Adult Exam 1 Practice Questions

nurse is planning care for pt who is postop and at risk for paralytic ileus. which intervention should the nurse plan to take to promote peristalsis A. increase ambulation B decrease fluid intake C. increase protein intake D. offer bedpan q 2 hours

A

A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include in the plan? (Select all that apply) A. Administer furosemide. B. Administer warfarin. C. Implement a low-sodium diet. D. Measure the client's abdominal girth. E. Encourage weight lifting during physical therapy.

ACD

A nurse admits a client to the emergency department who reports nausea and vomiting that worsens when he lies down. Antiacids do not help. The provider suspects acute pancreatitis. Which of the following laboratory tests results should the nurse expect to see? A. Decreased WBC B. Increased serum amylase C. Decreased serum lipase D. Increased serum calcium

B

A nurse is caring for a client following a CT scan with dye who has an anaphylaxis reaction. Which of the following conditions requires a priority nursing response? A. urticaria B. stridor C. tachypnea D. angioedema

B

A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions should the nurse implement first? A. give morphine IV B. administer oxygen therapy C. start an iv infusion of LR D. initiate cardiac monitoring

B

A nurse is teaching a client who has asthma how to use a metered-dose inhaler (MDI). The nurse identifies the sequence of steps the client should follow. Put the following in order - Hold breath for 10 seconds - Inhale deeply and then exhale completely - Place lips firmly around mouthpiece - Wait 60 seconds between each puff - Breathe in deeply over 2-3 seconds while pushing down on the canister - Exhale slowly through pursed lips

a. Inhale deeply and then exhale completely b. Place lips firmly around mouthpiece c. Breathe in deeply over 2-3 seconds while pushing down on the canister d. Hold breath for 10 seconds e. Exhale slowly through pursed lips f. Wait 60 seconds between each puff

A nurse in the emergency department is caring for a client who was injured in a motor-vehicle crash. The client reports dyspnea and severe pain. The nurse notes that the client's chest movement inward during inspiration and bulges out during expiration. The nurse should identify this finding as which of the following? a. Atelectasis b. Flail chest c. Hemothorax d. Pneumothorax

b

A nurse is teaching a client who is preoperative for a colectomy. The client asks the nurse why he needs a large-bore NG tube. Which of the following statements should the nurse make? A. "The tube is a routine standard following this type of surgery." B. "The tube will allow us to provide you with nutrition." C. "The tube will remove gas and fluid from your stomach." D. "The tube can be explained to you once you are stable after surgery."

c

A nurse is assessing a client who has a fracture of the femur. The nurse obtains vital signs on admission and again in 2 hours. Which of the following changes in assessment should indicate to the nurse that the client could be developing a serious complication? A. increased respiratory rate of 18 to 44/min B. increased oral temperature of 36.6 C to 37.7 C C. increased blood pressure from 112/68 to 120/72 D. Increased heart rate from 68 to 72

A

A nurse is assessing clients in a health clinic for risk factors for contracting hepatitis. Which of the follow clients is at risk for developing hepatitis C? A. Client with multiple tattoos B. Client who eats raw shellfish C. A client who works in a childcare center D. A client who has recently traveled to an underdeveloped country

A

A nurse is caring for a client who has a disposable three-chamber chest tube in place. Which of the following findings should indicate to the nurse that the client is experiencing a complication? a. Continuous bubbling in the water-seal chamber b. Occasional bubbling in the water-seal chamber c. Constant bubbling in the suction-control chamber d. Fluctuations in the fluid level in the water-seal chamber

A

A nurse is caring for a client who has a three- chamber closed chest tube system. Which of the following actions should the nurse take after noticing a rise in the water seal chamber with client inspiration? A. Continue to monitor the client. B. Immediately notify the provider. C. Reposition the client toward the left side. D. Clamp the chest tube near the water seal.

A

A nurse is caring for a client who has gastrointestinal bleeding. Which of the following actions should the nurse take first? A. Assess orthostatic blood pressure. B. Explain the procedure for an upper gastrointestinal series. C. Administer pain medication. D. Test the client's emesis for blood.

A

A patient with a history of peptic ulcer disease presents to the emergency department with severe abdominal pain and a rigid, board-like abdomen. The health care provider suspects a perforated ulcer. Which interventions should the nurse anticipate? A. Providing IV fluids and inserting a nasal gastric (NG) tube B. Administering oral bicarbonate and testing the patient's gastric pH level C. Performing a fecal occult blood test and administering IV calcium gluconate D. Starting parenteral nutrition and placing the patient in high Fowler's position

A (use NG tube to suck not feed bc they need to be NPO)

A nurse is caring for a client who is postoperative has an NG tube that has drained 2,500 mL in the past 6 hr. The nurse should monitor the client for which of the following electrolyte imbalances? A. elevated sodium B. decreased potassium C. elevated magnesium D. decreased calcium

B (hypokalemia can occur with loss of too much fluid. A is wrong because loss of fluid does not increase Na)

A nurse is caring for a client who is 12hr postoperative and has a chest tube to a disposable water-seal drainage system with suction. The nurse should intervene for which of the following observations? a. Constant bubbling in the suction-control chamber b. Continuous bubbling in the water-seal chamber c. Bloody drainage in the collection chamber d. Fluid-level fluctuations in the water-seal chamber

B (indicates air leak between the water seal and the clients chest)

A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia? A. dietary iron restrictions B. intestinal malabsorption syndrome C. chronic blood loss D. intestinal parasites

C

A nurse is caring for a client immediately following a procedure that required spinal anesthesia. Which of the following findings indicates the client is experiencing a complication of the anesthesia?A. Hiccoughs B. Numbness in the legs C. Headache D. Absence of urge to void

C

A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to xray. Which of the following actions should the nurse take? A. clamp the chest tube prior to transferring the client to a wheelchair B. disconnect the chest tube from the drainage system during transport C. keep the drainage system below the level of the clients chest at all times D. empty the collection chamber prior to transport

C

A nurse is caring for a client who has a tracheostomy. Which of the following interventions should the nurse implement when performing tracheostomy care. A. use aseptic technique B. clean the inner canula with soap and water C. secure new tracheostomy ties before removing old ones D. apply suction when inserting the catheter

C

A nurse is caring for a client who is 1-day postoperative following a left lower lobectomy and has a chest tube in place. when assessing the 3-chamber drainage system, the nurse notes that there is no bubbling in the suction control chamber. action by nurse? A. Continue to monitor the client as this is an expected finding. B. Add more water to the suction control chamber of the drainage system. C. Verify that the suction regulator is on and check the tubing for leaks. D. Milk the chest tube and dislodge any clots in the tubing that are occluding it.

C

A nurse is caring for a client who is unconscious and has a breathing pattern characterized by alternating periods of hyperventilation and apnea. The nurse should document that the client has A. Kussmaul breathing. B. apneustic breathing C. Cheyne-Stokes respirations (CSR). D. stridor.

C

A nurse is caring for a client with a tracheostomy. The client's partner has been taught to perform suctioning. Which of the following actions by the partner should indicate to the nurse a readiness for the client's discharge? A. Attending a class given about tracheostomy care B. Verbalizing all steps in the procedure C. Performing the procedure independently D. Asking appropriate questions about suctioning

C

A nurse is monitoring a client following thoracentesis. The nurse should identify which of the following manifestations as a complication and contact the provider immediately? A. Serosanguineous drainage from the puncture site B. Discomfort at the puncture site C. Increased heart rate D. Decreased temperatur

C

nurse is reviewing provider's prescriptions for pt experiencing a paralytic ileus following an appendectomy. which of the following actions should the nurse expect to take? A. administer an antacid B. provide a bulk forming agent C. insert an NG tube D. apply a truss

C

A nurse is developing a plan of care for a client who is postoperative. Which of the following interventions should the nurse include in the plan to prevent pulmonary complications? A. Perform range-of-motion exercises B. Place suction equipment at the bedside C. Encourage the use of an incentive spirometer D. Administer an expectorant

C (expands the lungs and promotes gas exchange after surgery)

A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take? A. Check the tubing connections for leaks. B. Check the suction control outlet on the wall. C. Clamp the chest tube. D. Continue to monitor the client's respiratory status.

D

A nurse is assisting a group of clients in an outpatient clinic. For which of the following clients should the nurse anticipate scheduling a colonoscopy? A. 56 yo who had a colonoscopy 6 years ago B. 34 yo who reports a new onset of constipation C. 32 yo who has a sister who died of colon cancer D. 51 yo who is being seen for an annual physical exam

D (colon cancer is uncommon prior to the age of 40. When an adult turns 50 they should have screening yearly) C is wrong because she would first need to be tested genetically

A nurse is teaching a client who is receiving treatment for metastatic colorectal cancer about the adverse effects of bevacizumab with. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication? A. Weight gain B.Mild hearing loss C. Temporary loss of smell D. Nosebleeds

D (increased risk for severe bleeding)

A nurse is teaching self management to a client who has hepatitis B. Which of the following instructions should the nurse include in the teaching? A. You may donate blood 6 months after completing the medication B. Consume a high protein diet C. Take acetaminophen every 4 hours as needed for discomfort D. Rest frequently throughout the day

D (reduce the metabolic demands on the liver)

A nurse is caring for a client who has just returned from the PACU after a traditional cholecystectomy. In which of the following positions should the nurse place the client? A. Prone B. Semi-Fowler's C. Supported Sims' D. Dorsal recumbant

B

A nurse is caring for a client who has the following arterial blood gas results: 7.22 PaCO2 68 Base -2 O2 78 Saturation 80% Bicarb 26 The nurse recognizes the client is experiencing which of the following acid base imbalances? A. Metabolic acidosis B. Respiratory acidosis C. Metabolic alkalosis D, Respiratory alkalosis

B

A nurse is caring for a female client in the emergency department who reports shortness of breath and pain in the lung area. She states that she started taking birth control pills 3 weeks ago and that she smokes. Her heart rate is 100/min, respiratory rate 40/min, and blood pressure 140/80 mmHg, HCO₃ mEq/L, and SaO₂ 86%. Which of the following is the priority nursing intervention? a. Prepare for mechanical ventilation b. Administer oxygen via face mask c. Prepare to administer a sedative d. Assess for indications of pulmonary embolism

B

A nurse is providing care for a client who had a laparoscopic cholecystectomy. Which of the following is an appropriate nursing action? A. Place the client in a supine position postoperatively. B. Encourage ambulation once fully awake. C. Offer the client ice cream postoperatively. D. Instruct the client not to lift over 4.5 kg (10 lb)

B

After discharge instructions for a client who has had bariatric surgery for treatment of obesity, the nurse determines that additional teaching is needed when the client says: A. "I shouldn't eat concentrated sweets" B. "I can eat small, frequent meals throughout the day" C. "I should drink several glasses of fluids with my meals" D. "I will need to have a cobalamin injection once a month"

C

A client is prescribed Lansoprazole 15 mg PO once a day. At which of the following times should the nurse administer the medication? A. Thirty minutes after lunch B. With a bedtime snack C. Thirty minutes before breakfast D. During the evening meal

C

A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider? A. Stoma oozing red drainage B. Shiny, moist stoma C. Purplish-colored stoma D. Rosebud-like stoma orifice

C

A nurse is assessing a client for hypoxemia during an asthma attack. Which of the following manifestations should the nurse expect? A.Nausea B.Dysphagia C. Agitation D. Hypotension

C

A patient reporting nausea receives a dose of metoclopramide. What potential adverse effect should the nurse tell the patient to report? A. Constipation B. Double vision C. Tremors D. Numbness and fingers and toes

C

The nurse is caring for a client on the third day following abdominal surgery and assess the absence of bowel sounds, ab distention, and the client passing no flatus. These findings indicate the client is experiencing which of the following postoperative complications? A. Ulcerative colitis B. cholecystitis C. paralytic ileus D. wound dihiscence

C

The nurse is caring for a patient who has just vomited green-yellow liquid. Which action would be an appropriate nursing intervention? A. Offer the patient an herbal supplement such as ginseng B. Discontinue medications that may cause nausea or vomiting C. Apply a cool washcloth to the forehead and provide mouthcare D. Take the patient for a walk in the hallway to promote peristalsis

C

The patient with chronic gastritis is being put on a combination of medications to eradicate Helicobacter pylori. Which drugs does the nurse know will probably be used? A. Antibiotic(s), antacid, and corticosteroid B. Antibiotic(s), aspirin, and antiulcer/protectant C. Antibiotic(s), proton pump inhibitor and bismuth D. Antibiotic(s) and nonsteroidal anti-inflammatory drugs (NSAIDS)

C

a nurse is caring for a client who has an active upper GI bleed. after inserting a NG tube into the client, which of the following findings should the nurse anticipate? A. frothy pink drainage B. dark amber drainage C. coffee ground drainage D. greenish yellow drainage

C

A client has undergone an upper endoscopy. The nurse will plan on placing the highest priority on which item as a part of the clients care plan? A. monitoring the clients temperature B. determining if the client has heartburn C. administering warm gargles for a sore throat D. assessing for the return of a gag reflex

D

A nurse in a clinic sees a client who has an acute asthma exacerbation. Which of the following medications should reduce the symptoms? A. Cromolyn via metered-dose inhaler B. Montelukast orally C. Budesonide via dry-powder inhaler D. Albuterol via jet nebulizer

D

A nurse is caring for a client who has a disposable three-chamber chest tube in place. Which of the following findings should indicate to the nurse that the client is experiencing a complication? a. Continuous bubbling in the water-seal chamber b. equal amounts of fluid drainage in each collection chamber c. absence of fluid in the drainage tubing d. Fluctuations in the fluid level in the water-seal chamber

D

A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statement by the client should the nurse report to the provider? A. "I drink at least 2 quarts of fluid every day." B. "The last time I voided it was painful and red-tinged." C. "My period ended 2 days ago." D. "I don't eat shellfish because it gives me hives."

D

A nurse is caring for a patient who has asthma and is taking fluticasone, the nurse should monitor the patient for which of the following adverse effects? A. Hypoglycemia, B. Hypertension, C. Polyuria, D. Oral candidiasis

D

A nurse is monitoring a client who has a chest tube in place connected to wall suction due to right sided pneumothorax. The client complains of chest burning. Which of the following actions should the nurse take? A. Increase the client's wall suction. B. Strip the client's chest tube. C. Clamp the client's chest tube. D. Reposition the client.

D

A patient is admitted with acute appendicitis. Which lab results help confirm this diagnosis? A. WBC 5.9 B. Hgb 6.9 C. Platelet count 56,000 D. WBC 21.9

D

A patient with morbid obesity has elected to have the RYGB procedure. The nurse will know the patient understands the preoperative teaching when the patient makes which statement? A. "This surgery will preserve the function of my stomach." B. "This surgery will remove the fat cells from my abdomen." C. "This surgery can be modified whenever I need it to be changed." D. "This surgery decreases how much I can eat and how many calories I can absorb."

D

In the immediate postoperative period, a nurse cares for a severely obese patient who had surgery for repair of a lower leg fracture. Which assessment is most important? A. Blood pressure B. Heart rate C. Surgical dressing D. Oxygen saturation

D

The nurse is monitoring a client with a peptic ulcer. Which assessment finding would indicate perforation of the ulcer? A. Heart rate of 52 beats per minute B. Numbness in the legs C. Nausea and vomiting D. A rigid, board-like abdomen

D

The nurse teaches a patient about safe and successful weight loss. Which Statement would indicate an understanding of the instructions? a."I will keep a diary of daily weights to chart my weight loss." b."I plan to lose 4 pounds a week until I have lost my goal of 60 pounds." c."I should not exercise more than what is required because increased activity increases the appetite." d."I plan to join a behavior-modification group to make permanent changes necessary for weight control."

D

which serum potassium result best supports the rationale for administering a stat dose of IV potassium chloride 20 mEq in 200 ml of normal saline over 2 hours? A. 3.1 mEq/L B. 3.5 mEq/L C. 4.6 mEq/L D. 5.3 mEq/L

A

A nurse is preparing a client who is scheduled to undergo a paracentesis. Into which of the following positions should the nurse assist the client for this procedure? A. high fowlers B. side lying C. leaning forward D. supine

A (C is for thoracentesis)

a nurse is providing preoperative teaching to a client who is to undergo an open bowel resection at 1300 next week. which of the following statements by the client indicates the need for further teaching? A. I will be able to eat solid food when I wake up from anesthesia." B. "I will have a glass of juice the morning of my surgery." C. "I understand what risks I can expect with this surgery." D. "I will take time to relax if I get nervous the night before surgery."

A

A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider A. Movement of the trachea toward the unaffected side B. Bubbling of the water in the water seal chamber with exhalation C. Crepitus in the area above and surrounding the insertion site D. Eyelets are not visible

A (C is not an emergency)

The nurse is caring for a client how has heart failure and a history of asthma. The nurse reviews the providers orders and recognizes that clarification is needed for which of the following medications? A. Carvedilol B. Fluticasone C. Captopril D. Isosorbide dinitrate

A (blocks b2 receptors so it is contraindicated in patients with asthma)

A nurse is assessing a client who has advanced cirrhosis. Which of the following manifestations should the nurse expect? A. Petechiae B. Hypertension C. Osteoarthritis D. Peripheral ulcers

A (due to impaired coagulation)

A nurse is caring for a client who has a newly inserted chest drainage system with a water seal. Which of the following actions should the nurse take? a. Clamp the tube with the client is ambulating b. Keep the collection device below the level of the client's chest c. Coil the tubes carefully to prevent kinking d. Lay the client flat to avoid leaks in the tubing

B

A nurse is teaching a client about causes of biliary cirrhosis. Which of the following information should the nurse include in the teaching? A. Excessive alcohol consumption B. Obstruction of the bile duct C. Hepatitis C D. Hepatotoxic medications

B

A nurse is teaching a client who is obese about orlistat. Which of the following should the nurse report as an adverse effect A. drowsiness B. oily fecal spotting C. constipation D. dark colored stools

B

A nurse suspects anaphylaxis when caring for a client following the initial administration of an oral antibiotic. Which of the following is the priority intervention? A. insert an IV line B. count the respiratory rate C. administer oxygen D. prepare equipment for intubation

B

In developing an effective weight reduction plan for an overweight patient who states a willingness to try to lose weight, it is most important for the nurse to first assess which factor? a. The length of time the patient has been obese b. The patient's current level of physical activity c. The patient's social, emotional, and behavioral influences on obesity d. Anthropometric measurements, such as body mass index and skinfold thickness

C

The nurse determines a patient has experienced the beneficial effects of famotidine when which symptom is relieved? A. Nausea B. Belching C. Epigastric pain D. Difficulty swallowing

C

A nurse in a urgent care center is caring for a client who is having an acute asthma exacerbation. which of the following actions is the nurse's highest priority? A. Initiating oxygen therapy B. Providing immediate rest for the client C. Positioning the client in high-Fowler's D. Administering a nebulized beta-adrenergic

D

A nurse in the emergency department is caring for a patient who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 100/60, a weak pulse rate of 118 and a respiratory rate of 40. Which of the following actions should the nurse take first? A. Raise the foot of the bed to a 90° angle. B. Remove the dressing to inspect the wound. C. Prepare to insert a central line. D. Administer oxygen via nasal cannula.

D

A nurse is assessing a client 1 day postop following a lobectomy and has a chest tube drainage system in place. which of the following findings indicate intervention. A. Chest tube eyelets not visible B. Continuous bubbling in the suction control chamber C. Presence of tidal fluctuation in the water seal chamber D. Development of subcutaneous emphysema

D

A nurse is assessing a client who has postoperative atelectasis and is hypoxic. Which of the following should the nurse expect. A. Bradycardia B. Bradypnea C. Lethargy D. Intercostal retractions

D

A nurse is caring for a client who had a total hip arthroplasty 1 day ago and is receiving morphine sulfate by PCA pump for pain control The client reports nausea and vomiting. Which of the following actions should the nurse take? A. insert an NG tube B. administer an antiemetic C. encourage use of incentive spirometer D. auscultate BS

D

You are caring for a patient with a potassium of 2.9 mEq/L. Which classification of medication will you withhold until you consult with the HCP? A. corticosteroid B. loop diuretic C. bronchodilator D. antibiotics

B

The results of a patient's recent endoscopy indicate the presence of peptic ulcer disease (PUD). Which teaching point should the nurse provide to the patient based on this new diagnosis? A. "It would be beneficial for you to stop drinking alcohol." B. You need to drink at least 2-3 glasses of a milk a day." C. "Many people find that a minced or pureed diet eases the symptoms of PUD." D. "You can keep your present diet and minimize symptoms by taking medications."

A

While assessing a client who is receiving continuous IV therapy via his left forearm, a nurse notes that the site is red, swollen and painful and that the surrounding tissues are hard. Which of the following actions should the nurse take first? A. discontinue the existing IV B. Initiate a new IV line in the other extremity. C. Apply a hot pack to the irritated site. D. Determine if the client needs to continue IV therapy.

A

a nurse is caring for a client who experienced a femur fracture 8 hrs ago and now reports sudden onset dyspnea and severe chest pain. which of the following actions should the nurse take first? A. Provide high-flow oxygen. B. Check the client for a positive Chvostek's sign. C. Administer an IV vasopressor medication. D> Monitor the client for headache.

A

a nurse is caring for a client who has liver cirrhosis with ascites and bleeding esophageal varices. Which of the following laboratory findings indicates that the clients gastrointestinal GI tract is digesting and absorbing blood? A. elevated BUN B. elevated hbA1c C. decreased chloride D. decreased bilirubin

A

a nurse is caring for a patient who is postop and whose respirations are shallow and 9/min. Which of the following acid-based imbalances should the nurse identify the patient as being at risk for developing initially? A. respiratory acidosis B. respiratory alkalosis C. metabolic acidosis D. metabolic alkalosis

A

A patient presents with spontaneous bleeding. Which of the following lab results may be contributing to this condition A. hgb of 7.6 B. platelet count of 34,000 C. WBC 2.5 D. platelet count of 500,000

B

After administering a dose of promethazine to a patient with nausea and vomiting, what medication side effect does the nurse explain is common and expected? A. Tinnitus B. Drowsiness C. Reduced hearing D. Headache

B

C. The nurse has provided client education about an upcoming colonoscopy. The nurse determines that the client needs further information if the client makes which statement? A. "I know I must sign a consent for prior to the procedure B. "I hope the medication they spray in my throat will help me from gagging." C. "I am glad that they will sedate me since I have to lie still for this procedure" D. "I am happy that I will be given some IV medication to help me relax"

B

The patient with a history of irritable bowel disease and gastroesophageal reflux disease (GERD) is admitted with a diagnosis of diverticulitis and has received a dose of Mylanta 30 mL PO. The nurse will determine the medication was effective when which symptom has been resolved? A. Diarrhea B. Heartburn C. Constipation D. Lower abd pain

B

A nurse is assessing an african american client who has jaundice. Which of the following areas is the most reliable for the nurse to inspect for jaundice? A. the palms b. hard palate C. conjunctiva D. back of the nect

B (caucasian individuals would be C)

Which assessment is most important to monitor post roux-en-y surgery? A. NG tube output B. surgical dressing C. postop pain D. oxygen saturation

D

nurse is teaching a client who will undergo a bronchoscopy procedure. the provider will use a rigid scope and general anesthesia. nurse should explain the client's neck will be in which position? A. flexed B. extended C. neutral D. hyperextended

D

A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?a.Gallstones b.Hypolipidemia c.COPD d.Diabetes mellitus

A

A nurse is planning care for a client who is to start receiving TPN. Which of the following interventions should the nurse include in the plan of care? a) Use a 1.2 micron filter when infusing TPN with fat emulsions added. b) Allow 18 hr for the lipids to infuse when not mixed with the TPN solution. c) Change the TPN solution after 36 hr. d) Change the TPN tubing every 48 hr

A

A nurse is planning care for a client with viral hepatitis. Which action should be included? A. Provide a high carbohydrate diet B. Administer acetaminophen for pain C. Encourage eating three large meals daily. D. Include high protein snacks.

A

A nurse is providing information about pain control for a client who has acute pain following a subtotal gastric resection. Which of the following client statements indicates an understanding of pain control? A. "I will call for pain medication before the previous dose wears off." B. "I will call for pain medication as my pain starts to increase again." C. "I will wait for you to evaluate my pain before asking for more medication." D. "I will ask for less medication to avoid addiction."

A

The nurse is caring for a client who is 5 foot 5 inches tall and weighs 186 pounds. The nurse has discussed reasonable weight loss goals and a lo-calorie diet with the patient. Which statement made by the client indicates a need for further teaching? A. "I will limit my intake to 500 calories a day." B. "I will try to eat very slowly during mealtimes." C. I will try to pick foods from all of the basic food groups." D. "It is important for me to begin a regular exercise program."

A

A 50 year old black woman with a BMI of 35.3 has T2DM, hypercholesterolemia, and IBS. She is seeking assistance losing weight because "I have trouble stopping eating when I should, but I don't want to have bariatric surgery." Which drug therapy should the nurse question if it is prescribed for this patient. A. Orlistat B. Lorcaserin C. Phentermine D. Phentermine and toperamiate

A (can enhance IBS)

A nurse is admitting a client who was prescribed antibiotic therapy and now has a Clostridium difficile infection. Which of the following actions should the nurse take? a. Disinfect equipment in the client's room daily. b. Have the client wear a mask when out of the room. c. Place the client in a protective environment. d. Use alcohol hand sanitizer after completing tasks for the client.

A (or when soiled)

A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate? A. "Don't worry; most clients dislike the prep more than the procedure itself." B. "Before the examination, your provider will give you a sedative that will make you sleepy." C. "I know you're anxious, but this procedure is recommended for people your age." D. "After you have signed the consent form, we can talk more about this."

B