1/2” 1” Correct Answer: A. 1/16” Only a small amount of skin should be exposed and more than 1/16” of skin… Read More »
A client with which of the following conditions may be likely to develop rectal cancer? A. Adenomatous polyps B. Diverticulitis C. Hemorrhoids D. Peptic ulcer disease Correct Answer: A. Adenomatous polyps A client with adenomatous polyps has a higher risk of developing rectal cancer than others do.… Read More »
The nurse would monitor a patient using sodium bicarbonate to treat gastric hyperacidity for signs and symptoms of:A. Metabolic alkalosis A. Metabolic alkalosis B. Metabolic acidosis C. Hyperkalemia D. Hypercalcemia Correct Answer: A. Metabolic alkalosis Solutions containing sodium bicarbonate (a base) can cause metabolic alkalosis. Serum K… Read More »
Which of the following tests is most commonly used to diagnose cholecystitis? A. Abdominal CT scan B. Abdominal ultrasound C. Barium swallow D. Endoscopy Correct Answer: B. Abdominal ultrasound An abdominal ultrasound can show if the gallbladder is enlarged, if gallstones are present, if the gallbladder wall… Read More »
Which assessment finding indicates that lactulose is effective in decreasing the ammonia level in the client with hepatic encephalopathy? A. Passage of two or three soft stools daily B. Evidence of watery diarrhea C. Daily deterioration in the client’s handwriting D. Appearance of frothy, foul-smelling stools Correct… Read More »