MedSurge EAQ quiz

A client returns from surgery with a permanent colostomy. During the first 24 hours, the colostomy would not drain. Which would the nurse determine is the probable cause of this response, and which is the corresponding treatment?

Absence of gastrointestinal motility; continue to monitor

The nurse leader, along with the team, is caring for a client who is scheduled for a colonoscopy. Which delegated task requires the leaders supervision?

Assisting the client with an enema

After recovering from gastrointestinal surgery, a client is prescribed a regular diet. To minimize stomach irritation, the nurse would encourage the client to consume which food?

Baked fish

A client is admitted to the hospital for a laparoscopic cholecystectomy. To monitor the flow of bile to the gastrointestinal tract, which symptom would the nurse assess?

Color of the stool

Which condition would the nurse suspect when a client has blood urea nitrogen (BUN) / creatinine ratio of 3?

Fluid volume excess

Which is the priority intervention for a dependent client with peptic ulcer disease (PUD) who is vomiting bright red blood?

Place the client in a side lying position

Potassium chloride effervescent tablets are prescribed for a client. Which information will the nurse include when teaching the client about this medication?

Take the medication with food.

A client is hospitalized with a diagnosis of acute pancreatitis. The plan of care is focused on the goals of maintaining nutrition, promoting rest, maintaining fluids and electrolytes, and decreasing anxiety. Which interventions would the nurse implement?

•Administer analgesics •Teach relaxation exercises •Monitor cardiac rate and rhythm

Which clinical manifestations would the nurse expect to find in a client with hypokalemia?

•Anorexia •Leg cramps

Which medications increase the risk for upper gastrointestinal (GI) bleeding?

•Aspirin •Ibuprofen •Methylprednisolone

For which clinical indicators would the nurse monitor when caring for a client with cholelithiasis and obstructive jaundice?

•Dark urine •Yellow skin •Clay colored stool

The nurse conducts an initial interview with a client and suspects that the client has tuberculosis based on which clinical indicators?

•Hemoptysis (coughing up blood) •Night sweats

A primary health care provider diagnoses a client with acute cholecystitis with a biliary colic. Which clinical findings would the nurse expect when performing a health history and physical assessment?

•Intolerance to foods high in fat •Pain that radiates to the right shoulder

The parents of a child who has just been diagnosed with hemophilia ask the nurse what symptoms of bleeding they should look for in the future. Which symptoms would the nurse list?

•Nosebleeds (Epistaxis) •Blood in the urine (Hematuria) •Painful and swollen joints (Hemarthrosis) •Dark-colored tarry stools

A client is diagnosed with celiac disease. Which foods would the nurse teach the client to avoid?

•Oatmeal •Rye bread

A healthcare provider prescribes aspirin therapy for a client with arthritis. The nurse will advise the client to report which adverse effects?

•Ongoing nausea •Easy bruising •Ringing in the ears

The nurse is providing dietary teaching about a gluten free diet for a client with celiac disease. Which foods would the nurse teach the client to avoid?

•Rye •Oats •Wheat

Which information would the nurse include when teaching a client with coronary artery disease about aspirin therapy?

•Take aspirin with food •Report ringing in the ears •Monitor and report excessive bleeding and bruising •Avoid over the counter pain medications that contain aspirin

Which assessment findings indicate an older client is at risk for developing an infection?

•Thin skin •Weak cough •Sluggish bowel sounds •Indwelling urinary catheter

A client is prone to hyponatremia. Which factors would the nurse identify that can precipitate hyponatremia?

•Wound drainage •Diuretic therapy •Gastrointestinal (GI) suction •Inappropriate antidiuretic hormone (ADH) secretion