Five days after undergoing surgery, a client develops a small bowel obstruction. A Miller-Abbott tube is inserted for bowel decompression. Which nursing diagnosis takes priority? A. Imbalanced nutrition: Less than body requirements B. Acute pain C. Deficient fluid volume D. Excess fluid volume Correct Answer: C. Deficient… Read More »
Side effects of loperamide (Imodium) include all of the following except? A. Diarrhea B. Epigastric pain C. Dry mouth D. Anorexia Correct Answer: A. Diarrhea Side effects associated with loperamide include CNS fatigue and dizziness, epigastric pain, abdominal cramps, nausea, dry mouth, vomiting, and anorexia. Diarrhea is… Read More »
When a client has peptic ulcer disease, the nurse would expect a priority intervention to be: A. Assisting in inserting a Miller-Abbott tube. B. Assisting in inserting an arterial pressure line. C. Inserting a nasogastric tube. D. Inserting an I.V. Correct Answer: C. Inserting a nasogastric tube.… Read More »
A nurse is inserting a nasogastric tube in an adult male client. During the procedure, the client begins to cough and has difficulty breathing. Which of the following is the appropriate nursing action? A. Quickly insert the tube B. Notify the physician immediately C. Remove the tube and reinsert when the respiratory… Read More »
Which of the following nursing interventions should the nurse perform for a female client receiving enteral feedings through a gastrostomy tube? A. Change the tube feeding solutions and tubing at least every 24 hours. B. Maintain the head of the bed at a 15-degree elevation continuously. C. Check the gastrostomy tube for… Read More »
You have to teach ostomy self-care to a patient with a colostomy. You tell the patient to measure and cut the wafer: A. To the exact size of the stoma. B. About 1/16” larger than the stoma. C. About 1/8” larger than the stoma. Incorrect Correct Answer:… Read More »
Which of the following substances is most likely to cause gastritis? A. Milk B. Bicarbonate of soda, or baking soda C. Enteric-coated aspirin D. Nonsteroidal anti-inflammatory drugs Correct Answer: D. Nonsteroidal anti-inflammatory drugs NSAIDs are a common cause of gastritis because they inhibit prostaglandin synthesis. When NSAIDs… Read More »
A client has a percutaneous endoscopic gastrostomy tube inserted for tube feedings. Before starting a continuous feeding, the nurse should place the client in which position? A. Semi-Fowlers B. Supine C. Reverse Trendelenburg D. High Fowler’s Correct Answer: A. Semi-Fowlers To prevent aspiration of stomach contents, the… Read More »
Which of the following measures should the nurse focus on for the client with esophageal varices? A. Recognizing hemorrhage. B. Controlling blood pressure. C. Encouraging nutritional intake. D. Teaching the client about varices. Correct Answer: A. Recognizing hemorrhage. Recognizing the rupture of esophageal varices, or hemorrhage is… Read More »
A male client is recovering from a small bowel resection. To relieve pain, the physician prescribes meperidine (Demerol), 75 mg I.M. every 4 hours. How soon after administration should meperidine onset of action occur? A. 5 to 10 minutes B. 15 to 30 minutes C. 30 to 60 minutes D. 2… Read More »