NCLEX Review Questions-NG, Ostomy-Test your knowledge - Quiz

Immediately after having surgery to create an ileostomy, which goal has the highest priority? Question 2 options: Provide relief from constipation Assisting the client with self-care activities Maintaining fluid & electrolyte balance Minimizing odor formation

Maintaining fluid & electrolyte balance

The 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 which of the following? Question 7 options: Projectile vomiting Significant signs of dehydration Increased bowel sounds Diarrhea

Projectile vomiting Significant signs of dehydration Increased bowel sounds

Before abdominal surgery for an intestinal obstruction, the nurse monitors the client's urine output & finds that the total output for the past 2 hours was 35ml. The nurse then assesses the client't total intake & output over the last 24 hours & notes 2,000ml of IV fluid for intake, 500ml of drainage from the NG tube, & 700ml of urine for total output of 1,200ml. These findings indication which of the following? Question 9 options: Decreased renal function Inadequate pain relief Extension of the obstruction Inadequate fluid replacement

Inadequate fluid replacement

A client has a nasogastric 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: Question 5 options: Absence of cause & vomiting Passage of mucus from the rectum Passage of flatus & feces from the colostomy Absence of stomach drainage for 24 hours

Passage of flatus & feces from the colostomy

The client with intestinal obstruction continues to have acute pain even though the nasogastric tube is patent & draining. Which action by the nurse would be most appropriate? Question 8 options: Reassure the client that the nasogastric tube is functioning Assess the client for a rigid abdomen Administer an opioid as prescribed Reposition the client on the left side

Assess the client for a rigid abdomen

On the second day flowing an abdominal perineal resection, the nurse notes that the wound edges are not approximated & one-half the incision has torn apart. The nurse should take what action first? Question 3 options: Flush the wound with sterile water Apply an abdominal binder Cover the wound with sterile dressing moistened with normal saline Apply strips of tape

Cover the wound with sterile dressing moistened with normal saline

The physician has prescribed ciprofloxacin for a client who take warfarin. The nurse should instruct the client to do which of the following while taking this drug? Question 10 options: Split the tablets and stir them in food Avoid exposure to sunlight Eliminate caffeine form the diet Report unusual bleeding

Report unusual bleeding

The nurse is teaching the client how to care for an ileostomy. The client ask the nurse how long to wear the punch before changing it. The nurse should tell the client which of the following? Question 1 options: "The pouch is changed only when it leaks" "You can wear the ouch for about 4 to 7 days." "You should change the pouch every evening before bedtime." "it depends on your activity level and your diet."

"You can wear the ouch for about 4 to 7 days."

The client who is scheduled for an ileostomy is to receive oral neomycin (Mycifradin) before surgery. The intended outcome of administrating oral neomycin before surgery is to : Question 4 options: Prevent postoperative bladder infection Reduce the number of intestinal bacteria Decrease the potential for post operative hypostatic pneumonia Increase the body's immunologic response to the stressors of surgery

Reduce the number of intestinal bacteria

The nurse assesses the client's stoma during the initial postoperative period. Which of the following observations would be reported immediately to the physician? Question 6 options: The stoma is slightly edematous The stoma is dark red to purple The stoma oozes a small amount of blood The stoma does not expel stool

The stoma is dark red to purple