https://quizlet.com/424302330/chapter-11-childhood-and-neurodevelopment-disorders-flash-cards/

The nurse is aware that the diagnostic tests typically ordered for acute diverticulitis do not include a barium enema. The reason for this is that a barium enema: A. Can perforate an intestinal abscess. B. Would greatly increase the client's pain. C. Is of minimal diagnostic value in diverticulitis. D. Is too lengthy a procedure for the client to tolerate.

A. Can perforate an intestinal abscess.

Which of the following dietary measures would be useful in preventing esophageal reflux? A. Eating small, frequent meals. B. Increasing fluid intake. C. Avoiding air swallowing with meals D. Adding a bedtime snack to the dietary plan.

A. Eating small, frequent meals.

The nurse is obtaining a health history from a client who has a sliding hiatal hernia associated with reflux. The nurse should ask the client about the presence of which of the following symptoms? A. Heartburn. B. Jaundice. C. Anorexia. D. Stomatitis.

A. Heartburn.

A client with diverticulitis has developed peritonitis following diverticular rupture. The nurse should assess the client to determine which of the following? Select all that apply. A. Percuss the abdomen to note resonance and tympany. B. Percuss the liver to note lack of dullness. C. Monitor the vital signs for fever, tachypnea, and bradycardia. D. Assess presence of polyphagia and polydipsia. E. Auscultate bowel sounds to note frequency.

A. Percuss the abdomen to note resonance and tympany. B. Percuss the liver to note lack of dullness. E. Auscultate bowel sounds to note frequency.

The nurse administers fat emulsion solution during TPN as ordered based on the understanding that this type of solution: A. Provides essential fatty acids. B. Provides extra carbohydrates. C. Promotes effective metabolism of glucose. D. Maintains a normal body weight.

A. Provides essential fatty acids.

The client is scheduled to have an upper gastrointestinal tract series of x-rays. Following the x-rays, the nurse should instruct the client to: A. Take a laxative. B. Follow a clear liquid diet. C. Administer an enema. D. Take an antiemetic.

A. Take a laxative.

The nurse is instructing the client with a new colostomy about protecting the skin around the colostomy. Which skin barrier should the nurse tell the client is best to apply around the colostomy? A. adhesive skin barrier B. petroleum jelly C. cornstarch D. antiseptic cream

A. adhesive skin barrier

The nurse is teaching a client who is recovering from an abdominal-perineal resection with a colostomy about health promotion. What is an expected outcome for a client during the first 2 weeks after surgery? A. maintaining a fluid intake of 3000 mL/day B. eliminating fiber from the diet C. limiting physical activity to light exercise D. accepting that sexual activity may be diminished

A. maintaining a fluid intake of 3000 mL/day

The client attends two sessions with the dietitian to learn about diet modifications to minimize gastroesophageal reflux. The teaching would be considered successful if the client says that she will decrease her intake of which of the following foods? A.Fats. B. High-sodium foods. C. Carbohydrates. D. High-calcium foods.

A.Fats.

After surgery for gastric cancer, a client is scheduled to undergo radiation therapy. It will be most important for the nurse to include information about which of the following in the client's teaching plan? A: How to maintain adequate nutritional intake. 2. What to do for alopecia 3. Exercise and activity levels. 4. Access to community resources.

A: How to maintain adequate nutritional intake.

The nurse is preparing a community presentation on oral cancer. Which is a primary risk factor for oral cancer that the nurse should emphasize in the presentation? A: use of alcohol B: frequent use of mouthwash C: lack of vitamin B12 D: lack of regular teeth cleaning by a dentist

A: use of alcohol

Which of the following interventions should the nurse include in the client's plan of care to prevent complications associated with TPN administered through a central line? A. Use a clean technique for all dressing changes. B Tape all connections of the system. C. Encourage bed rest. D. Cover the insertion site with a moisture-proof dressing.

B Tape all connections of the system.

The client asks the nurse whether he will need surgery to correct his hiatal hernia. Which reply by the nurse would be most accurate? A "Surgery is usually required, although medical treatment is attempted first." B. "Hiatal hernia symptoms can usually be successfully managed with diet modifications, medications, and lifestyle changes." C "Surgery is not performed for this type of hernia." D. "A minor surgical procedure to reduce the size of the diaphragmatic opening will probably be planned."

B. "Hiatal hernia symptoms can usually be successfully managed with diet modifications, medications, and lifestyle changes."

Which of the following guidelines reflects the current American Cancer Society recommendations for screening for colon cancer in individuals who are not at high risk? A. Annual digital rectal examination should begin at age 40. B. Annual fecal testing for occult blood should begin at age 50. C. Individuals should obtain a baseline barium enema at age 40. D. Individuals should obtain a baseline colonos-copy at age 45.

B. Annual fecal testing for occult blood should begin at age 50.

The client with an intestinal obstruction continues to have acute pain even though the nasoenteric tube is patent and draining. Which action by the nurse would be most appropriate? A. Reassure the client that the nasoenteric tube is functioning. B. Assess the client for a rigid abdomen. C. Administer an opioid as ordered. D. Reposition the client on the left side.

B. Assess the client for a rigid abdomen.

Which of the following factors would most likely contribute to the development of a client's hiatal hernia? A. Having a sedentary desk job. B. Being 5 feet, 3 inches tall and weighing 190 lb. C. Using laxatives frequently. D. Being 40 years old.

B. Being 5 feet, 3 inches tall and weighing 190 lb.

In developing a teaching plan for the client with a hiatal hernia, the nurse's assessment of which work-related factors would be most useful? A. Number and length of breaks. B. Body mechanics used in lifting. C. Temperature in the work area. D. Cleaning solvents used.

B. Body mechanics used in lifting.

Which of the following adverse effects would the nurse expect the client to exhibit in the event of too rapid an infusion of TPN solution?A. Negative nitrogen balance. B. Circulatory overload. C. Hypoglycemia. D. Hypokalemia.

B. Circulatory overload.

Which of the following instructions should the nurse include in the teaching plan for a client who is experiencing gastroesophageal reflux disease (GERD)? A. Limit caffeine intake to two cups of coffee per day. B. Do not lie down for 2 hours after eating. C. Follow a low-protein diet. D. Take medications with milk to decrease irritation.

B. Do not lie down for 2 hours after eating.

Which of the following lifestyle modifications should the nurse encourage the client with a hiatal hernia to include in activities of daily living? A. Daily aerobic exercise. B. Eliminating smoking and alcohol use. C. Balancing activity and rest D. Avoiding high-stress situations.

B. Eliminating smoking and alcohol use

A client has been placed on long-term sulfasalazine (Azulfidine) therapy for treatment of his ulcerative colitis. The nurse should encourage the client to eat which of the following foods to help avoid the nutrient deficiencies that may develop as a result of this medication? A: Citrus fruits. B. Green, leafy vegetables. C. Eggs D.. Milk products.

B. Green, leafy vegetables.

Which goal for the client's care should take priority during the first days of hospitalization for an exacerbation of ulcerative colitis? A. Promoting self-care and independence. B. Managing diarrhea. C. Maintaining adequate nutrition .D. Promoting rest and comfort.

B. Managing diarrhea.

Which of the following should be a priority focus of care for a client experiencing an exacerbation of Crohn's disease? A. Encouraging regular ambulation. B. Promoting bowel rest. C. Maintaining current weight. D. Decreasing episodes of rectal bleeding.

B. Promoting bowel rest.

A client with Crohn's disease has concentrated urine, decreased urinary output, dry skin with decreased turgor, hypotension, and weak, thready pulses. The nurse should do which of the following first? A. Encourage the client to drink at least 1,000 mL per day. B. Provide parenteral rehydration therapy ordered by the physician. C. Turn and reposition every 2 hours. D. Monitor vital signs every shift.

B. Provide parenteral rehydration therapy ordered by the physician.

After insertion of a nasoenteric tube, the nurse should place the client in which position? A. Supine. B. Right side-lying. C Semi-Fowler's. D. Upright in a bedside chair.

B. Right side-lying.

Bethanechol (Urecholine) has been prescribed for a client with GERD. The nurse should assess the client for which of the following adverse effects? A. Constipation B. Urinary urgency C. Hypertension D. Dry oral mucosa

B. Urinary urgency

The nurse should assess the client who is being admitted to the hospital w/ upper GI bleeding for which finding? Select all the apply A: dry, flushed skin B: decreased urine output C: tachycardia D: widening pulse pressure E: rapid respirations F: thirst

B: decreased urine output C: tachycardia E: rapid respirations F: thirst

Following surgery to set a fractured mandible, the client has swelling at the surgery site. What is the priority goal of nursing care? A: prevent nausea and vomiting B: maintain a patent airway C: provide frequent oral hygiene D: establish a way for the client to communicate

B: maintain a patent airway

A client w/ peptic ulcer disease reports being nauseated most of the day & now feeling light-headed & dizzy. Based on these finding. Which nursing actions would be most appropriate for the nurses to take? Select all that apply A: administering an antacid hourly until nausea subsides B: monitoring the client's VS C: notifying the health care provider of the client's symptoms D: initiating O2 therapyE: reassessing the client in an hour

B: monitoring the client's VS C: notifying the health care provider of the client's symptoms

Which of the following nursing interventions would most likely promote self-care behaviors in the client with a hiatal hernia? A. Introduce the client to other people who are successfully managing their care. B. Include the client's daughter in the teaching so that she can help implement the plan. C. Ask the client to identify other situations in which he demonstrated responsibility for himself D. Reassure the client that he will be able to implement all aspects of the plan successfully.

C. Ask the client to identify other situations in which he demonstrated responsibility for himself

When planning the diet teaching for the client with a colostomy, the nurse should develop a plan that emphasizes which dietary instruction? A. Foods containing roughage should not be eaten B. Liquids are best limited to prevent diarrhea C. Clients should experiment to find the diet that is best for them D. A high-fibre diet will produce a regular passage of stool

C. Clients should experiment to find the diet that is best for them

Which of the following laboratory findings would the nurse expect to find in a client with diverticulitis? A. Elevated red blood cell count. B. Decreased platelet count. C. Elevated white blood cell count D. Elevated serum blood urea nitrogen concentration.

C. Elevated white blood cell count

A client who has been diagnosed with gastroesophageal reflux disease (GERD) complains of heartburn. To decrease the heartburn, the nurse should instruct the client to eliminate which of the following items from the diet? a. Lean beef. B. Air-popped popcorn. C. Hot chocolate. D. Raw vegetables.

C. Hot chocolate.

A client who has a history of Crohn's disease is admitted to the hospital with fever, diarrhea, cramping, abdominal pain, and weight loss. The nurse should monitor the client for: A. Hyperalbuminemia. B. Thrombocytopenia. C. Hypokalemia. D. Hypercalcemia.

C. Hypokalemia.

The nurse is changing the subclavian dressing of a client who is receiving total parenteral nutrition. When assessing the catheter insertion site, the nurse notes the presence of yellow drainage from around the sutures that are anchoring the catheter. Which action should the nurse take first? A. Clean the insertion site and redress the area. B. Document assessment findings in the client's chart. C. Obtain a culture specimen of the drainage D. Notify the physician.

C. Obtain a culture specimen of the drainage

A client who has ulcerative colitis has persistent diarrhea. He is thin and has lost 12 lb since the exacerbation of his ulcerative colitis. Which of the following will be most effective in helping the client meet his nutritional needs? A. Continuous enteral feedings. B. Following a high-calorie, high-protein diet. C. Total parenteral nutrition (TPN). D. Eating six small meals a day.

C. Total parenteral nutrition (TPN).

During the assessment of a client's mouth, the nurse notes the absence of saliva. The client report having pain behind the ear. The client has been NPO for several days but now can have liquids. What should the nurse do next? A: Request a prescription for an antifungal mouthwash B: Instruct the client to brush the gums as well as the teeth C: Encourage the client to suck on hard candy D: Give the client a hydrogen peroxide-based mouthwash

C: Encourage the client to suck on hard candy

Following a gastrectomy the nurse should place the client in which position? A: Prone B: Supine C: Low Fowlers D: Right or left sims

C: Low Fowlers

The nurse is teaching a client w/ peptic ulcer disease about the diet that should be followed after discharge. What types of food should the nurse suggest the client include in the diet? A: bland foods B: high-protein foods C: any foods that are tolerated D: a glass of milk w/ each meal

C: any foods that are tolerated

A client is to take one daily dose of ranitidine at home to treat peptic ulcer. Which response from the client indicates that the client understands how to take the medication?I will take the drug: A: before meals B: with meals C: at bedtime D: when pain occurs

C: at bedtime

One month following a subtotal gastrectomy for cancer, the nurse is evaluating the nursing care goal related to nutrition. Which of the following indicates that the client has attained the goal? The client has:1 A Regained weight loss. B. Resumed normal dietary intake of three meals a day. C Controlled nausea and vomiting through regular use of antiemetics. D Achieved optimal nutritional status through oral or parenteral feedings.

D .Achieved optimal nutritional status through oral or parenteral feedings.

A client refuses to look at or care for her colostomy. Which of the following statements by the nurse would be most appropriate? A. "It has been 4 days since your surgery and you will soon be discharged. You have to learn to care for your colostomy before you leave the hospital." B. "I think we will need to teach your husband to care for your colostomy if you are not going to be able to do it. C. "I understand how you are feeling. It is important for you to feel attractive and you think having a colostomy changes your attractiveness." D. "I can see that you are upset. Would you like to share your concerns with me?"

D. "I can see that you are upset. Would you like to share your concerns with me?"

A client refuses to look at or care for her colostomy. which of the following statements by the nurse would be MOST appropriate. A. "it has been 4 days since your surgery, and you will soon be discharged. you have to learn to care for your colostomy before you leave the hospital." B. "I think we will need to teach your husband to care for your colostomy if you are not going to be able to do it" C. "i understand how you are feeling. it is important for you to feel attractive and you think having a colostomy changes your attractiveness" D. "i can see that you are upset. would you like to share your concerns with me?

D. "i can see that you are upset. would you like to share your concerns with me?

The nurse should instruct the client to avoid which of the following drugs while taking metoclopramide hydrochloride (Reglan)? A.Antacids. BAntihypertensives C Anticoagulants. D. Alcohol.

D. Alcohol.

The client with gastroesophageal reflux disease (GERD) complains of a chronic cough. The nurse understands that in a client with GERD this symptom may be indicative of which of the following conditions? A. Development of laryngeal cancer. B. Irritation of the esophagus. C. Esophageal scar tissue formation. D. Aspiration of gastric contents.

D. Aspiration of gastric contents.

Which of the following should the nurse interpret as an indication of a complication after the first few days of TPN therapy? A. Glycosuria. B. A 1- to 2-pound weight gain. C. Decreased appetite. D. Elevated temperature.

D. Elevated temperature.

The nurse should teach the client with diverticulitis to integrate which of the following into a daily routine at home? A. Using enemas to relieve constipation. B. Decreasing fluid intake to increase the formed consistency of the stool. C. Eating a high-fiber diet when symptomatic with diverticulitis. D. Refraining from straining and lifting activities.

D. Refraining from straining and lifting activities.

To reduce the risk of dumping syndrome what should the nurse teach the client to do? A: Sit upright for 30 minutes after meals B: Drink liquids with meals, avoiding caffeine C: Avoid milk and other dairy products D: Decrease the carbohydrates content of meals

D: Decrease the carbohydrates content of meals

The nurse is teaching a client with stomatitis about managing oral discomfort. Which instruction is most appropriate? A: Drink hot tea at frequent intervals B: Gargle with antiseptic mouthwash C: Use an electronic toothbrush D: Eat a soft, bland diet

D: Eat a soft, bland diet

The nurse should teach clients about what potential risk factor for the development of colon cancer? A: Chronic constipation B: Longer term use of laxatives C: History of smoking D: History of inflammatory bowel disease

D: History of inflammatory bowel disease

the client with colon cancer has an abdominal-perineal resection with a colostomy. which of the following nursing interventions is MOST appropriate for this client in the postoperative period? a. maintain the client in a semi-fowler's position b. assist the client with a warm sitz baths c. administer 30 mL of milk of magnesia to stimulate peristalsis d. remove the ostomy pouch as needed so the stoma can be assessed

b. assist the client with a warm sitz baths

while changing the client's colostomy bag and dressing, the nurse assesses that the client is ready to participate in self-care by noting which of the following? a. the client asks what time the doctor will visit that day b. the client asks about the supplies used during the dressing change c. the client talks about the news on the TV d. the client is upsets about the way the night nurse changed the dressing

b. the client asks about the supplies used during the dressing change

A client has a NG tube inserted at the time of abdominal perineal resection with permanent colostomy for colon cancer. this tube will most likely be removed when the client demonstrates: a. absence of nausea and vomiting b. passage of mucus from the rectum c. passage of flatus and feces from the colostomy d. absence of stomach drainage for 24 hours

c. passage of flatus and feces from the colostomy

Following a subtotal gastrectomy a client has a nasogastric tube connected to low suction. what should the nurse do? a: Irrigate the tube with 30 mL of sterile water every hour, if needed b: Reposition the tube if it is not draining well c: Monitor the client for nausea, vomiting and abdominal distention d: Change to high suction if the drainage is sluggish on low suction

c: Monitor the client for nausea, vomiting and abdominal distention

A client has early signs of oral cancer. What should the nurse include in a focused assessment? Select all that apply A: an infection or inflammation in the mouth B: lost the sense of taste C: difficulty swallowing D: significant weight loss E: changes in frequency of urination F: numbness of the tongue

A: an infection or inflammation in the mouth C:difficulty swallowing D:significant weight loss F:numbness of the tongue

A client w/ a peptic ulcer reports epigastric pain that frequently causes the client to wake up during the night. The nurse should instruct the client to do which activities? Select all that apply A: obtain adequate rest to reduce stimulation B: eat small, frequent meals throughout the day C: take all medications on time as prescribed D: sit up for 1 hour when awakened at nightE: stay away from crowded areas

A: obtain adequate rest to reduce stimulation B: eat small, frequent meals throughout the day C: take all medications on time as prescribed D: sit up for 1 hour when awakened at nightE: stay away from crowded areas

The nurse is conducting a community presentation on the early detection of colon cancer. Which of the following should the nurse encourage members of the audience to report to their health care providers? Select all that apply. 1. Fatigue. 2. Unexplained weight loss with adequate nutritional intake. 3. Rectal bleeding. 4. Bowel changes. 5. Positive fecal occult blood testing.

ALL THE ABOVE

A client newly diagnosed with ulcerative colitis who has been placed on steroids asks the nurse why steroids are prescribed. The nurse shuld tell the client? A. "Ulcerative colitis can be cured by the use of steroids." B. "Steroids are used in severe flare-ups because they can decrease the incidence of bleeding." C. "Long-term use of steroids will prolong periods of remission." D.. "The side effects of steroids outweigh their benefits to clients with ulcerative colitis."

B. "Steroids are used in severe flare-ups because they can decrease the incidence of bleeding.

Which of the following diets would be most appropriate for the client with ulcerative colitis? A. High-calorie, low-protein. B. High-protein, low-residue. C. Low-fat, high-fiber. D. Low-sodium, high-carbohydrate.

B. High-protein, low-residue.

The nurse is caring for a client who has had a gastroscopy. Which finding indicate that the client is developing a complication related to the procedure. Select all that apply. A: the client has a sore throat B: the client has a temperature of 37.8 C: the client appears drowsy following the procedure D: the client has epigastric pain E: the client experiences hematemesis

B: the client has a temperature of 37.8 D: the client has epigastric pain E: the client experiences hematemesis

After instructing a client with diverticulosis about appropriate self-care activities, which of the following client comments indicate effective teaching? Select all that apply. A. "With careful attention to my diet, my diverticulosis can be cured. B. "Using a cathartic laxative weekly is okay to control bowel movements." C. "I should follow a diet that's high in fiber." D: "It is important for me to drink at least 2,000 mL of fluid every day." E "I should exercise regularly."

C. "I should follow a diet that's high in fiber." D: "It is important for me to drink at least 2,000 mL of fluid every day." E "I should exercise regularly."

Two days following a colon resection, an elderly client shows new onset of confusion. When contacting the HCP, the nurse should make which recommendation? A."Do you want to request a CT scan to rule out stroke? B. "May we have a prescription for restraining the client. C. "Shall I collect and send a urine sample for C&S?" D. "Would you like a stat potassium level done?"

C. "Shall I collect and send a urine sample for C&S?"

Since the diagnosis of stomach cancer, the client has been having trouble sleeping and is frequently preoccupied w/ thoughts about how life will change. The client says "I wish my life could stay the same". The nurse determines that the client is experiencing which problem? A: having difficulty coping B: experiencing a sleeping d/o C: going through a grieving process D: showing signs of anxiety

C: going through a grieving process

A client w/ peptic ulcer disease is admitted to the hospital for gastric resection. The client reports a sudden sharp pain in the midepigastric area that radiates to the shoulder. What should the nurse do first? A: establish an IV line B: administer pain medication C: notify the surgeon D: call for a stat ECG

C: notify the surgeon

A client w/ cancer of the stomach had a total gastrectomy 2 days earlier. Which indicates the client is ready to try a liquid diet? A: the client is hungry B: the client has not requested pain medication for 8 hrs C: the client has frequent bowel sounds D: the client has had a bowel movement

C: the client has frequent bowel sounds

A client has been taking aluminum hydroxide 30mL 6x/day @ home to treat a peptic ulcer. The client has been unable to have a bowel movement for 3 days. What should the nurse determine is the most likely cause of the clients constipation? A: the client has not been including enough fibre in the diet B: the client needs to increase the daily exercise C: the client is experiencing an adverse effect of the aluminum hydroxide D: the client has developed a GI obstruction

C: the client is experiencing an adverse effect of the aluminum hydroxide

When obtaining a nursing history from a client w/ a suspected gastric ulcer, which s&s should the nurse asses? Select all that apply A: epigastric pain at night B: relief of epigastric pain after eating C: vomiting D: weight loss E: melena

C: vomiting D: weight loss E: melena

A client is admitted to the hospital after vomiting bright red blood & is diagnosed w/ a bleeding duodenal ulcer. The client develops a sudden, sharp pain in the midepigastric region along w/ a rigid, board-like abdomen. After obtaining the clients vital signs, what should the nurse do next? A: administer pain medication as prescribed B: raise the head of the bead C: prepare to insert a nasogastric tube D: notify the health care provider

D: notify the health care provider

the nurse assesses the client's stoma during the initial postoperative period. which of the following observations should be reported immediately to the physician? a. the stoma is slightly edematous b. the stoma is dark red to purple c. the stoma oozes a small amount of blood d. the stoma does not expel stool

b. the stoma is dark red to purple

a 36 y/o female client has been diagnosed with hemorrhoids. which of the following factors in the client's history would MOST likely be a primary cause of her hemorrhoids? a. her age b. three vaginal delivery pregnancies c. her job as a school teacher d. varicosities in her legs

b. three vaginal delivery pregnancies

A nurse is caring for a client who has just returned from surgery to treat a fractured mandible. Which of the following items should always be available at this client's bedside? Select all that apply. 1. Nasogastric tube. 2. Wire cutters. 3. Oxygen cannula. 4. Suction equipment. 5. Code cart.

2. Wire cutters. 4. Suction equipment.

A client who is recovering from a subtotal gastrectomy experiences dumping syndrome. The client asks the nurse, "When will I be able to eat three meals a day again like I used to?" Which of the following responses by the nurse is most appropriate? 1. "Eating six meals a day is time-consuming, isn't it?" 2. "You will have to eat six small meals a day for the rest of your life. "3. "You will be able to tolerate three meals a day before you are discharged." 4. "Most clients can resume their normal meal patterns in about 6 to 12 months."

4. "Most clients can resume their normal meal patterns in about 6 to 12 months."

A client admitted to the hospital w/ peptic ulcer disease tells the nurse about having black, tarry stools. What should the nurse do? A: encourage the client to increase fluid intake B: advise the client to avoid iron-rich foods C: place the client on contact precautions D: report the finding to the health care provider

D: report the finding to the health care provider

A client diagnosed w/ PUD has an H.Pylori infx. The client is following a 2-week drug regimen that includes clarithromycin along w/ omeprazole & amoxicillin. How should the nurse instruct the client to take these medications? A: alternate the use of the drugs B: take the drugs at different times during the day C: discontinue all drugs if nausea occurs D: take the drugs for the entire 2 week period

D: take the drugs for the entire 2 week period

17. the nurse instructs the client who has had a hemorrhoidectomy not to use sitz baths until at least 12 hours postop to avoid inducing which of the following complications? a. hemorrage b. rectal spasm c. urine retention d. constipation

a. hemorrage

A client with diverticular disease is receiving psyllium hydrophilic mucilloid (Metamucil). The drug has been effective when the client tells the nurse that he: A. Passes stool without cramping. B. Does not have diarrhea any longer. C. Is not as anxious as he was D. Does not expel gas like he used to.

A. Passes stool without cramping.

Amoxicillin trihydrate 300mg PO has been prescribed for a client w/ an oral infection. The medication is available in a liquid suspension that is available as 250mg/5mL. How many mililiters should the nurse administer? Answer w/ a whole

6 ml

The nurse instructs the client on health maintenance activities to help control symptoms from her hiatal hernia. Which of the following statements would indicate that the client has understood the instructions? A "I'll avoid lying down after a meal." B. "I can still enjoy my potato chips and cola at bedtime." C. "I wish I didn't have to give up swimming." D. "If I wear a girdle, I'll have more support for my stomach."

A "I'll avoid lying down after a meal."

A client is admitted with a bowel obstruction. The client has nausea, vomiting, and crampy abdominal pain. The physician has written orders for the client to be up ad lib, to have narcotics for pain, to have a nasogastric tube inserted if needed, and for I.V. Ringer's Lactate and hyperalimentation fluids. The nurse should do the following in order of priority from first to last: A. Assist with ambulation to promote peristalsis B. Administer Ringer's Lactate C. Insert a nasogastric tube. D. Start and infusion of hyperalimentation fluids.

A. Assist with ambulation to promote peristalsis B. Administer Ringer's Lactate C. Insert a nasogastric tube. D. Start and infusion of hyperalimentation fluids. all the above

Which foods should the nurse encourage a client with diverticulosis to incorporate into the diet? Select all that apply A. Bran cereal. B. Broccoli. C. Tomato juice. D. Navy beans. E. Cheese.

A. Bran cereal. B. Broccoli. D. Navy beans.

A client who has a history of bacterial endocarditis is scheduled to have oral surgery to remove a tooth. What should the nurse instruct the client to do? A: Gargle w/ a saline solution prior to the appointment B: Rinse the mouth w/ mouthwash the night before & day of the surgery C: Contact the health provider to request a sedative D: Be sure the dentist prescribes a prophylactic antibiotic prior to the oral surgery

D: Be sure the dentist prescribes a prophylactic antibiotic prior to the oral surgery

a client with colon cancer has developed ascites. the nurse should conduct a focused assessment for which of the following? select all that apply. a. respiratory distress b. bleeding c. fluid and electrolyte imbalance d. weight gain e. infection

a. respiratory distress d. weight gain

A client has had a subtotal gastrectomy and has a nasogastric tube with intermittent suction. Twenty-four hours after the surgery, the drainage in the clients nasogastric tube is dark brown. What should the nurse do? a: Reassure the client that this is normal drainage b: irrigate the ng tube c: notify the health care provider d: discontinue the suction

a: Reassure the client that this is normal drainage

he nurse teaches the client who has had a rectal surgery the proper timing for sitz baths. the client has understood the teaching when the client states that it is MOST important to take a sitz bath: a. first thing each morning b. as needed for discomfort c. after a bowel movement d. at bedtime

c. after a bowel movement

The nurse is caring for a 70-year-old male client after colectomy. The client has received chemotherapy prior to surgery and has hypertension and diabetes mellitus. Which factors put this client at risk for sepsis? Select all that apply. A:age B. abdominal surgery C. gender D diabetes mellitus E. weight

A:age B. abdominal surgery D diabetes mellitus

A nurse is assessing a client who has been admitted with a diagnosis of an obstruction in the small intestine. The nurse should assess the client for? Select all that apply A. Projectile vomiting. B. Significant abdominal distention. C. Copious diarrhea. D. Rapid onset of dehydration. E. Increased bowel sounds.

.A Projectile vomiting. D. Rapid onset of dehydration. E. Increased bowel sounds.

Which of the following has been identified as a potential risk factor for the development of colon cancer? A. Chronic constipation B. Long-term use of laxatives. C. History of smoking. D. History of inflammatory bowel disease.

D :History of inflammatory bowel disease.

A client is taking an antiacid for treatment of a peptic ulcer. Which statement best indicates that the client understands how to correctly take the antacid? A: "I should take my antacid before I take my other medications" B: I need to decrease my intake of fluids so that I do not dilute the effects of my antacid" C: "My antacid will be most effective if I take it whenever I experience stomach pains" D: It is best for me to take my antacid 1-3 hours after meals"

D: It is best for me to take my antacid 1-3 hours after meals"

Within 6 hrs following a subtotal gastrectomy. the drainage from the client's NG tube us bright red. What should the nurse do first? A: clamp the NG tube B: remove the existing NG tube C: irrigate the NG tube with iced saline D: chart the finding in the client's medical record

D: chart the finding in the client's medical record

A client w/ peptic ulcer disease is taking ranitidine. What is the expected outcome of this drug? A: heal the ulcer B: protect the ulcer surface from acids C: reduce acid concentration D: limit gastric acid secretion

D: limit gastric acid secretion

The nurse is developing a care management plan with a client who has been diagnosed with gastroesophageal reflux disease (GERD). What should the nurse instruct the client to do? Select all that apply. a. Avoid a diet high in fatty foods. b. Avoid beverages that contain caffeine. c. Eat three meals a day, with the largest meal being at dinner in the evening. d. Avoid all alcoholic beverages e. Lie down after consuming each meal for 30 minutes. f. Use over-the-counter (OTC) antisecretory agents rather than prescriptions

a. Avoid a diet high in fatty foods. b. Avoid beverages that contain caffeine. d. Avoid all alcoholic beverages

a client with colon cancer is having a barium enema. the nurse should instruct the client to take which of the following after the procedure is completed? a. laxative b. anticholinergic c. antacid d. demulcent

a. laxative