digestion/elimination

a nurse is preparing to administer liquid famotidine 20 mg PO every 6 hours for a client who has GERD. available is famotidine 40 mg/5 mL. how many mL should the nurse administer?

2.5 mL

a charge nurse is observing a nurse auscultating a client's bowel sounds. which of the following actions requires intervention by the charge nurse? a. clamps the NG tube during auscultation b. performs auscultation between meals c. auscultates bowel sounds for 3 to 5 min d. palpates the abdomen prior to performing auscultation

d.

a nurse in a long-term care facility is observing an assistant personnel (AP) changing the linen for a client who has fecal incontinence. which of the following actions indicates that the AP understands the principles of infection control? a. shakes the soiled linen to remove any toilet paper remnants b. places the soiled linen on the floor before bagging it c. holds the soiled linen against her body while carrying it to the linen bag d. places clean linen that touches the floor in the soiled linen bag

d.

a nurse is admitting a client who has hepatitis C. which of the following precautions should the nurse implement? a. droplet b. contact c. airborne d. standard

d.

a nurse is calculating a client's fluid output for a 12 hour period. It includes Jackson-Pratt (JP) drainage 35 mL, NG suction 120 mL, and incontinence pads weighing 240 g, 275 g, 310 g, and 270 g. The dry weight of the incontinence pads is 90 g. the nurse should record how many mL of urine output on the client's record?

890 mL

a nurse is assessing a client's bowel sounds. at which of the following points in the assessment should the nurse auscultate the client's abdomen? a. after palpating the abdomen b. prior to percussing the abdomen c. after assessing for kidney tenderness d. prior to inserting the abdomen

b.

a nurse is assessing clients in a health clinic for risk factors for contracting hepatitis. which of the following clients is at risk for developing hepatitis C? a. a client who eats raw shellfish b. a client who has multiple tattoos c. a client who works in a child care center d. a client who has recently traveled to a underdeveloped country

b.

a nurse is caring for a client who has benign prostatic hyperplasia (BPH). which of the following medications should the nurse plan too administer? a. danazol b. finasteride c. fluoxymesterone d. methyltestosterone

b.

a nurse is caring for a client who reports taking bisacodyl to promote a daily bowel movement. which of the following assessment questions should be the nurse's priority? a. "what do your bowel movements look like?" b. "how long have you been taking the bisacodyl?" c. "do you take the bisacodyl with a glass of milk?" d. "how often do you have a bowel movement?"

b.

a nurse is preparing a teaching plan for a client who has chronic constipation secondary to irregular bowel habits. which of the following should the nurse plan to include in the teaching? a. the client should drink two to three 8 oz glasses of water each day b. the client should follow a high-fiber diet to establish bowel regularity c. the client should try to take in all of the required dietary fiber with the morning meal d. the client should be taught that the goal of therapy is to have a bowel movement daily

b.

A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the following statements should the nurse identify as an indication that the client understands the teaching? a. "you should increase the fiber in your diet." b. "you should increase the calories in your diet." c. "you should decrease the diary products in your diet." d. "you should decrease the proteins in your diet."

c.

a nurse assessing a client notes that the client has a constant leakage of small amounts of urine and a bladder that is distended and palpable. the nurse should associate these findings with which of the following type so urinary incontinence? a. stress incontinence b. urge incontinence c. overflow incontinence d. reflex incontinence

c.

a nurse is caring for a client who has benign prostatic hyperplasia (BPH). the nurse should expect which of the following findings? a. urge incontinence b. critically elevated prostate-specfic antigen (PSA) level c. difficulty starting the flow of urine d. painful urination

c.

a nurse is caring for a client who is postoperative following abdominal surgery. the nurse discovers a loop of bowel through an opening in the surgical incision. which of the following actions should the nurse take? a. place the head of the client's bed in the flat position b. gently reinsert the bowel back into the client's wound c. apply moisture sterile gauze to the site d. position the client on his left side

c.

a nurse is providing nutritional teaching to a client who has dumping syndrome following semi-colectomy. which of the following foods should the nurse instruct the client to avoid? a. rice b. poached eggs c. fresh apples d. white bread

c.

a nurse is providing teaching for a client who has gastroesophageal reflux disease (GERD) about ways to mange his condition. which of the following instructions should the nurse include? a. "sleep on your left side." b. "drink milk to soothe your stomach." c. "eat four small meals each day." d. "wait to go to bed for 1 hour after eating."

c.

a nurse is providing teaching to a parent of a child who has celiac disease. the nurse should include which of the following food choices for this child? a. barley b. rye c. rice d. wheat

c.

a nurse is teaching a client who has a new prescription for esomeprazole to mange his GERD. which of the following statements by the client indicates an understanding of the teaching? a. "I won't pass gas as often now that I am taking this medication." b. "I will take this medication each morning with my breakfast." c. "I have an increased risk of getting pneumonia while taking this medication." d. "I will need to take a daily stool softener while taking this medication."

c.

a nurse is teaching a client who has hepatitis A about preventing transmission of the virus. which of the following strategies should the nurse include in the teaching? a. avoid eating fast food restaurants b. avoid serving raw foods c. practice effective hand hygiene d. wear barrier protection during vaginal intercourse

c.

a nurse is administering an IM injection to a client who has hepatitis C. before placing the syringe and needle in a puncture-resistant container, which of the following actions housed the nurse take? a. recap the needle b. place the cap on the bedside table and slide the needle into the cap c. wrap the needle with gauze d. dispose of the needle uncapped

d.

a nurse is caring for a client who has urinary incontinence. which of the following actions should the nurse implement to prevent the development of skin breakdown? a. apply a moisture barrier ointment to the client's skin b. clean the client's skin and perineum with hot water after each epidote of incontinence c. check the client's skin every 8 hours for signs of breakdown d. request a prescription for the insertion of an indwelling urinary catheter

a.

a nurse is discussing good food choices who is recovering from an exacerbation of inflammatory bowel disease and is to start a low-lactose diet. which of the following foods is the best choice for the client? a. soy milk b. cheddar cheese c. low-fat yogurt d. cottage cheese

a.

a nurse is implementing a bowel training program for a client. for the program to be effective, the nurse should take the client to the toilet at which of the following times? a. when the client has the urge to defecate b. every 2 hours while the client is awake c. immediately before the client has a meal d. after the clients feels abdominal cramping

a.

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.

nurse is reviewing the medication list for a client who has a new diagnosis of a small bowel obstruction. the nurse should withhold which of the following medications? a. senna b. ibuprofen c. omeprazole d. zolpidem

a.