a
Which food or drink would the nurse instruct a client with a new colostomy to avoid because it produces large amounts of gas?
cabbage
The nurse designs a health education program specifically for a client who had a gastrectomy. The plan would include which information?
explanation about how to limit and prevent dumping syndrome
What information from a client's history would the nurse identify as risk factors for the development of colon cancer?
increased age and ulcerative colitis
The nurse is caring for a client who had a subtotal gastrectomy. Which assessment finding indicates the client is ready for postoperative oral feedings?
presence of flatulence
Which laboratory results support the nurses suspicion that a client diagnosed with type 1 diabetes is experiencing ketoacidosis?
Blood glucose of 300, blood pH of 7.2
Which physiological changes would the nurse expect to find in a client with a 20-year history of type 2 diabetes?
blurry, spotty, or hazy vision
Before a major abdominal surgery for cancer, a client says to the nurse, "I really don't think this is cancer at all. I'll bet they won't find anything." Which is the most appropriate initial response by the nurse?
"I can understand why you'd like to believe that is true."
When obtaining a history of a client recently diagnosed with type 1 diabetes, which symptom would the nurse expect to see?
weight loss
Which clinical findings would the nurse expect when assessing a client with hyperthyroidism?
Diarrhea and weight loss
A client is diagnosed with cancer of the rectum and has surgery for an abdominoperineal resection and colostomy. Which nursing care would be implemented during the postoperative period?
Keeping the client's skin around the stoma clean
An older adult is returned to the surgical unit after having a subtotal gastrectomy. The nurse anticipates that which dietary modification will be prescribed?
Resume small, easily digested feedings gradually
While obtaining the client's health history, which factor would the nurse identify that predisposes the client to type 2 diabetes?
being 20 pounds overweight
A client progresses to a regular diet after a gastrectomy for gastric cancer. After eating lunch, the client becomes diaphoretic and experiences palpitations. Which probable cause of this response would the nurse recognize?
extracellular fluid shift into the bowel. dumping syndrome
After a client has a total gastrectomy, which necessary treatment does the nurse plan to include in the discharge teaching?
monthly injections of cyanocobalamin
A client has a surgically created colostomy. Which is the most effective nursing intervention initially to help the client accept the colostomy?
Begin to teach self-care of the colostomy by introducing equipment
A client experiences symptoms of gastritis for 2 months. The client seeks treatment after nonprescription medications and dietary changes have been unsuccessful in relieving the symptoms. A diagnosis of extensive carcinoma of the stomach is made. The client asks how the disease got so advanced. On which information about carcinoma of the stomach would the nurse base a response?
This type of cancer is often diagnosed late because symptoms are nonspecific during the early stages
The nurse is collecting a health history from a client who has a diagnosis of cancer of the tongue. Which risk factor commonly associated with this type of cancer should the nurse assess when collecting the client's history?
Consuming a large amount of alcohol
Which condition would the nurse expect when performing a physical assessment on a client with a history of hypothyroidism?
Dry
The laboratory values of a client with a new esophageal cancer diagnosis include a hemoglobin of 7 g/dl, hematocrit of 25%, and RBC count of 2.5 million/mm. Which priority goal would the nurse add to the plan of care?
The client will demonstrate improved nutrition. The lab values could be a result of malnutrition so improving nutritional status would be the priority related to the data given.
A client's fasting plasma glucose levels are being evaluated. The nurse identifies that the client is considered to be diabetic if the results are within which range?
126 to 140 mg/dl