George has a T tube in place after gallbladder surgery. Before discharge, what information or instructions should be given regarding the T tube drainage? A. “If there is any drainage, notify the surgeon immediately.” B. “The drainage will decrease daily until the bile duct heals.” C. “First, the drainage is dark green;… Read More »
Marie, a 51-year-old woman, is diagnosed with cholecystitis. Which diet, when selected by the client, indicates that the nurse’s teaching has been successful? A. 4-6 small meals of low-carbohydrate foods daily B. High-fat, high-carbohydrate meals C. Low-fat, high-carbohydrate meals D. High-fat, low protein meals Correct Answer: C.… Read More »
A patient has become very depressed postoperatively after receiving a colostomy for GI cancer. He does not participate in his colostomy care or looks at the stoma. An appropriate nursing diagnosis for this situation is: A. Ineffective Individual Coping B. Knowledge Deficit C. Impaired Adjustment D. Anxiety … Read More »
Eleanor, a 62 y.o. woman with diverticulosis is your patient. Which interventions would you expect to include in her care? A. Low-fiber diet and fluid restrictions. B. Total parenteral nutrition and bed rest. C. High-fiber diet and administration of psyllium. D. Administration of analgesics and antacids. Correct… Read More »
A client has just had surgery for colon cancer. Which of the following disorders might the client develop? A. Peritonitis B. Diverticulosis C. Partial bowel obstruction D. Complete bowel obstruction Correct Answer: A. Peritonitis Bowel spillage could occur during surgery, resulting in peritonitis. Intestinal perforations occur most… Read More »
A client who has ulcerative colitis has persistent diarrhea. He is thin and has lost 12 pounds since the exacerbation of his ulcerative colitis. The nurse should anticipate that the physician will order which of the following treatment approaches to help the client meet his nutritional needs? A. Initiate continuous enteral feedings. B.… Read More »
A client with a peptic ulcer is scheduled for a vagotomy. The client asks the nurse about the purpose of this procedure. The nurse tells the client that the procedure: A. Decreases food absorption in the stomach. B. Heals the gastric mucosa. C. Halts stress reactions. D. Reduces the stimulus to… Read More »
Your patient Maria takes NSAIDS for her degenerative joint disease, and has developed peptic ulcer disease. Which drug is useful in preventing NSAID-induced peptic ulcer disease? A. calcium carbonate (Tums) B. famotidine (Pepcid) C. misoprostol (Cytotec) D. sucralfate (Carafate) Correct Answer: C. misoprostol (Cytotec) Misoprostol restores prostaglandins… Read More »
The hospital administrator had undergone percutaneous transhepatic cholangiography. Which assessment finding indicates complication after the operation? A. Fever and chills B. Hypertension C. Bradycardia D. Nausea and diarrhea Correct Answer: A. Fever and chills Septicemia is a common complication after a percutaneous transhepatic cholangiography. Evidence of fever… Read More »
Patients with esophageal varices would reveal the following assessment: A. Increased blood pressure B. Increased heart rate C. Decreased respiratory rate D. Increased urinary output Correct Answer: B. Increased heart rate Tachycardia is an early sign of compensation for patients with esophageal varices. Since the portal venous… Read More »