Canvas Quiz: Obesity and Sepsis

A nurse is caring for a client who came to the emergency department with abdominal distention and is now on the medical-surgical unit with an NG tube in place to low gastric suction. The client is reporting anxiety, discomfort, and a feeling of bloating. Which of the following actions is the nurse's priority? a) Remove and reinsert the NG tube. b) Check to see if the suction equipment is working. c) Request a prescription for a medication to ease the client's anxiety. d) Irrigate the NG tube with 100 mL of sterile water.

b) Check to see if the suction equipment is working.

A nurse is assessing four female clients for obesity. Which of the following clients have manifestations of obesity? a) A client who has a waist circumference of 81.3 cm (32 in) b) A client who has a body fat of 22% c) A client who weighs 28% above ideal body weight d) A client who has a BMI of 28

c) A client who weighs 28% above ideal body weight

A nurse is assessing a client who is 3 days postoperative following abdominal surgery and notes abdominal distension, the absence of bowel sounds and the client is passing no flatus. Which of the following conditions should the nurse suspect? a) Ulcerative colitis b) Cholecystitis. c) Paralytic ileus d) Wound dehiscence.

c) Paralytic ileus

A nurse is providing care for a client who is 2-days postoperative following abdominal surgery and is about to progress from a clear liquids to full liquids. Which of the following items should the nurse tell the client he may now request to have on his meal tray? a) Cranberry Juice b) Chicken broth c) Skim milk d) Flavored gelatin

c) Skim milk

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 ask for less medication to avoid addiction." 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 call for pain medication before the previous dose wears off."

d) "I will call for pain medication before the previous dose wears off."

A nurse is assessing a client who has peritonitis. Which of the following findings should the nurse expect? a) Hyperactive bowel sounds. b) Frequent bowel movements. c) Increased urinary output. d) Rigid abdomen.

d) Rigid abdomen.

A nurse is changing the dressing of a client who is 1 week postoperative following abdominal surgery and notes the presence of serosanguineous drainage. The nurse should recognize that this is an indication of which of the following circumstances? a) Serosanguineous drainage at this time is a manifestation of infection. b) Serosanguineous drainage at this time is a manifestation of hemorrhage c) Serosanguineous drainage at this time is expected after abdominal surgery. d) Serosanguineous drainage at this time is a manifestation of possible dehiscence and the provider should be notified.

d) Serosanguineous drainage at this time is a manifestation of possible dehiscence and the provider should be notified.

A nurse is assessing a client who is 48 hr postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider? a) Straw-colored urine from an indwelling urinary catheter. b) Respiratory rate of 18/min c) Blood pressure 102/66 mm Hg d) Yellow-green drainage on the surgical wound.

d) Yellow-green drainage on the surgical wound.

A nurse is assessing a client who had had staples removed from an abdominal wound postoperatively. The nurse notes separation of the wound edges with copious light-brown serous drainage. Which of the following actions should the nurse perform first? a) Cover the wound with a moist sterile gauze dressing. b) Assess the client's pain level. c) Check the client's vital signas d) Obtain a culture and sensitivity of the wound drainage.

a) Cover the wound with a moist sterile gauze dressing.

A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings indicate to the nurse the client's peristalsis is returning? a) Passage of flatus. b) Hypoactive bowel sounds in two quadrants. c) Abdominal distention. d) Request for a cup of tea and some toast.

a) Passage of flatus.