ログイン

Gastrointestinal

Gastrointestinal
56問 • 1年前
  • Kyla Angelique Son
  • 通報

    問題一覧

  • 1

    A nurse is planning a community health program about screening for cancer. Which information recommended by the American Cancer Society (ACS) should the nurse include?

    Fecal occult blood testing should be performed yearly beginning at age 50 years.

  • 2

    A nurse is teaching an athletic teenager about nutrients that provide the quickest source of energy. Which food selected from a menu indicates to the nurse that the adolescent understands the teaching?

    Glass of orange juice

  • 3

    A nurse identifies that the client understands information about vitamin K when the client states, “Vitamin K is:

    produced in sufficient amounts by intestinal bacteria, so metabolic needs are met.”

  • 4

    A client describes abdominal discomfort following ingestion of milk. Which enzyme, as a result of a genetic deficiency, should the nurse consider to be the cause of the client’s discomfort?

    Lactase

  • 5

    A nurse is caring for a client who is cachectic. What information about the function of adipose tissue in fat metabolism is necessary to better address the needs of this client?

    Stores triglycerides for energy reserves

  • 6

    A nurse is teaching a client about the differences between the terms saturated and unsaturated, when used in reference to fats. Which important factor in relation to these types of fats should the nurse include in the teaching?

    Density

  • 7

    A nurse is teaching menu planning to a client who has a high triglyceride level. Which nutrient avoided by the client indicates that teaching about foods that are high in fat was understood?

    Red meat

  • 8

    A client with a high cholesterol level says to the nurse, “Why can’t the doctor just give me a medication to eliminate all the cholesterol in my body so it isn’t a problem?” Which factor related to why cholesterol is important in the human body should the nurse include in a response to the client’s question?

    Cellular membranes

  • 9

    Which statement made by a client after attending a class on nutrition indicates an understanding of the importance of essential amino acids?

    “They come from the diet because they cannot be synthesized in the body.”

  • 10

    A nurse provides dietary teaching about a low-sodium diet for a client with hypertension. Which nutrient selected by the client indicates an understanding about foods that are low in natural sodium?

    Fruits

  • 11

    Megadoses of vitamin A are taken by a client. Why should the nurse question this practice?

    The liver has a great storage capacity for vitamin A, even to toxic amounts.

  • 12

    A nurse is teaching about excellent food sources of vitamin A for a client who is deficient in this vitamin. Which foods should the nurse include in the teaching? Select all that apply.

    Cantaloupe, Carrots

  • 13

    A client who recently immigrated to the United States has a chronic vitamin A deficiency. What information about vitamin A should the nurse consider when assessing this client for clinical indicators of this deficiency?

    It is a necessary element of rhodopsin, which controls responses to light and dark environments.

  • 14

    A client is to have gastric gavage. In which position should the nurse place the client when the nasogastric tube is being inserted?

    High-Fowler

  • 15

    A client with the diagnosis of cancer of the stomach expresses aversion to meals and eats only small amounts. What should the nurse provide?

    Small portions more frequently

  • 16

    A health care provider schedules a paracentesis. What should the nurse instruct the client to do to prepare for the procedure?

    Empty the bladder before the procedure.

  • 17

    A health care provider orders an upper GI series and a barium enema. The client asks, “Why do I have to have barium for these tests?” The nurse’s best response is “Barium:

    gives more contrast to the soft tissue of the alimentary tract, allowing absorption of x-rays.”

  • 18

    A client is scheduled for a sigmoidoscopy. What instruction should the nurse provide the client in preparation for this diagnostic procedure?

    Have an enema the morning of the test.

  • 19

    A health care provider orders a sigmoidoscopy for one client and a barium enema for another client. What is a nursing responsibility common to preparing both of these clients for these procedures?

    Ensuring an understanding of the procedure

  • 20

    A high-cleansing enema is ordered for a client. What is the maximum height at which the container of fluid should be held by the nurse when administering this enema?

    37 cm (15 inches)

  • 21

    During administration of an enema, a client reports having intestinal cramps. What should the nurse do?

    Stop the fluid until the cramps subside.

  • 22

    A nurse is evaluating a client’s response to receiving an intermittent gravity flow percutaneous endoscopic gastrostomy (PEG) tube feeding. Which clinical finding indicates that the client is unable to tolerate a continuation of the feeding?

    Rise of formula in the tube

  • 23

    A client has a nasogastric feeding tube inserted, and the health care provider orders the prescribed feeding to be instituted immediately. What should the nurse do first?

    Obtain an x-ray to verify that the tube is in the stomach.

  • 24

    Three days after admission to the hospital for a brain attack (cerebrovascular accident [CVA]), a client has a nasogastric tube inserted and is receiving continuous tube feedings. What should the nurse do to best evaluate whether the feeding is being absorbed?

    Aspirate for a residual volume.

  • 25

    A client is receiving hypertonic tube feedings. What should the nurse consider to be the main reason this client may experience diarrhea?

    High osmolarity of the feedings

  • 26

    A health care provider orders intermittent nasogastric tube feeding to supplement a client’s oral nutritional intake. Which hazard associated with a nasogastric tube feeding will be reduced if the nurse administers this feeding over 30 to 60 minutes?

    Regurgitation

  • 27

    A client has a fractured mandible that is immobilized with wires. For which life-threatening postoperative problem should the nurse monitor this client?

    Vomiting

  • 28

    A client who had an incision and drainage of an oral abscess is to be discharged. For which clinical finding, if it should occur, should the nurse instruct the client to notify the health care provider?

    Pain with swelling after one week

  • 29

    A nurse is obtaining a history and performing a physical assessment of a client who has cancer of the tongue. Which clinical findings should the nurse expect to identify? Select all that apply

    Leukoplakia, Alterations in taste, Enlarged cervical lymph nodes

  • 30

    A nurse is collecting a health history from a client who has a diagnosis of cancer of the tongue. For which risk factor commonly associated with cancer of the tongue should the nurse assess when collecting the client’s history?

    Large consumption of alcohol

  • 31

    A client with gastroesophageal reflux disease reports having difficulty sleeping at night. What should the nurse instruct the client to do?

    Elevate the head of the bed on blocks.

  • 32

    A client with gastroesophageal reflux is to receive metoclo- pramide (Reglan) 15 mg orally before meals. The concen- trated solution contains 10 mg/mL. How much solution should the nurse administer? Record your answer using one decimal place.

    1.5 ml

  • 33

    A nurse is providing discharge instructions for a client with a diagnosis of gastroesophageal reflux disease (GERD). What should the nurse advise the client to do to limit symp- toms of GERD? Select all that apply

    Avoid heavy lifting, Avoid drinking alcohol, Eat small, frequent meals.

  • 34

    A client with gastric ulcer disease asks the nurse why the health care provider has prescribed metronidazole (Flagyl). The nurse explains, “Antibiotics are prescribed to:

    treat Helicobacter pylori infection.”

  • 35

    A client with gastroesophageal reflux disease (GERD) should make diet and lifestyle changes. What instructions should the nurse include in the client’s discharge teaching? Select all that apply.

    Avoid caffeine-containing products., Chew thoroughly while eating slowly

  • 36

    A client with esophageal cancer is to receive total parenteral nutrition. A right subclavian catheter is inserted. What should the nurse consider is the primary reason why the health care provider ordered a central line?

    The large amount of blood helps to dilute the concentrated solution.

  • 37

    A client with inflammatory bowel disease is receiving total parenteral nutrition (TPN) via an infusion pump. What is most important for the nurse to do when administering TPN?

    Change the TPN solution bag every 24 hours, even if there is solution left in the bag.

  • 38

    A client has a suspected peptic ulcer in the duodenum. What should the nurse expect the client to report when describing the pain associated with this disease?

    A gnawing sensation relieved by food

  • 39

    Famotidine (Pepcid) 20 mg IVPB is prescribed for a client with a duodenal ulcer. The medication is diluted in 50 mil- liliters of 5% dextrose and is to infuse over 15 minutes. At what rate should the infusion control device be set? Record your answer using a whole number.

    200 ml/hr

  • 40

    A client is scheduled for a pyloroplasty and vagotomy because of strictures caused by ulcers unresponsive to medical therapy. What information about the purpose of a vagotomy should the nurse include when reviewing the health care provider’s discussion with the client?

    Decreases secretions in the stomach

  • 41

    After a subtotal gastrectomy for cancer of the stomach, a client develops dumping syndrome. The client says, “What does it mean when the health care provider said that I am experiencing dumping syndrome?” What information should the nurse include in a response to this question?

    Rapid passage of concentrated fluid into the small intestine

  • 42

    An exploratory laparotomy is performed on a client with melena, and gastric cancer is discovered. A partial gastrectomy is performed, and a jejunostomy tube is surgically implanted. A nasogastric tube to suction is in place. What should the nurse expect regarding the client’s nasogastric tube drainage during the first 24 hours after surgery?

    Contain some blood and clots

  • 43

    Two hours after a subtotal gastrectomy, the nurse identifies that the drainage from the client’s nasogastric tube is bright red. What should the nurse do first?

    Determine that this is an expected finding.

  • 44

    A client is admitted to the surgical unit from the postanesthesia care unit with a Salem sump nasogastric tube that is to be attached to wall suction. Which nursing action should the nurse implement when caring for this client?

    Use normal saline to irrigate the tube.

  • 45

    After a partial gastrectomy is performed, a client is returned from the postanesthesia care unit to the surgical unit with an IV solution infusing and a nasogastric tube in place. The nurse identifies that there is no nasogastric drainage for 30 minutes. There is an order for instillation of the nasogastric tube prn. The nurse should instill:

    30 mL of normal saline and continue the suction.

  • 46

    A client is admitted to the hospital with a diagnosis of intestinal obstruction. The health care provider orders intestinal suction via a nasoenteric decompression tube. The loss of which constituents associated with intestinal suctioning is most important to consider when caring for this client?

    Water and electrolytes

  • 47

    When an intestinal obstruction is suspected, a client has a nasogastric tube inserted and attached to suction. For what response should the nurse critically assess this client?

    Fluid deficit

  • 48

    A nurse designs a health teaching program specifically for a client who had a gastrectomy. What should this plan include?

    Information about how to limit and prevent dumping syndrome

  • 49

    When caring for a client who is recovering from a gastrectomy, a nurse is concerned about the potential development of pernicious anemia. What should the nurse conclude may be the cause of this complication?

    Parietal cells of the stomach secrete the intrinsic factor.

  • 50

    After a subtotal gastrectomy a client is returned to the surgical unit. Which is the best nursing action to prevent pulmonary complications?

    Promoting frequent turning and deep breathing to mobilize secretions

  • 51

    An older adult is returned to the surgical unit after having a subtotal gastrectomy. Which dietary modification should the nurse anticipate that the health care provider will most likely order?

    Resume small, easily digested feedings gradually.

  • 52

    To help prevent long-term complications associated with gastric bypass surgery, the nurse needs to educate the client. Identify the factors that should be included in the nurse’s teaching plan for this client. Select all that apply

    Eat foods rich in calcium., Consume a diet high in protein., Receive vitamin B12 injections routinely.

  • 53

    Six weeks after discharge, a client with a jejunoileal bypass for morbid obesity returns to the outpatient clinic reporting palpitations, abdominal cramps, diarrhea, and dizziness 30 minutes after meals. What complication should the nurse consider that the client is most likely experiencing?

    Dumping syndrome

  • 54

    Which statement by a client who is scheduled for bariatric surgery indicates to the nurse that further preoperative teaching is necessary?

    “I’m going to have a figure like a model in about a year.”

  • 55

    A nurse is preparing a morbidly obese client for gastric bypass surgery. What should the nurse teach the client to do after surgery?

    Take medications in liquid form.

  • 56

    Which clinical indicator should the nurse identify before scheduling a client for an endoscopic retrograde cholangio- pancreatography (ERCP)?

    Bilirubin level

  • Astignars random QS

    Astignars random QS

    Kyla Angelique Son · 19問 · 1年前

    Astignars random QS

    Astignars random QS

    19問 • 1年前
    Kyla Angelique Son

    Pharma Cardio

    Pharma Cardio

    Kyla Angelique Son · 19問 · 1年前

    Pharma Cardio

    Pharma Cardio

    19問 • 1年前
    Kyla Angelique Son

    Childbearingand Women’s Health

    Childbearingand Women’s Health

    Kyla Angelique Son · 29問 · 1年前

    Childbearingand Women’s Health

    Childbearingand Women’s Health

    29問 • 1年前
    Kyla Angelique Son

    Major DisordersAffecting Women’s Health

    Major DisordersAffecting Women’s Health

    Kyla Angelique Son · 36問 · 1年前

    Major DisordersAffecting Women’s Health

    Major DisordersAffecting Women’s Health

    36問 • 1年前
    Kyla Angelique Son

    Foundations of Mental Health/Psychiatric Nursing

    Foundations of Mental Health/Psychiatric Nursing

    Kyla Angelique Son · 29問 · 1年前

    Foundations of Mental Health/Psychiatric Nursing

    Foundations of Mental Health/Psychiatric Nursing

    29問 • 1年前
    Kyla Angelique Son

    The Practice of Mental Health/Psychiatric Nursing

    The Practice of Mental Health/Psychiatric Nursing

    Kyla Angelique Son · 67問 · 1年前

    The Practice of Mental Health/Psychiatric Nursing

    The Practice of Mental Health/Psychiatric Nursing

    67問 • 1年前
    Kyla Angelique Son

    Circulatory System

    Circulatory System

    Kyla Angelique Son · 126問 · 1年前

    Circulatory System

    Circulatory System

    126問 • 1年前
    Kyla Angelique Son

    Respiratory System

    Respiratory System

    Kyla Angelique Son · 78問 · 1年前

    Respiratory System

    Respiratory System

    78問 • 1年前
    Kyla Angelique Son

    Gastrointestinal 2

    Gastrointestinal 2

    Kyla Angelique Son · 55問 · 1年前

    Gastrointestinal 2

    Gastrointestinal 2

    55問 • 1年前
    Kyla Angelique Son

    Research

    Research

    Kyla Angelique Son · 97問 · 1年前

    Research

    Research

    97問 • 1年前
    Kyla Angelique Son

    Disorders Related to Alterations in Cognition and Perception

    Disorders Related to Alterations in Cognition and Perception

    Kyla Angelique Son · 47問 · 1年前

    Disorders Related to Alterations in Cognition and Perception

    Disorders Related to Alterations in Cognition and Perception

    47問 • 1年前
    Kyla Angelique Son

    Anxiety and Alterations in Mood

    Anxiety and Alterations in Mood

    Kyla Angelique Son · 86問 · 1年前

    Anxiety and Alterations in Mood

    Anxiety and Alterations in Mood

    86問 • 1年前
    Kyla Angelique Son

    Alterations in Behavior

    Alterations in Behavior

    Kyla Angelique Son · 43問 · 1年前

    Alterations in Behavior

    Alterations in Behavior

    43問 • 1年前
    Kyla Angelique Son

    Neuromusculoskeletal System

    Neuromusculoskeletal System

    Kyla Angelique Son · 65問 · 1年前

    Neuromusculoskeletal System

    Neuromusculoskeletal System

    65問 • 1年前
    Kyla Angelique Son

    Communicable dx

    Communicable dx

    Kyla Angelique Son · 27問 · 1年前

    Communicable dx

    Communicable dx

    27問 • 1年前
    Kyla Angelique Son

    NP2

    NP2

    Kyla Angelique Son · 46問 · 1年前

    NP2

    NP2

    46問 • 1年前
    Kyla Angelique Son

    NP4

    NP4

    Kyla Angelique Son · 58問 · 1年前

    NP4

    NP4

    58問 • 1年前
    Kyla Angelique Son

    PALMR

    PALMR

    Kyla Angelique Son · 48問 · 1年前

    PALMR

    PALMR

    48問 • 1年前
    Kyla Angelique Son

    Sexual andGender Identity Disorders

    Sexual andGender Identity Disorders

    Kyla Angelique Son · 12問 · 1年前

    Sexual andGender Identity Disorders

    Sexual andGender Identity Disorders

    12問 • 1年前
    Kyla Angelique Son

    Cardiovascular

    Cardiovascular

    Kyla Angelique Son · 31問 · 1年前

    Cardiovascular

    Cardiovascular

    31問 • 1年前
    Kyla Angelique Son

    FUNDAMENTAL

    FUNDAMENTAL

    Kyla Angelique Son · 115問 · 1年前

    FUNDAMENTAL

    FUNDAMENTAL

    115問 • 1年前
    Kyla Angelique Son

    CHN

    CHN

    Kyla Angelique Son · 100問 · 1年前

    CHN

    CHN

    100問 • 1年前
    Kyla Angelique Son

    CD

    CD

    Kyla Angelique Son · 134問 · 1年前

    CD

    CD

    134問 • 1年前
    Kyla Angelique Son

    MSK

    MSK

    Kyla Angelique Son · 20問 · 1年前

    MSK

    MSK

    20問 • 1年前
    Kyla Angelique Son

    NLE FOCUS

    NLE FOCUS

    Kyla Angelique Son · 17問 · 1年前

    NLE FOCUS

    NLE FOCUS

    17問 • 1年前
    Kyla Angelique Son

    NP4 -2

    NP4 -2

    Kyla Angelique Son · 95問 · 1年前

    NP4 -2

    NP4 -2

    95問 • 1年前
    Kyla Angelique Son

    Integumentary

    Integumentary

    Kyla Angelique Son · 100問 · 1年前

    Integumentary

    Integumentary

    100問 • 1年前
    Kyla Angelique Son

    emergency

    emergency

    Kyla Angelique Son · 9問 · 1年前

    emergency

    emergency

    9問 • 1年前
    Kyla Angelique Son

    CARDIO

    CARDIO

    Kyla Angelique Son · 116問 · 1年前

    CARDIO

    CARDIO

    116問 • 1年前
    Kyla Angelique Son

    GI

    GI

    Kyla Angelique Son · 90問 · 1年前

    GI

    GI

    90問 • 1年前
    Kyla Angelique Son

    Research

    Research

    Kyla Angelique Son · 36問 · 1年前

    Research

    Research

    36問 • 1年前
    Kyla Angelique Son

    Urinary/reproductive

    Urinary/reproductive

    Kyla Angelique Son · 48問 · 1年前

    Urinary/reproductive

    Urinary/reproductive

    48問 • 1年前
    Kyla Angelique Son

    Drug related

    Drug related

    Kyla Angelique Son · 25問 · 1年前

    Drug related

    Drug related

    25問 • 1年前
    Kyla Angelique Son

    UncomplicatedPregnancy, Labor, Childbirth, and thePostpartum Period

    UncomplicatedPregnancy, Labor, Childbirth, and thePostpartum Period

    Kyla Angelique Son · 96問 · 1年前

    UncomplicatedPregnancy, Labor, Childbirth, and thePostpartum Period

    UncomplicatedPregnancy, Labor, Childbirth, and thePostpartum Period

    96問 • 1年前
    Kyla Angelique Son

    PSYCHIA POST TEST

    PSYCHIA POST TEST

    Kyla Angelique Son · 189問 · 1年前

    PSYCHIA POST TEST

    PSYCHIA POST TEST

    189問 • 1年前
    Kyla Angelique Son

    MCN POST TEST

    MCN POST TEST

    Kyla Angelique Son · 53問 · 1年前

    MCN POST TEST

    MCN POST TEST

    53問 • 1年前
    Kyla Angelique Son

    CD

    CD

    Kyla Angelique Son · 133問 · 1年前

    CD

    CD

    133問 • 1年前
    Kyla Angelique Son

    Mosbys comprehensive exam

    Mosbys comprehensive exam

    Kyla Angelique Son · 110問 · 1年前

    Mosbys comprehensive exam

    Mosbys comprehensive exam

    110問 • 1年前
    Kyla Angelique Son

    Mosbys comprehensive exam 2

    Mosbys comprehensive exam 2

    Kyla Angelique Son · 9問 · 1年前

    Mosbys comprehensive exam 2

    Mosbys comprehensive exam 2

    9問 • 1年前
    Kyla Angelique Son

    Musculoskeletal and derma post test

    Musculoskeletal and derma post test

    Kyla Angelique Son · 98問 · 1年前

    Musculoskeletal and derma post test

    Musculoskeletal and derma post test

    98問 • 1年前
    Kyla Angelique Son

    CHN 2

    CHN 2

    Kyla Angelique Son · 66問 · 1年前

    CHN 2

    CHN 2

    66問 • 1年前
    Kyla Angelique Son

    RENAL POST TEST

    RENAL POST TEST

    Kyla Angelique Son · 99問 · 1年前

    RENAL POST TEST

    RENAL POST TEST

    99問 • 1年前
    Kyla Angelique Son

    RESEARCH POST TEST

    RESEARCH POST TEST

    Kyla Angelique Son · 75問 · 1年前

    RESEARCH POST TEST

    RESEARCH POST TEST

    75問 • 1年前
    Kyla Angelique Son

    CHN POST TEST 1

    CHN POST TEST 1

    Kyla Angelique Son · 108問 · 1年前

    CHN POST TEST 1

    CHN POST TEST 1

    108問 • 1年前
    Kyla Angelique Son

    CHN POST TEST 2

    CHN POST TEST 2

    Kyla Angelique Son · 90問 · 1年前

    CHN POST TEST 2

    CHN POST TEST 2

    90問 • 1年前
    Kyla Angelique Son

    pharma

    pharma

    Kyla Angelique Son · 10問 · 1年前

    pharma

    pharma

    10問 • 1年前
    Kyla Angelique Son

    Leadership and management

    Leadership and management

    Kyla Angelique Son · 138問 · 1年前

    Leadership and management

    Leadership and management

    138問 • 1年前
    Kyla Angelique Son

    sensory post test

    sensory post test

    Kyla Angelique Son · 92問 · 1年前

    sensory post test

    sensory post test

    92問 • 1年前
    Kyla Angelique Son

    MEDSURG/PHARMA

    MEDSURG/PHARMA

    Kyla Angelique Son · 93問 · 1年前

    MEDSURG/PHARMA

    MEDSURG/PHARMA

    93問 • 1年前
    Kyla Angelique Son

    MEDSURG

    MEDSURG

    Kyla Angelique Son · 107問 · 1年前

    MEDSURG

    MEDSURG

    107問 • 1年前
    Kyla Angelique Son

    MEDSURG

    MEDSURG

    Kyla Angelique Son · 121問 · 1年前

    MEDSURG

    MEDSURG

    121問 • 1年前
    Kyla Angelique Son

    RESEARCH FINAL COACHING

    RESEARCH FINAL COACHING

    Kyla Angelique Son · 122問 · 1年前

    RESEARCH FINAL COACHING

    RESEARCH FINAL COACHING

    122問 • 1年前
    Kyla Angelique Son

    LEADERSHIP AND MANAGEMENT FINAL

    LEADERSHIP AND MANAGEMENT FINAL

    Kyla Angelique Son · 112問 · 1年前

    LEADERSHIP AND MANAGEMENT FINAL

    LEADERSHIP AND MANAGEMENT FINAL

    112問 • 1年前
    Kyla Angelique Son

    MCN NEONATAL NURSING

    MCN NEONATAL NURSING

    Kyla Angelique Son · 46問 · 1年前

    MCN NEONATAL NURSING

    MCN NEONATAL NURSING

    46問 • 1年前
    Kyla Angelique Son

    MCN Post partum

    MCN Post partum

    Kyla Angelique Son · 50問 · 1年前

    MCN Post partum

    MCN Post partum

    50問 • 1年前
    Kyla Angelique Son

    MCN INTRA

    MCN INTRA

    Kyla Angelique Son · 53問 · 1年前

    MCN INTRA

    MCN INTRA

    53問 • 1年前
    Kyla Angelique Son

    MCN ANTE

    MCN ANTE

    Kyla Angelique Son · 97問 · 1年前

    MCN ANTE

    MCN ANTE

    97問 • 1年前
    Kyla Angelique Son

    Np2

    Np2

    Kyla Angelique Son · 35問 · 1年前

    Np2

    Np2

    35問 • 1年前
    Kyla Angelique Son

    Psychiatric nursing FINAL COACHING

    Psychiatric nursing FINAL COACHING

    Kyla Angelique Son · 116問 · 1年前

    Psychiatric nursing FINAL COACHING

    Psychiatric nursing FINAL COACHING

    116問 • 1年前
    Kyla Angelique Son

    CHN Final coaching 1

    CHN Final coaching 1

    Kyla Angelique Son · 124問 · 1年前

    CHN Final coaching 1

    CHN Final coaching 1

    124問 • 1年前
    Kyla Angelique Son

    CHN Final coaching 2

    CHN Final coaching 2

    Kyla Angelique Son · 141問 · 1年前

    CHN Final coaching 2

    CHN Final coaching 2

    141問 • 1年前
    Kyla Angelique Son

    deficit, threat, foreseeable crisis

    deficit, threat, foreseeable crisis

    Kyla Angelique Son · 26問 · 1年前

    deficit, threat, foreseeable crisis

    deficit, threat, foreseeable crisis

    26問 • 1年前
    Kyla Angelique Son

    CD FINAL 1

    CD FINAL 1

    Kyla Angelique Son · 109問 · 1年前

    CD FINAL 1

    CD FINAL 1

    109問 • 1年前
    Kyla Angelique Son

    CD FINAL 2

    CD FINAL 2

    Kyla Angelique Son · 157問 · 1年前

    CD FINAL 2

    CD FINAL 2

    157問 • 1年前
    Kyla Angelique Son

    PROF AD, ETHICS FINAL C

    PROF AD, ETHICS FINAL C

    Kyla Angelique Son · 126問 · 1年前

    PROF AD, ETHICS FINAL C

    PROF AD, ETHICS FINAL C

    126問 • 1年前
    Kyla Angelique Son

    PEDIA FINAL C

    PEDIA FINAL C

    Kyla Angelique Son · 73問 · 1年前

    PEDIA FINAL C

    PEDIA FINAL C

    73問 • 1年前
    Kyla Angelique Son

    FUNDA FC

    FUNDA FC

    Kyla Angelique Son · 8問 · 1年前

    FUNDA FC

    FUNDA FC

    8問 • 1年前
    Kyla Angelique Son

    ABUSE

    ABUSE

    Kyla Angelique Son · 18問 · 1年前

    ABUSE

    ABUSE

    18問 • 1年前
    Kyla Angelique Son

    問題一覧

  • 1

    A nurse is planning a community health program about screening for cancer. Which information recommended by the American Cancer Society (ACS) should the nurse include?

    Fecal occult blood testing should be performed yearly beginning at age 50 years.

  • 2

    A nurse is teaching an athletic teenager about nutrients that provide the quickest source of energy. Which food selected from a menu indicates to the nurse that the adolescent understands the teaching?

    Glass of orange juice

  • 3

    A nurse identifies that the client understands information about vitamin K when the client states, “Vitamin K is:

    produced in sufficient amounts by intestinal bacteria, so metabolic needs are met.”

  • 4

    A client describes abdominal discomfort following ingestion of milk. Which enzyme, as a result of a genetic deficiency, should the nurse consider to be the cause of the client’s discomfort?

    Lactase

  • 5

    A nurse is caring for a client who is cachectic. What information about the function of adipose tissue in fat metabolism is necessary to better address the needs of this client?

    Stores triglycerides for energy reserves

  • 6

    A nurse is teaching a client about the differences between the terms saturated and unsaturated, when used in reference to fats. Which important factor in relation to these types of fats should the nurse include in the teaching?

    Density

  • 7

    A nurse is teaching menu planning to a client who has a high triglyceride level. Which nutrient avoided by the client indicates that teaching about foods that are high in fat was understood?

    Red meat

  • 8

    A client with a high cholesterol level says to the nurse, “Why can’t the doctor just give me a medication to eliminate all the cholesterol in my body so it isn’t a problem?” Which factor related to why cholesterol is important in the human body should the nurse include in a response to the client’s question?

    Cellular membranes

  • 9

    Which statement made by a client after attending a class on nutrition indicates an understanding of the importance of essential amino acids?

    “They come from the diet because they cannot be synthesized in the body.”

  • 10

    A nurse provides dietary teaching about a low-sodium diet for a client with hypertension. Which nutrient selected by the client indicates an understanding about foods that are low in natural sodium?

    Fruits

  • 11

    Megadoses of vitamin A are taken by a client. Why should the nurse question this practice?

    The liver has a great storage capacity for vitamin A, even to toxic amounts.

  • 12

    A nurse is teaching about excellent food sources of vitamin A for a client who is deficient in this vitamin. Which foods should the nurse include in the teaching? Select all that apply.

    Cantaloupe, Carrots

  • 13

    A client who recently immigrated to the United States has a chronic vitamin A deficiency. What information about vitamin A should the nurse consider when assessing this client for clinical indicators of this deficiency?

    It is a necessary element of rhodopsin, which controls responses to light and dark environments.

  • 14

    A client is to have gastric gavage. In which position should the nurse place the client when the nasogastric tube is being inserted?

    High-Fowler

  • 15

    A client with the diagnosis of cancer of the stomach expresses aversion to meals and eats only small amounts. What should the nurse provide?

    Small portions more frequently

  • 16

    A health care provider schedules a paracentesis. What should the nurse instruct the client to do to prepare for the procedure?

    Empty the bladder before the procedure.

  • 17

    A health care provider orders an upper GI series and a barium enema. The client asks, “Why do I have to have barium for these tests?” The nurse’s best response is “Barium:

    gives more contrast to the soft tissue of the alimentary tract, allowing absorption of x-rays.”

  • 18

    A client is scheduled for a sigmoidoscopy. What instruction should the nurse provide the client in preparation for this diagnostic procedure?

    Have an enema the morning of the test.

  • 19

    A health care provider orders a sigmoidoscopy for one client and a barium enema for another client. What is a nursing responsibility common to preparing both of these clients for these procedures?

    Ensuring an understanding of the procedure

  • 20

    A high-cleansing enema is ordered for a client. What is the maximum height at which the container of fluid should be held by the nurse when administering this enema?

    37 cm (15 inches)

  • 21

    During administration of an enema, a client reports having intestinal cramps. What should the nurse do?

    Stop the fluid until the cramps subside.

  • 22

    A nurse is evaluating a client’s response to receiving an intermittent gravity flow percutaneous endoscopic gastrostomy (PEG) tube feeding. Which clinical finding indicates that the client is unable to tolerate a continuation of the feeding?

    Rise of formula in the tube

  • 23

    A client has a nasogastric feeding tube inserted, and the health care provider orders the prescribed feeding to be instituted immediately. What should the nurse do first?

    Obtain an x-ray to verify that the tube is in the stomach.

  • 24

    Three days after admission to the hospital for a brain attack (cerebrovascular accident [CVA]), a client has a nasogastric tube inserted and is receiving continuous tube feedings. What should the nurse do to best evaluate whether the feeding is being absorbed?

    Aspirate for a residual volume.

  • 25

    A client is receiving hypertonic tube feedings. What should the nurse consider to be the main reason this client may experience diarrhea?

    High osmolarity of the feedings

  • 26

    A health care provider orders intermittent nasogastric tube feeding to supplement a client’s oral nutritional intake. Which hazard associated with a nasogastric tube feeding will be reduced if the nurse administers this feeding over 30 to 60 minutes?

    Regurgitation

  • 27

    A client has a fractured mandible that is immobilized with wires. For which life-threatening postoperative problem should the nurse monitor this client?

    Vomiting

  • 28

    A client who had an incision and drainage of an oral abscess is to be discharged. For which clinical finding, if it should occur, should the nurse instruct the client to notify the health care provider?

    Pain with swelling after one week

  • 29

    A nurse is obtaining a history and performing a physical assessment of a client who has cancer of the tongue. Which clinical findings should the nurse expect to identify? Select all that apply

    Leukoplakia, Alterations in taste, Enlarged cervical lymph nodes

  • 30

    A nurse is collecting a health history from a client who has a diagnosis of cancer of the tongue. For which risk factor commonly associated with cancer of the tongue should the nurse assess when collecting the client’s history?

    Large consumption of alcohol

  • 31

    A client with gastroesophageal reflux disease reports having difficulty sleeping at night. What should the nurse instruct the client to do?

    Elevate the head of the bed on blocks.

  • 32

    A client with gastroesophageal reflux is to receive metoclo- pramide (Reglan) 15 mg orally before meals. The concen- trated solution contains 10 mg/mL. How much solution should the nurse administer? Record your answer using one decimal place.

    1.5 ml

  • 33

    A nurse is providing discharge instructions for a client with a diagnosis of gastroesophageal reflux disease (GERD). What should the nurse advise the client to do to limit symp- toms of GERD? Select all that apply

    Avoid heavy lifting, Avoid drinking alcohol, Eat small, frequent meals.

  • 34

    A client with gastric ulcer disease asks the nurse why the health care provider has prescribed metronidazole (Flagyl). The nurse explains, “Antibiotics are prescribed to:

    treat Helicobacter pylori infection.”

  • 35

    A client with gastroesophageal reflux disease (GERD) should make diet and lifestyle changes. What instructions should the nurse include in the client’s discharge teaching? Select all that apply.

    Avoid caffeine-containing products., Chew thoroughly while eating slowly

  • 36

    A client with esophageal cancer is to receive total parenteral nutrition. A right subclavian catheter is inserted. What should the nurse consider is the primary reason why the health care provider ordered a central line?

    The large amount of blood helps to dilute the concentrated solution.

  • 37

    A client with inflammatory bowel disease is receiving total parenteral nutrition (TPN) via an infusion pump. What is most important for the nurse to do when administering TPN?

    Change the TPN solution bag every 24 hours, even if there is solution left in the bag.

  • 38

    A client has a suspected peptic ulcer in the duodenum. What should the nurse expect the client to report when describing the pain associated with this disease?

    A gnawing sensation relieved by food

  • 39

    Famotidine (Pepcid) 20 mg IVPB is prescribed for a client with a duodenal ulcer. The medication is diluted in 50 mil- liliters of 5% dextrose and is to infuse over 15 minutes. At what rate should the infusion control device be set? Record your answer using a whole number.

    200 ml/hr

  • 40

    A client is scheduled for a pyloroplasty and vagotomy because of strictures caused by ulcers unresponsive to medical therapy. What information about the purpose of a vagotomy should the nurse include when reviewing the health care provider’s discussion with the client?

    Decreases secretions in the stomach

  • 41

    After a subtotal gastrectomy for cancer of the stomach, a client develops dumping syndrome. The client says, “What does it mean when the health care provider said that I am experiencing dumping syndrome?” What information should the nurse include in a response to this question?

    Rapid passage of concentrated fluid into the small intestine

  • 42

    An exploratory laparotomy is performed on a client with melena, and gastric cancer is discovered. A partial gastrectomy is performed, and a jejunostomy tube is surgically implanted. A nasogastric tube to suction is in place. What should the nurse expect regarding the client’s nasogastric tube drainage during the first 24 hours after surgery?

    Contain some blood and clots

  • 43

    Two hours after a subtotal gastrectomy, the nurse identifies that the drainage from the client’s nasogastric tube is bright red. What should the nurse do first?

    Determine that this is an expected finding.

  • 44

    A client is admitted to the surgical unit from the postanesthesia care unit with a Salem sump nasogastric tube that is to be attached to wall suction. Which nursing action should the nurse implement when caring for this client?

    Use normal saline to irrigate the tube.

  • 45

    After a partial gastrectomy is performed, a client is returned from the postanesthesia care unit to the surgical unit with an IV solution infusing and a nasogastric tube in place. The nurse identifies that there is no nasogastric drainage for 30 minutes. There is an order for instillation of the nasogastric tube prn. The nurse should instill:

    30 mL of normal saline and continue the suction.

  • 46

    A client is admitted to the hospital with a diagnosis of intestinal obstruction. The health care provider orders intestinal suction via a nasoenteric decompression tube. The loss of which constituents associated with intestinal suctioning is most important to consider when caring for this client?

    Water and electrolytes

  • 47

    When an intestinal obstruction is suspected, a client has a nasogastric tube inserted and attached to suction. For what response should the nurse critically assess this client?

    Fluid deficit

  • 48

    A nurse designs a health teaching program specifically for a client who had a gastrectomy. What should this plan include?

    Information about how to limit and prevent dumping syndrome

  • 49

    When caring for a client who is recovering from a gastrectomy, a nurse is concerned about the potential development of pernicious anemia. What should the nurse conclude may be the cause of this complication?

    Parietal cells of the stomach secrete the intrinsic factor.

  • 50

    After a subtotal gastrectomy a client is returned to the surgical unit. Which is the best nursing action to prevent pulmonary complications?

    Promoting frequent turning and deep breathing to mobilize secretions

  • 51

    An older adult is returned to the surgical unit after having a subtotal gastrectomy. Which dietary modification should the nurse anticipate that the health care provider will most likely order?

    Resume small, easily digested feedings gradually.

  • 52

    To help prevent long-term complications associated with gastric bypass surgery, the nurse needs to educate the client. Identify the factors that should be included in the nurse’s teaching plan for this client. Select all that apply

    Eat foods rich in calcium., Consume a diet high in protein., Receive vitamin B12 injections routinely.

  • 53

    Six weeks after discharge, a client with a jejunoileal bypass for morbid obesity returns to the outpatient clinic reporting palpitations, abdominal cramps, diarrhea, and dizziness 30 minutes after meals. What complication should the nurse consider that the client is most likely experiencing?

    Dumping syndrome

  • 54

    Which statement by a client who is scheduled for bariatric surgery indicates to the nurse that further preoperative teaching is necessary?

    “I’m going to have a figure like a model in about a year.”

  • 55

    A nurse is preparing a morbidly obese client for gastric bypass surgery. What should the nurse teach the client to do after surgery?

    Take medications in liquid form.

  • 56

    Which clinical indicator should the nurse identify before scheduling a client for an endoscopic retrograde cholangio- pancreatography (ERCP)?

    Bilirubin level