Nurse Joy is preparing to administer medication through a nasogastric tube that is connected to suction. To administer the medication, the nurse would: A. Position the client supine to assist in medication absorption B. Aspirate the nasogastric tube after medication administration to maintain patency C. Clamp the nasogastric tube for 30 minutes… Read More »
Which condition is most likely to have a nursing diagnosis of fluid volume deficit? A. Appendicitis B. Pancreatitis C. Cholecystitis D. Gastric ulcer Correct Answer: B. Pancreatitis Hypovolemic shock from fluid shifts is a major factor in acute pancreatitis. The other conditions are less likely to exhibit… Read More »
You’re caring for Carin who has just had ileostomy surgery. During the first 24 hours post-op, how much drainage can you expect from the ileostomy? A. 100 ml B. 500 ml C. 1500 ml D. 5000 ml Correct Answer: C. 1500 ml The large intestine absorbs large… Read More »
Which of the following mechanisms can facilitate the development of diverticulosis into diverticulitis? A. Treating constipation with chronic laxative use, leading to dependence on laxatives. B. Chronic constipation causing an obstruction, reducing forward flow of intestinal contents. C. Herniation of the intestinal mucosa, rupturing the wall of the intestine. D. Undigested… Read More »
The nurse is monitoring a client for the early signs of dumping syndrome. Which symptom indicates this occurrence? A. Abdominal cramping and pain B. Bradycardia and indigestion C. Sweating and pallor D. Double vision and chest pain Correct Answer: C. Sweating and pallor Early manifestations of dumping… Read More »
The hospitalized client with GERD is complaining of chest discomfort that feels like heartburn following a meal. After administering an ordered antacid, the nurse encourages the client to lie in which of the following positions? A. Supine with the head of the bed flat. B. On the stomach with the head flat. … Read More »
You’re discharging Nathaniel with hepatitis B. Which statement suggests understanding by the patient? A. “Now I can never get hepatitis again.” B. “I can safely give blood after 3 months.” C. “I’ll never have a problem with my liver again, even if I drink alcohol.” D. “My family knows that if… Read More »
A nurse is preparing to care for a female client with esophageal varices who just had a Sengstaken-Blakemore tube inserted. The nurse gathers supplies, knowing that which of the following items must be kept at the bedside at all times? A. An obturator B. Kelly clamp C. An irrigation set D.… Read More »
While a female client is being prepared for discharge, the nasogastric (NG) feeding tube becomes clogged. To remedy this problem and teach the client’s family how to deal with it at home, what should the nurse do? A. Irrigate the tube with warm water. B. Advance the tube into the intestine. C.… Read More »
You’re preparing a teaching plan for a 27 y.o. named Jeff who underwent surgery to close a temporary ileostomy. Which nutritional guidelines do you include in this plan? A. There is no need to change eating habits. B. Eat six small meals a day. C. Eat the largest meal in the evening.… Read More »