Respiratory and GI

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A client reports left-sided chest pain after playing racquetball. The client is hospitalized and diagnosed with left pneumothorax. When assessing the client's left chest area, the nurse expects to identify which finding?

Absence of breath sounds on auscultation

A client, experiencing an exacerbation of Crohn disease, is admitted to the hospital for intravenous steroid therapy. The nurse should not assign this client to a room with a roommate who has which illness?

Bacterial meningitis

Which represents appropriate nursing management of the client's nasogastric (NG) tube in the immediate postoperative period following gastroduodenostomy?

Carefully monitoring the nasogastric tube to ensure that the tube is patent and the suction is working

The nurse is preparing to administer a nasogastric tube feeding to a client via infusion pump. What is the most important assessment the nurse needs to perform before beginning the pump?

Checking for residual stomach contents

A client tells the nurse about recent recurrent episodes of bleeding hemorrhoids. What should the nurse advise the client to do to help prevent future hemorrhoidal episodes?

Consume a high-fiber diet and drink adequate water

A nurse educator of a college health course is discussing tattoos with the class. Which type of hepatitis associated with tattoos should the nurse include in the teaching plan?

Hep C (blood-borne)

A client is to have gastric lavage following an overdose of acetaminophen. In which position should the nurse place the client when the nasogastric tube is being inserted?

High-fowler

A client with ascites is scheduled for a paracentesis. To prepare the client for the abdominal paracentesis, what should the nurse do?

Instruct the client to empty the bladder

A nurse is caring for a client with a hiatal hernia. Which risk factor should the nurse assess for in this client?

Obesity

A client is diagnosed with a peptic ulcer. What should the nurse expect when assessing the client's pain?

Occurs in one to two hours after meals

A nurse instructs a client to breathe deeply to open collapsed alveoli. What is the best explanation the nurse could offer to explain the relationship between alveoli and improved oxygenation?

Oxygen is exchanged for carbon dioxide in the alveolar membrane

A client is admitted to the emergency department with a stab wound of the chest. What is the priority when the nurse performs a focused assessment of the client's response to this injury?

Quality and depth of respirations


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