Spironolactone (Aldactone) is prescribed for a client with chronic cirrhosis and ascites. The nurse should monitor the client for which of the following medication-related side effects? A. Jaundice B. Hyperkalemia C. Tachycardia D. Constipation Correct Answer: B. Hyperkalemia This is a potassium-sparing diuretic so clients should be… Read More »
What is the primary nursing diagnosis for a 4th to 10th-day postoperative liver transplant patient? A. Excess Fluid Volume B. Risk for Rejection C. Impaired Skin Integrity D. Decreased Cardiac Output Correct Answer: B. Risk for Rejection Risk for rejection is always a possibility, especially during the… Read More »
Katrina is diagnosed with lactose intolerance. To avoid complications with lack of calcium in the diet, which food should be included in the diet? A. Fruit B. Whole grains C. Milk and cheese products D. Dark green, leafy vegetables Correct Answer: D. Dark green, leafy vegetables Dark… Read More »
When teaching an elderly client how to prevent constipation, which of the following instructions should the nurse include? A. “Drink 6 glasses of fluid each day.” B. “Avoid grain products and nuts.” C. “Add at least 4 grams of bran to your cereal each morning.” D. “Be sure to get regular… Read More »
The mechanism of action of diphenoxylate (Lotomil) is: A. An increase in intestinal excretion of water. B. An increase in intestinal motility. C. A decrease in peristalsis in the intestinal wall. D. A decrease in the reabsorption of water in the bowel. Correct Answer: C. A decrease… Read More »
A 40-year-old male client has been hospitalized with peptic ulcer disease. He is being treated with a histamine receptor antagonist (cimetidine), antacids, and diet. The nurse doing discharge planning will teach him that the action of cimetidine is to: A. Reduce gastric acid output. B. Protect the ulcer surface. C. Inhibit the… Read More »
Nurse Ryan is assessing for correct placement of a nasogastric tube. The nurse aspirates the stomach contents and checks the contents for pH. The nurse verifies correct tube placement if which pH value is noted? A. 3.5 B. 7.0 C. 7.35 D. 7.5 Correct Answer: A. 3.5… 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 »
You’re performing an abdominal assessment on Brent who is 52 y.o. In which order do you proceed? A. Observation, percussion, palpation, auscultation B. Observation, auscultation, percussion, palpation C. Percussion, palpation, auscultation, observation D. Palpation, percussion, observation, auscultation Correct Answer: B. Observation, auscultation, percussion, palpation Begin with the… Read More »
Which of the following definitions best describes diverticulosis? A. An inflamed outpouching of the intestine. B. A noninflamed outpouching of the intestine. C. The partial impairment of the forward flow of intestinal contents. D. An abnormal protrusion of an organ through the structure that usually holds it. … Read More »