Quiz 1-Synthesis

A client is scheduled to have surgery to relieve an intestinal obstruction. The nurse receives the following prescriptions for the client. Which of the following prescriptions should the nurse question before performing? 1. Tap water enemas until clear 2. Out of bed as tolerated 3. Neomycin sulfate 1 g PO every 4 hours 4. Betadine scrub to abdomen

1

A nurse is assessing a client who has a potential diagnosis of pancreatitis. Which risk factors predispose the client to pancreatitis? Select all that apply 1. Excessive alcohol use 2. Gallstones 3. Abdominal trauma 4. HTN 5. Hyperlipidemia with excessive triglycerides 6. Hypothyroidism

1, 2, 3, 5

After teaching a client about collecting a stool sample for occult testing, which client statement indicates effective teaching? Select all that apply 1. I will avoid eating meat for 1-3 days before getting a stool sample 2. I need to eat foods low in fiber a few days before collecting the sample 3. Ill take the sample from different areas of the stool that I have passed. 4. I need to send the stool sample to the lab in a covered container right away 5. I can continue to take all of my regular medications at home

1, 3

When an infant resumes taking oral feedings after surgery to correct intussusception, the parents comment that the child seems to suck on the pacifier more since the surgery. The nurse explains that sucking on a pacifier: 1. Provides an outlet for emotional tension 2. Indicates readiness to take solid foods 3. Indicates intestinal motility 3. is an attempt to get attention from the parents

1. Sucking provides the infant with a sense of security and comfort. It is also an outlet for releasing tension. the infant should not be discouraged from sucking on the pacifier. Fussiness after feeding may indicate that the infant's appetite is not satisfied. Sucking is not manipulative in the sense of seeking parental attention

An elderly client is being admitted to same day surgery for cataract extraction. The client has several diamond rings. The nurse should explain to the client that 1. The rings will be taped before the surgery 2. The rings will be placed in an envelope, the client will the envelope and the envelope will be placed in a safe. 3. The rings will be locked in the narcotics box 4. The nursing supervisor will hold onto the rings during the surgery.

2. Under the policy for valuables, the nurse documents the description on an envelope with the client, the client and nurse sign the envelope, and the valuables envelope is locked in the safe. The other options increase the risk of loss or damage to the client's valuables

A client who is on NPO status is constantly asking for a drink of water. Which of the following is the most appropriate nursing intervention? 1. Reexplain why it is not possible to have a drink of water 2. Offer ice chips every hour to decrease thirst 3. Offer the client frequent oral hygiene care 4. Divert the client's attention by turning on the tv

3

The client with a NG tube has abdominal distention. Which of the following measures should the nurse do first? 1. Call the physician 2. Irrigate the NG tube 3. Check the function of the suction equipment 4. Reposition the NG tube

3

A client admitted with a gastric ulcer has been vomiting bright red blood. The hemoglobin level is 5.11 g/dL and blood pressure is 100/50 mm Hg. The client and family state that their religious beliefs do not support the use of blood products and refuse blood transfusions as a treatment for the bleeding. The nurse should collaborate with the physician and the family to next: 1. Discontinue all measures 2. Notify the hospital attorney 3. Attempt to stabilize the client through the use of fluid replacement 4. Give enough blood to keep the client from dying

3. The most appropriate response is to continue all treatments and attempt to stabilize the client using fluid replacement without administering blood or blood products. It is imperative that the health care team respect the client's religious beliefs and wishes, even if they are not those of the health care team. Discontinuing all measures is not an option. The health care team should continue to provide the best care possible and does not need to notify the attorney.

Which of the following statements indicates that the client with a peptic ulcer understands the dietary modification to follow at home? 1. I should eat a bland, soft diet 2, It is important to eat six small meals a day 3. I should drink several glasses of milk a day 4, I should avoid alcohol and caffeine

4