exam 3 practice questions

The nurse is examining an 18-year-old female who is complaining of pain, frequency, and urgency when urinating. Which question should the nurse ask the client first?

are you sexually active

A client diagnosed with delirium becomes disoriented and confused at night. Which intervention should the nurse implement initially? a. Move the client next to the nurses' station b. Use an indirect light source and turn off the television c. Keep the television and a soft light on during the night d. Play soft music during the night, and maintain a well-lit room.

b. Use an indirect light source and turn off the television

The nurse monitors for which clinical manifestations in the patient diagnosed with acute gastritis? a. Eructation b. Epigastric pain c. Constipation d. Peripheral edema

b. epigastric pain

In assessing pain in the patient with a urinary tract infection, which clinical manifestation does the nurse correlate to progression of the infection to pyelonephritis? a. dysuria b. flank pain c. hematuria d. urinary frequency

b. flank pain

One month after discharge, a client who had a left total hip replacement calls a clinic reporting acute constant pain in the left groin and hip area and feeling like the left leg is shorter than the right. A nurse advises the client to come to the clinic immediately suspecting: a. Wound infection b. DVT c. Dislocation of the prosthesis d. Aseptic loosening of the prosthesis

c. Dislocation of the prosthesis

Which confirms the diagnosis of Alzheimer's disease (AD)? a. Neuropsychiatric testing b. Written and oral testing c. Examination of the brain following death d. Examination of cerebrospinal fluid

c. Examination of the brain following death

In providing care to the patient admitted for gastritis, which clinical manifestation requires immediate notification of the healthcare provider? a. Nausea b. Anorexia c. Hematemesis d. Epigastric pain

c. Hematemesis

For what purpose would the nurse use the Mini-Mental State Examination to evaluate a patient with cognitive impairment? a. It is a good tool to determine the etiology of dementia b. It is a good tool to evaluate mood and thought processes c. It can help to document the degree of cognitive impairment d. It is a definitive test for Alzheimer's

c. It can help to document the degree of cognitive impairment

A 68-year-old patient is diagnosed with moderate dementia after multiple strokes. During assessment of the patient, the nurse would expect to find a. Excessive nighttime sleepiness b. Difficulty eating and swallowing c. Loss of recent and long-term memory d. Fluctuating ability to perform simple tasks

c. Loss of recent and long-term memory

stool characteristics in descending colostomy

semi formal stool

stool characteristics in ascending colostomy

semi liquid stool

stool characteristics in transverse colostomy

semi liquid to semi formal stool

An older client is brought to the hospital emergency department by a neighbor who heard the client talking and found him wandering in the street at 3 a.m. The nurse should first determine which data about the client? a. His insurance status b. Blood toxicology levels c. Whether he ate his evening meal d. Whether this is a change in usual level of orientation

d. Whether this is a change in usual level of orientation

A patient complains that urine is passed when coughing or sneezing. How should the nurse document this complaint in the patient's healthcare record? a. transient incontinence b. overflow incontinence c. urge incontinence d. stress incontinence

d. stress incontinence

The nurse correlates which physiological factor to the decreased risk of urinary tract infection in men compared with women? a. Increased urine flow b. Ureter length c. Prostate enlargement d. Urethral length

d. urethral length

Which diagnostic test should the nurse anticipate when providing care to a patient who is suspected of having a hiatal hernia? a. CBC b. Lower abdominal x-ray c. Barium enema d. Esophagogastroduodenoscopy (EGD)

d.Esophagogastroduodenoscopy (EGD)

Which action will the nurse include in the plan of care for a patient who has had a total right knee arthroplasty?

Start progressive knee exercises to obtain 90-degree flexion.

What finding should the nurse expect when assessing a patient with osteoarthritis of the knee? a. Bouchard's nodes b. A fever c. Discomfort with joint movement d. Redness and swelling of the joint

c. Discomfort with joint movement

Which information indicates to the nurse the client teaching about treatment of urinary incontinence has been effective?

The client prepares a scheduled voiding plan.

The nurse monitors for which clinical manifestations in the patient diagnosed with Parkinson's disease? a. Photophobia b. Nuchal rigidity c. Bradykinesia d. Decreased level of consciousness

c. Bradykinesia

For a patient who has had right hip arthroplasty, which nursing action can the nurse delegate to experienced unlicensed assistive personnel (UAP)?

Reposition the pt every 1-2 hrs

The nurse is caring for an elderly client who has an indwelling catheter. Which data warrant further investigation?

The client has become confused and irritable

Which statements by the patient diagnosed with celiac disease indicate the need for further teaching? Select all that apply a. "I am glad this can be cured with surgery" b. "I cannot have any gluten in my diet" c. "I ash all my dishes with water only" d. "I may become anemic because of this disease" e. "I am at risk for osteoporosis"

a, c

The nurse is providing care to a patient who is diagnosed with terminal lung cancer. Which clinical manifestations indicate imminent death? Select all that apply. a. Diaphoresis b. Increased cardiac output c. Decreased blood pressure d. Tachycardia followed by bradycardia e. An increase in urine output f. Loss of gag reflex g. Difficulty speaking

a, c, d, f, g

The nurse correlates which data in a female patient's history to an increased risk of urinary tract infection (UTI)? Select all that apply. a. 25 yo who is sexually active b. drink 2L of water a day c. 28 weeks pregnant d. history of back strain e. history of renal calculi

a, c, e

Which interventions should the nurse implement for the patient with Parkinson's disease (PD)? Select all that apply. a. Elevate head of bed when eating and drinking b. Arrange speech therapy for the patient. c. Teach the patient to take long steps while walking d. Teach the patient to call the healthcare provider for medical compliance e. Discuss and evaluate the patient's ability to drive

a, b, d, e

The nurse is developing a plan of care for a patient with Alzheimer's disease recently admitted to a nursing home. What priority goals should the nurse consider? Select all that apply. a. Maintain patient safety b. Socialization with residents c. Improve the quality of life d. Perform ADLs independently e. Independently take medications

a, c

Which is true regarding H2 receptor antigen antagonists in treating gastroesophageal reflux disease? Select all that apply. a. Some patients may develop a tolerance. b. They have a delayed onset of action and a longer duration of action. c. They reduce acid production longer than antacids but are slower to take effect. d. They are more effective in suppressing gastric acid secretion than proton pump inhibitors. e. They decrease acid production of parietal cells in the stomach lining by blocking histamine 2 at one of the first steps of acid production.

a, c, e

Which nursing problem is priority for the 76-year-old client diagnosed with gastroenteritis from staphylococcal food poisoning? a. Fluid volume deficit. b. Nausea. c. Risk for aspiration. d. Impaired urinary elimination.

a. Fluid volume deficit.

The day shift nurse at the long-term care facility learns that a patient with dementia experienced sundowning late in the afternoon on the previous two days. Which action should the nurse take? a. Keep blinds open during the daytime hours. b. Provide hourly orientation to time and place. c. Have the patient take a brief mid-morning nap. d. Move the patient to a quieter room late in the afternoon.

a. Keep blinds open during the daytime hours.

Which of the following procedures is an anti-reflux surgery performed to treat GERD a. Nissen fundoplication b. Endoscopic balloon dilation c. Gastropexy d. Pyloroplasty

a. Nissen fundoplication

A patient who had total knee replacement continues to report severe pain in the leg 15 minutes after receiving the prescribed IV morphine. The nurse determines pulses are faintly palpable and the foot is cool to the touch. What action should the nurse take next? a. Notify the healthcare provider b. Assess the incision for redness c. Request an alternative PRN pain medication from the healthcare provider d. Check the patient's HR and BP

a. Notify the healthcare provider

Which intervention is an example of secondary prevention when discussing osteoporosis? a. Obtain a bone density evaluation test b. Perform non-weight-bearing exercises regularly c. Increase intake of dietary calcium d. Refer clients to a smoking cessation program

a. Obtain a bone density evaluation test

Which action should the nurse take when beginning bladder training using scheduled voiding? a. Offer the patient a bedpan every 2 hours while awake b. Increase the voiding interval by 30-60 minutes each week c. Frequently ask the patient whether they have the urge to void d. Increase the frequency between voiding even if urine leakage occurs

a. Offer the patient a bedpan every 2 hours while awake

A patient returns to the community clinic after being diagnosed with Parkinson's disease. What should the nurse expect to see documented in the patient's medical record to support this diagnosis? a. Rigidity with ambulation b. Unremarkable electroencephalogram c. Results of basic metabolic panel and CBC d. Integrity of cerebral vessels after a cerebral angiogram

a. Rigidity with ambulation

The nurse is developing a plan of care for a client with late-stage Alzheimer's disease. The nurse identifies which client problem as having the highest priority? a. Risk for injury b. Social isolation behaviors c. Role performance alterations d. Inability to communicate verbally

a. Risk for injury

The nurse notes that an older client with dementia is unable to care for herself. Which is an appropriate goal for this client? a. The client will function at the highest level of independence possible throughout their stay b. The client will be admitted to a long-term care facility to have activities of daily living (ADL) needs met. c. The nursing staff will need to attend all of the client's ADL needs during the hospital stay d. The client will complete all ADL independently within a 1-hour time frame.

a. The client will function at the highest level of independence possible throughout their stay

A 68-year-old patient who is hospitalized with pneumonia is disoriented and confused 3 days after admission. Which information indicates that the patient is experiencing delirium rather than dementia? a. The patient was alert and oriented when admitted b. The patient's speech is fragmented and incoherent c. The patient is oriented to person but disoriented to place and time d. The patient has a history of increasing confusion over several years

a. The patient was alert and oriented when admitted

The student nurse asks for an indwelling urinary catheter for a hospitalized patient who is incontinent. Which response should the nurse make about the use of catheters only being absolutely necessary? a. They are the leading cause of infection b. They are too expensive for routine use c. They contain latex, increasing the risk for allergies d. Insertion is painful for most patients

a. They are the leading cause of infection

Which is true of the action of PPIs in treating gastroesophageal reflux disease? a. They block gastric acid production b. They increase gastric pH c. They increase gastric emptying d. They are short-acting medications that decrease gastric-acid production

a. They block gastric acid production

Which assessment finding corresponds with the first stage of Parkinson's disease (PD)? a. Upper extremity tremors b. Muscle rigidity c. Shuffling gait d. Postural instability

a. Upper extremity tremors

Anticholinergics are used to reduce tremors and drooling associated with Parkinson's disease (PD). Which side effect of this drug contraindicates it for older patients? a. memory impairment b. Urinary frequency c. Nausea and vomiting d. Disorders of impulse control

a. memory impairment

The nurse identifies the diagnosis Impaired Urinary Elimination in an older adult patient admitted after a stroke. Impaired Urinary Elimination places the patient at risk for which complication? a. skin breakdown b. UTI c. bowel incontinence d. renal calculi

a. skin breakdown

A patient is being discharged 4 days after hip arthroplasty using the posterior approach. Which patient action requires intervention by the nurse? a. The patient uses crutches with a swing-to gait. b. The patient leans over to pull on shoes and socks. c. The patient sits straight up on the edge of the bed. d. The patient bends over the sink while brushing teeth.

b. The patient leans over to pull on shoes and socks.

Which describes the role of the speech therapist in terms of care provided for a patient with Parkinson's disease? a. To maximize independence in activities of daily living b. To evaluate the patient's ability to swallow c. To provide exercises that increase strength d. To promote home safety

b. To evaluate the patient's ability to swallow

What does the nurse include in the education of a patient who is being discharged after a laparoscopic Nissen fundoplication? Select all that apply. a. Follow a soft diet for 1 month b. Avoid foods that are not easy to swallow c. Lie down immediately after eating d. Avoid carbonated beverages e. No heavy lifting until cleared by surgeon

b, d, e

Which nursing interventions should be included in the care plan for the 84-year-old client diagnosed with acute gastroenteritis? Select all that apply. a. Assess the skin turgor on the back of the client's hands. b. Monitor the client for orthostatic hypotension. c. Record the frequency and characteristics of sputum. d. Use Standard Precautions when caring for the client. e. Institute safety precautions when ambulating the client.

b, d, e

Which patient statement indicates effective teaching related to acute gastritis? a. "I will eat a diet rich in milk and cream to decrease the secretion of hydrochloric acid" b. "I need to avoid using aspirin or nonsteroidal medication for routine pain relief" c. "I will need to return for yearly upper endoscopy examinations" d. "I will need to fully cook all meat, poultry, adn egg products"

b. "I need to avoid using aspirin or nonsteroidal medication for routine pain relief"

The nurse instructs a woman about providing a clean-catch urine specimen. Which statement indicates that the patient correctly understands the procedure? a. "I will be sure to urinate into the 'hat' you placed on the toilet seat" b. "I will wipe my genital area from front to back with the wipes provided before I collect the specimen midstream" c. "I will need to lie still while you put in a urinary catheter to obtain the specimen" d. "I will collect my urine each time I urinate for the next 24 hours"

b. "I will wipe my genital area from front to back with the wipes provided before I collect the specimen midstream"

Which statement by the patient taking proton pump inhibitors for peptic ulcer disease indicates understanding about the action of this medication? a. "This medication coats the lining of my stomach" b. "This medication suppresses secretion of acid in my stomach" c. "This medication decreases vomiting" d. "This medication neutralizes the acid in my stomach"

b. "This medication suppresses secretion of acid in my stomach"

The male client tells the nurse he has been experiencing "heartburn" at night that awakens him. Which assessment question should the nurse ask? a. "How much weight have you gained recently?" b. "What have you done to alleviate the heartburn?" c. "Do you consume many milk and dairy products?" d. "Have you been around anyone with a stomach virus?"

b. "What have you done to alleviate the heartburn?"

A patient is admitted to the emergency department reporting a burning pain in the chest of a 7 on a 0 to 10 pain scale and diagnosed with gastroesophageal reflux disorder (GERD) secondary to hiatal hernia. Based on this data, what is the priority nursing diagnosis? a. Fluid volume deficit b. Acute pain c. Ineffective health maintenance d. Dysfunctional gastrointestinal motility

b. Acute pain

The nurse is caring for a patient admitted with severe dehydration secondary to gastroenteritis. Which item on the patient's meal tray does the nurse question? a. Apple juice b. Coffee c. Broth d. Caffeine-free soda

b. Coffee

In providing care to a patient who underwent a colostomy 2 days ago for the treatment of colon cancer, which finding requires an immediate intervention? a. Serosanguineous drainage from the stoma b. Dark red, purplish color of the stoma c. Slight edema of the stoma d. Reddish-pink, moist stoma

b. Dark red, purplish color of the stoma

Which finding should the nurse expect when assessing a patient who has osteoarthritis (OA) of the knee? a. Presence of Heberden's nodules b. Discomfort with joint movement c. Redness and swelling of the knee joint d. Stiffness that increase with movement

b. Discomfort with joint movement

The nurse and the UAP are caring for clients on the medical-surgical unit. Which task should not be assigned to the UAP? a. Turn and position the 89 y/o client diagnosed with pressure ulcer secondary to Parkinson's Disease. b. Feed the 69 y/o client diagnosed with Parkinson's disease who is having difficulty swallowing. c. Assist the 54 y/o client diagnosed with Parkinson's disease with toilet-training activities. d. Obtain vital signs on a 72 y/o client diagnosed with pneumonia secondary to Parkinson's disease.

b. Feed the 69 y/o client diagnosed with Parkinson's disease who is having difficulty swallowing.

In assessing pain in the patient with a UTI, which clinical manifestation does the nurse correlate to progression of the infection to pyelonephritis a. Dysuria b. Flank pain c. Hematuria d. Urinary frequency

b. Flank pain

During morning rounds, the nurse notes that the unlicensed assistive personnel is assisting a patient with Parkinson's disease with breakfast. Which observation requires an immediate intervention? a. Patient sitting out of bed in a chair b. Head of the bed raised to 30 degree c. Thickener added to liquid menu items d. Oral suction catheter equipment turned on

b. Head of the bed raised to 30 degree

The nurse is caring for an older client following surgical repair of a hip fracture. On assessment of the client, the nurse notes that the client is disoriented and is attempting to get out of bed. Which is the most appropriate initial nursing intervention? a. Apply restraints to the client b. Place a bed alarm bad under the patient c. Collaborate with the health care provider for a prescription for a sedative d. Have the unlicensed assistive personnel check the client every half-hour

b. Place a bed alarm bad under the patient

Which surgical procedure is used to treat the patient with Parkinson's disease (PD)? a. Vagal nerve stimulator b. Stereotactic pallidotomy c. Deep brain stimulation d. Partial corpus callosotomy

b. Stereotactic pallidotomy

The nurse is working on an orthopedic floor. Which client should the nurse assess first after the change-of-shift report? a. The 84-year-old female with a fractured right femoral neck in Buck's traction b. The 64-year-old female with left total knee replacement who has confusion c. The 88-year-old male post-right total hip replacement with an abduction pillow d. The 50-year-old postop client with a continuous passive motion device

b. The 64-year-old female with left total knee replacement who has confusion

Which statement by the patient diagnosed with gastritis indicates the need for further teaching? a. "I will eat bland, non spicy foods." b. "I will eat smaller, more frequent meals." c. "I will take aspirin for headaches." d. "I will take an antacid if my symptoms continue."

c. "I will take aspirin for headaches."

The nurse has implemented a care plan for an adult patient with gastroesophageal reflux disorder (GERD). On the next clinic visit, which statement by the patient indicates adherence to the plan of care? a. "I still like wearing my Spandex camisoles." b. "I have switched from margaritas to wine." c. "I've lost 6 pounds because I eat every 3 hours and never before bed." d. "I lay down flat after eating to promote digestion."

c. "I've lost 6 pounds because I eat every 3 hours and never before bed."

The nurse is assisting the client in caring for her ostomy. The client states, "Oh, this is so disgusting. I'll never be able to touch this thing." The nurse's best response is a. "I'm sure you will get used to taking care of it eventually." b. "Yes, it is pretty messy, so I'll take care of it for you today." c. "It sounds like you are really upset." d. "You sound very angry. Should I call the chaplain for you?"

c. "It sounds like you are really upset."

A patient returns to the clinic for an evaluation 2 weeks after total hip replacement. Which statement by the patient indicates the need for further teaching? a. "My daughter helps me put on my elastic stockings every morning." b. "Even though I use my walker, I still have a limp." c. "Now that I am stronger, I no longer need to use the raised toilet seat." d. "Each day I try to increase my walking time by 10 minutes."

c. "Now that I am stronger, I no longer need to use the raised toilet seat."

An older patient is admitted to the hospital with a urinary infection and possible bacterial sepsis. The family is concerned because the patient is confused and not able to carry on a conversation. Which statement by the nurse is most appropriate? a. "Depression is a common cause of confusion in older adults in the hospital." b. "It is normal for an older person to have cognitive problems while in the hospital." c. "The mental changes are most likely caused by the infection and most often reversible." d. "Drug therapy with antipsychotic agents is indicated to slow the progression of dementia."

c. "The mental changes are most likely caused by the infection and most often reversible."

The nurse monitors for which clinical manifestations in the patient diagnosed with Parkinson's disease? a. Photophobia b. Nuchal rigidity c. Bradykinesia d. Decreased LOC

c. Bradykinesia

D.B. is admitted to a long-term care facility. He has a nursing diagnosis of impaired memory related to effects of dementia. An appropriate nursing intervention for him is to a. Let him know what behavior is socially appropriate. b. Assist him with all self-care to maintain self-esteem. c. Maintain familiar routines of sleep, meals, drug administration, and activities. d. Promote orientation at every encounter with the patient by asking the day, time, and place.

c. Maintain familiar routines of sleep, meals, drug administration, and activities.

A competent older adult patient has an advance directive that expresses the patient's desire to avoid resuscitation and heroic life support measures. The patient's family, however, is not supportive of this directive and plans to contest the living will. Which nursing action is appropriate based on the current situation? a. Notify the hospital attorney b. Contact the social services department c. Place the document in the patient's medical record d. Explain to the patient that the conflict could invalidate the document

c. Place the document in the patient's medical record

A patient with Alzheimer's disease (AD) who is being admitted to a long-term care facility has had several episodes of wandering away from home. Which action will the nurse include in the plan of care? a. Reorient the patient several times daily. b. Have the family bring in familiar items. c. Place the patient in a room close to the nurses' station. d. Ask the patient why the wandering episodes have occurred.

c. Place the patient in a room close to the nurses' station.

Which task can the nurse safely delegate to the nursing assistive personnel? a. Palpate the bladder of a patient who is unable to void b. Administering a continuous bladder irrigation c. Providing indwelling urinary catheter care d. Obtaining the patient's history and physical assessment

c. Providing indwelling urinary catheter care

The nurse is caring for a client with Parkinson's disease. Which finding about gait should the nurse expect to note in the client? a. Walking on the toes b. Unsteady and staggering c. Shuffling and propulsive d. Broad-based and waddling

c. Shuffling and propulsive

The nurse is preparing a client diagnosed with GERD for surgery. Which information warrants notifying the HCP? a. The client's Bernstein esophageal test was positive. b. The client's abdominal x-ray shows a hiatal hernia c. The client's WBC count is 14,000/mm3. d. The client's hemoglobin is 13.8 g/dL.

c. The client's WBC count is 14,000/mm3.

Frequent assessment of patients with urinary tract infections is important for the recognition and early treatment of what potentially lethal complication? a. Pyelonephritis b. Hydronephrosis c. Urosepsis d. Cystitis

c. Urosepsis

The home healthcare nurse is caring for an elderly patient with Alzheimer's disease (AD). Which intervention should the nurse implement for the patient? a. Provide the patient with semi-soft diet b. Encourage the patient to take an afternoon nap c. Provide the patient with a different schedule everyday d. Speak calmly using positive statements

d. Speak calmly using positive statements

A client asks the nurse to take a laxative, as he or she has not had a bowel movement today. What is the first information the nurse should obtain prior to administering the laxative? a. The amount of fiber in daily diet b. The last dose of laxative received c. If the client has had any flatus d. The client's normal bowel elimination pattern

d. The client's normal bowel elimination pattern

The nurse explains to the patient with gastroesophageal reflux disease (GERD) that this disorder: a. Results in acid erosion of the esophagus from frequent vomiting b. Will require surgical wrapping or repair of the pyloric sphincter to control the symptoms c. Is the protrusion of the stomach into the esophagus through an opening in the diaphragm d. Often involves relaxation of the lower esophageal sphincter (LES), allowing stomach contents back into the esophagus

d. Often involves relaxation of the lower esophageal sphincter (LES), allowing stomach contents back into the esophagus

Which finding is used to diagnose the presence of Parkinson's disease (PD)? a. Electroencephalogram (EEG) b. Magnetic resonance imaging (MRI) c. Cerebrospinal fluid (CSF) testing d. Presence of tremors and muscular rigidity

d. Presence of tremors and muscular rigidity

Which diagnostic test does the nurse correlate to the diagnosis of an active infection with Helicobacter pylori for a patient diagnosed with gastritis? a. Guaiac b. Hematest c. Hemoccult d. Urea breathing test

d. Urea breathing test

Which patient statement indicates the need for additional teaching for the patient being discharged after total knee placement (TKR)? a. "Narcotics may cause constipation, so I will increase my water intake." b. "I will use an electric razor while I am on the blood thinners after surgery." c. "I will report pain, tenderness, or warmth in my calf to my doctor immediately." d. "I need to increase my intake of green, leafy vegetables to aid healing."

d. "I need to increase my intake of green, leafy vegetables to aid healing."

The client is being prescribed alendronate (Fosamax) to slow the progression of her osteoporosis. You know she will need more patient teaching when she says a. "I should take this medication early in the morning" b. "I should not lie down for 1 hour after taking this medication" c. "I should drink a full glass of water after taking this medication" d. "Now that I am taking this medication, I will not need to take vitamin D with my calcium supplement"

d. "Now that I am taking this medication, I will not need to take vitamin D with my calcium supplement"

A 72-year-old female patient is brought to the clinic by the patient's spouse, who reports that she is unable to solve common problems around the house. To obtain information about the patient's current mental status, which question should the nurse ask the patient? a. "Are you sad?" b. "How is your self-image?" c. "Where were you born?" d. "What did you eat for breakfast?"

d. "What did you eat for breakfast?"

The patient asks the nurse, "How did I get this urinary tract infection?" The nurse should explain that in most instances, in females, it is usually caused by: a. Congenital strictures in the urethra b. An infection elsewhere in the body c. Urine stasis in the bladder d. An ascending infection from the urethra

d. An ascending infection from the urethra

A nurse is caring for a client who had a bowel resection and formation of a colostomy for colon cancer. The client is 24 hours post-surgery. During an assessment of the client, the nurse notes no stool in the colostomy bag. A review of the client's medical record indicates that, since surgery, there has not been stool in the bag. Considering this information, the nurse should a. Call the doctor immediately to report this b. Reposition the client to the left side c. Administer pain medication d. Document the finding

d. Document the finding

The nurse is caring for a client diagnosed with GERD. Which nursing interventions should be implemented? a. Place the client prone in bed and administer nonsteroidal anti-inflammatory medications b. Have the client remain upright at all times and walk for 30 minutes three (3) times a week. c. Instruct the client to maintain a right lateral side-lying position and take antacids before meals d. Elevate the head of the bed (HOB) 30 degrees and discuss lifestyle modifications with the client

d. Elevate the head of the bed (HOB) 30 degrees and discuss lifestyle modifications with the client

Which intervention would help to prevent or relieve persistent nausea? a. Assess for signs of dehydration b. Provide dietary supplements c. Have the patient sit upright for 30 minutes after eating d. Immediately remove any food that the patient cannot eat

d. Immediately remove any food that the patient cannot eat

Which menu choice by a patient with osteoporosis indicates the nurse's teaching about appropriate diet has been effective? a. Pancakes with syrup and bacon b. Whole wheat toast and fresh fruit c. Egg-white omelet and a half grapefruit d. Oatmeal with skim milk and fruit yogurt

d. Oatmeal with skim milk and fruit yogurt

stool characteristics in sigmoid colostomy

formed stool

stool characteristics in ileostomy

liquid to semi liquid stool