The nurse is monitoring a female client with a diagnosis of peptic ulcer. Which assessment findings would most likely indicate perforation of the ulcer? A. Bradycardia B. Numbness in the legs C. Nausea and vomiting D. A rigid, board-like abdomen Correct Answer: D. A rigid, board-like abdomen… Read More »
A male client undergoes total gastrectomy. Several hours after surgery, the nurse notes that the client’s nasogastric (NG) tube has stopped draining. How should the nurse respond? A. Notify the physician. B. Reposition the tube. C. Irrigate the tube. D. Increase the suction level. Correct Answer: A.… Read More »
The student nurse is preparing a teaching care plan to help improve nutrition in a patient with achalasia. You include which of the following: A. Swallow foods while leaning forward. B. Omit fluids at mealtimes. C. Eat meals sitting upright. D. Avoid soft and semi soft foods. … Read More »
Which of the following associated disorders may the client with Crohn’s disease exhibit? A. Ankylosing spondylitis B. Colon cancer C. Malabsorption D. Lactase deficiency Correct Answer: C. Malabsorption Because of the transmural nature of Crohn’s disease lesions, malabsorption may occur with Crohn’s disease. A number of factors… Read More »
The client with a new colostomy is concerned about the odor from the stool in the ostomy drainage bag. The nurse teaches the client to include which of the following foods in the diet to reduce odor? A. Yogurt B. Broccoli C. Cucumbers D. Eggs Correct Answer:… Read More »
A client is admitted to the hospital after vomiting bright red blood and is diagnosed with a bleeding duodenal ulcer. The client develops a sudden, sharp pain in the mid-epigastric area along with a rigid, board-like abdomen. These clinical manifestations most likely indicate which of the following? A. An intestinal obstruction has developed. … Read More »
A patient has an acute upper GI hemorrhage. Your interventions include: A. Treating hypovolemia. B. Treating hypervolemia. C. Controlling the bleeding source. D. Treating shock and diagnosing the bleeding source. Correct Answer: A. Treating hypovolemia. A patient with an acute upper GI hemorrhage must be treated for… Read More »
A male client who is recovering from surgery has been advanced from a clear liquid diet to a full liquid diet. The client is looking forward to the diet change because he has been “bored” with the clear liquid diet. The nurse would offer which full liquid item to the client? A. Tea … Read More »
When evaluating a male client for complications of acute pancreatitis, the nurse would observe for: A. Increased intracranial pressure B. Decreased urine output C. Bradycardia D. Hypertension Correct Answer: B. Decreased urine output Acute pancreatitis can cause decreased urine output, which results from the renal failure that… Read More »
You’re assessing the stoma of a patient with a healthy, well-healed colostomy. You expect the stoma to appear: A. Pale, pink and moist B. Red and moist C. Dark or purple-colored D. Dry and black Correct Answer: B. Red and moist Good circulation causes tissues to be… Read More »