NCLEX 3000

C

After undergoing transurethral resection of the prostate to treat benign prostatic hyperplasia, a client returns to room with continuous bladder irrigation. On the first day after surgery, the clients reports bladder pain. What should the nurse do first? A. increase the I.V. flow rate B. Notify the physican immediately C. Assess the irrigation catheter for patency and drainage D. Administer morphine sulfate, 2mg IV, as ordered

A

A client is admitted from the emergency department with complaints of severe abdominal pain and an elevates WBC count. The physician diagnoses appendicitis. The nurse knowns the client is at greatest risk for: A. rupture of the appendix B. ulceration of the appendix C. inflammation of the gallbladder D. emotional distress related to the pain

D, E

A client is admitted with inflammatory bowel syndrome (Crohn's Disease). Which therapies should the nurse expect to be part of the care plan? Select all that apply. A. Lactose Therapy B. High-fiber diet C. High Protein Milkshakes D. Corticosteroid Therapy E. Antidiarrheal medications

A

A client is evaluated for severe pain in the right upper abdominal quadrant, which is accompained by nausea and vomiting. The physician diagnoses acute cholecystitis and cholelithiasis. For client, which nursing diagnosis takes top priority? A. acute pain related to biliary spasm B. deficient knowledge related to prevention of disease rexurrence C. anxiety related to unknown outcome of hospitalization D. imbalance nutrition: less than body requiements related to biliary inflammation

A

A client is recording from an ileostomy that was performed to treat inflammatory bowel disease. During discharge teaching, the nurse should stress the importance of: A. increasing fluid intake to prevent dehydration B. wearing an appliance pouch only at bedtime C. consuming a low-protein, high-fiber diet D. taking only enteric-coated medications

A

A client presents to the emergency department with complaints of acute GI distress, bloody diarrhea, weight loss, and fever. Which condition in the family history is most pertinent to the client's current health problem? A. Ulcerative Colitis B. Hypertension C. GERD D. Appendicitis

C

A client who has been treated for diverticulitis is being discharged on oral propentheline bromide (Pro-Banthine). The nurse should instruct the client to take the drug. A. with meals and at bedtime B. immediately before meals and at bedtime C. 30 minutes before meals and at bedtime D. 1 hour after meals and at bedtime

A

A client with BPH doesn't respond to medical treatment and is admitted to the facility for prostate gland removal. Beofre providing preoperative and postoperative instructions to the client, the nurse asks the surgeon which postatectomy procedure will be done. What is the most widely used procedure for prostate gland removal? A. Transurethral resection of the prostate (TURP) B. suprapubic postatectomy C. retropubic prostatectomy D. transurethral laser incision of the prostate

A

A client with cholelithiasis has a gallstone lodged in the common bile duct. When assessing this client, the nurse expects to note: A. yellow sclerae B. light amber urine C. circumoral pallor D. black, tarry stools

B

A client with complaints of right lower quadrant is admitted to the emergency department. Blood specimens are drawn and sent to the laboratoey. Which finding should be reported to the phyisican immediately? A. hematocrit 42& B. WBC count 22.8/mm^3 C. serum potassium 4.2mEq/L D. serum sodium 135mEq/L

A

A client with severe inflammatory bowel disease is recieving TPN. When administering TPN, the nurse must care to maintain the ordered flow rate giving TPN too rapidly may cause: A. hyperglycemia B. air embolism C. constipation D. dumping syndrome

A

A client, age 82, is admitted to an acute care facility for treatment of an acute flare-up of chronic GI condition. In addition to assessing the client for complications of the current illness, the nurse monitors for age-related changes in the GI tract. Which age-related change increases the risk of anemia. A. atrophy of gastric mucosa B. decreased in instestinal flora C. increase in bile secretion D. dulling of nerve impulses

B

A home health nurse who sees a client with diverticulitis is evaluating teaching about dietary modifications necessary to prevent future episodes. Which statement by the client indicates effective teaching? A. I'll increase my intake of protein during exacerbations B. I should increase my intake of fresh fruits and vegetables during remission C. I'll snack on nuts, olives, and popcorn during flare-ups D. I'll incorporate foods rich in omega-3 fatty acids into my diet

D

A nurse caring for a client with small-bowel obstruction should plan to implement which nursing intervention first? A. adminstering pain medication B. obtaining a blood sample for laboratory studies C. preparing to insert an NG tube D. administering I.V. fluids

D

A nurse is assigning the care of a client admitted with appendicitis. She should assign this client's care to a: A. Nursing Assistant B. Clinical Nurse Specialist C. LPN D. RN

C

A nurse is caring for a client with cholelithiasis. Which sign indicates obstructive jaundice A. straw-colored urine B. reduced hematocrit C. clay-colored stools D. elevated urobilinogen in the urine

C

A nurse is preparing a client with Crohn's disease for a barium enema. What should the nurse do the day before the test? A. serve the client his unusal diet B. order a high-fiber diet C. encourage plenty of fluid D. serve dairy products

A

A triple-lumen indwelling urinary catheter is inserted for continuous bladder irrigation following a transurethral resection of the prostate. In addition to balloon's infiltration, the functions of the three lumens include: A. continous inflow and outflow of irrigation solution B. intermittent inflow and continuous outflow of irrigation solution C. continuous inflow and intermittent outflow of irrigation solution D. intermittent flow of irrigation solution and prevention of hemorrhage

B

After having transurethral resection of the prostate (TURP), a client returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client's catheter is occluded? A. the urine in the drainage bag appears red to pink B. the client reports bladder spasms and the urge to void C. The normal saline irrigant is infusing at a rate of 50gtts/min D. about 1,000ml of irrigant have been instilled; 1,200ml of drainage have been returned

B

When preparing a client for surgery to treat appendicitis, the nurse formulates a nursing diagnosis of risk for infection related to infalmmation, perforation, and surgery. What is the rationale for choosing this nursing diagnosis? A. obstruction of the appendix may increase venous drainage and cause appendix, to rupture B. obstruction of the appendix rediuces arterial flow, leading to ischemia, inflammation, and rupture of the appendix C. the appendix may develope gangrene and rupture, especially in a middle-ages client D. infection of the appendix diminished necrotic arterial blood flow and increases venous drainage

A

Which factor should be checked when evaluating the effectiveness of an alpha-adrenergic blocker given to a client with BPH? A. voiding patterns B. size of the prostate C. creatinine clearance D. serum testosterone level

B

Which nursing diagnosis should a nurse address first when caring for a client with diverticulitis? A. Deficient Knowledge: dietary modifications B. Ineffective breathing pattern related to abdominal pain C. Acute pain related to tissue trauma and inflammation D. Anxiety related to ineffective coping with abdominal pain