301: Exam 3; clicker questions

The medical term for renal calculus is: a. nephrolithiasis b. hydronephrosis c. pyelonephritis d. hydroureter

a. nephrolithiasis

Vernon signs the procedure permit form, and the nurse completes the pre-procedure assessment. Which question should the nurse ask him prior to the ERCP? a. when was the last time you had anything to eat or drink? b. when was the last time you had a bowel movement? c. have you consumed any alcohol in the last 48 hours? d. do you have any difficulty swallowing or chewing?

a. when was the last time you had anything to eat or drink?

To support the admitting diagnosis of acute pancreatitis, which question should the nurse ask the patient? a. "do you currently, or have you ever, smoked cigarettes?" b. "how often do you drink alcohol, and when was your last drink?" c. "what medications have you taken in the last 24 hours?" d. "have you had any weight loss or gain in the last 6 months?"

b. "how often do you drink alcohol, and when was your last drink?"

"low residue diet" means: a. high fiber b. low roughage c. non-spicy d. soft

b. low-roughage

In a patient with enteritis (inflamed small intestine) and frequent diarrhea, the nurse should anticipate... a. respiratory acidosis b. respiratory alkalosis c. metabolic acidosis d. metabolic alkalosis

c. metabolic acidosis

What should the nurse suspect when hourly assessment of urine output on a postcraniotomy patient exhibits a urine output from a catheter of 1,500 mL for 2 consecutive hours? a. cushing's syndrome b. syndrome of inappropriate antidiuretic hormone (SIADH) c. adrenal crisis d. diabetes insipidus

d. diabetes insipidus

The patient had a Tenckhoff catheter inserted for peritoneal dialysis 4 weeks ago. Which action by the patient indicates that the nurse should provide more teaching about PD? a. the patient slows the inflow rate when experiencing pain b. the patient leaves the catheter exit site without a dressing c. the patient plans for 30-60 minutes for a dialysate exchange d. the patient cleans the catheter while taking a bath every day

d. the patient cleans the catheter while taking a bath every day

A nurse is providing preoperative teaching to a patient undergoing an open cholecystectomy. Which topic should the nurse include in the teaching plan? a. increase respiratory effectiveness b. eliminate the need for nasogastric intubation c. improve nutritional status during recovery d. decrease the amount of postoperative analgesia needed

a. increase respiratory effectiveness

A patient with inflammatory bowel disease is receiving total parenteral nutrition (TPN). The basic component of the patient's TPN solution is most likely to be: a. an isotonic dextrose solution b. a hypertonic dextrose solution c. a hypotonic dextrose solution d. a colloid dextrose solution

b. a hypertonic dextrose solution

Before administering sodium polystyrene sulfonate (Kayexelate) to a CKD patient with hyperkalemia, the nurse should assess the: a. serum BUN and creatinine b. level of consciousness (LOC) c. blood glucose level d. patient's bowel sounds

d. patient's bowel sounds

The priority nursing intervention during the management of the patient with pheocromocytoma is: a. administering IV fluids b. monitoring BP c. administering vasopressors d. monitoring I&O and daily weights

b. monitoring BP

Is it an expected outcome for a patient with an NG to suction to experience nausea? a. yes b. no

b. no

How should the nurse respond? a. "do you have a history of kidney stones?" b. "do you have a bowel movement every morning?" c. "this is a result of your chronic pancreatitis" d. "this happens when you drink too much alcohol"

c. "this is a result of your chronic pancreatitis"

A patient with primary diabetes insipidus is ready for discharge on desmopressin (DDAVP). Which instruction should the nurse provide? a. "administer desmopressin while the suspension is cold" b. "your condition isn't chronic, so you won't need to wear a medical identification bracelet" c. "you may not be able to use desmopressin nasally if you have nasal discharge or blockage" d. "you won't need to monitor your fluid intake and output after you start taking desmopressin"

c. "you may not be able to use desmopressin nasally if you have nasal discharge or blockage"

Another patient with Cushing's disease is scheduled for a bilateral adrenalectomy. During the postop period, the nurse would expect administration of corticosteroids to be: a. reduced to promote wound healing b. withheld until symptoms of hypocortisolism appear c. increased to promote an adequate response to the stress of therapy d. reduced because excessive hormones are released during the surgical manipulation of the glands

c. increased to promote an adequate response to the stress of therapy

A patient with hemodialysis develops a thrombus of an AV graft requiring its removal. While waiting for a replacement graft or fistula, the patient is most likely to have: a. no dialysis; BUN/Cr will be monitored b. peritoneal dialysis c. a percutaneous femoral vein cannula d. a catheter tunneled subcutaneously to the jugular vein

d. a catheter tunneled subcutaneously to the jugular vein

The nurse is caring for a patient with an exacerbation of ulcerative colitis. Which of the following nursing measures should be included in the patient's plan of care? a. encourage regular use of antidiarrheal medications b. have the patient maintain a high-fiber diet c. wear a gown when providing direct patient care d. incorporate frequent rest periods into the patient's schedule

d. incorporate frequent rest periods into the patient's schedule

Vasopressin (Pitressin) is administered to the patient with diabetes insipidus because it: a. decreases blood pressure b. increases release of insulin from the pancreas c. decreases glucose production within the liver d. increases tubular reabsorption of water

d. increases tubular reabsorption of water

Which diet should the nurse expect the HCP to prescribe this patient? a. regular diet b. low-fat diet c. clear-liquid diet d. nothing by mouth

d. nothing by mouth

When screening for chronic kidney disease (CKD) which question is most important to ask the patient? a. "do you have hypertension or diabetes?" b. "do you develop edema in your hands and feet?" c. "do you have a history of any heart conditions?" d. "have you been diagnosed with polycystic kidney disease?"

a. "do you have hypertension or diabetes?"

Vernon's wife asks the nurse why he must receive supplemental pancreatic enzymes. Which response by the nurse is most appropriate? a. "pancreatic enzymes promote absorption of nutrients and fat" b. "pancreatic enzymes promote adequate rest" c. "pancreatic enzymes prevent intestinal mucus accumulation" d. "pancreatic enzymes help prevent tarry stools"

a. "pancreatic enzymes promote absorption of nutrients and fat"

Upon physical assessment of Mrs. McBride, the nurse would expect to find: a. HTN, glucose intolerance and petechiae b. weight loss, buffalo hump and moon face w acne c. abdominal and buttock striae, truncal obesity and hypotension d. anorexia, signs of dehydration and hyperpigmentation of the skin

a. HTN, glucose intolerance and petechiae

Which statement accurately explains the scientific rationale for the use of Prilosec? a. Prilosec decreases gastric secretions b. Prilosec decreases pancreatic enzyme secretion c. Prilosec decreases the propulsion of food through the small intestine d. Prilosec decreases the number of stools and steatorrhea

a. Prilosec decreases gastric secretions

The patient has been diagnosed with diverticulosis. Which foods should the nurse encourage a patient to incorporate into the diet? Select all that apply. a. bran cereal b. peas c. tomato juice d. navy beans e. cheese f. prunes

a. bran cereal b. peas d. navy beans f. prunes

A patient is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). The nurse informs the patient that the physician will order diuretic therapy and restrict fluid and sodium intake to treat the disorder. If the patient doesn't comply with the recommended treatment, which complication may arise? a. cerebral edema b. hypovolemic shock c. sever hyperkalemia d. tetany

a. cerebral edema

When planning care of the patient with a left-arm AV fistula, which action will the nurse include in the plan of care to maintain patency of the fistula? a. check the fistula site for a bruit and thrill b. assess the rate and quality of the left radial pulse c. compare blood pressures in the left and right arms q 4 hours d. irrigate the fistula site with sterile saline q 8-12 hours

a. check the fistula site for a bruit and thrill

The nurse evaluates the management of the patient with upper GI bleeding is effective when assessment and lab findings reveal a : a. decreasing blood urea nitrogen b. hematocrit of 35% c. urinary output of 20 ml/hr d. urine-specific gravity of 1.030

a. decreasing blood urea nitrogen

The nurse is assessing a patient admitted to the unit with kidney stones. What assessment parameters would be priorities for the nurse to address? Select all that apply. a. diet history b. medication history c. surgical history d. vaccination history e. family history of renal stones

a. diet history b. medication history e. family history of renal stones

A nurse is preparing a patient with Crohn's disease for a barium enema. What should the nurse do the day before the test? a. encourage plenty of fluids b. order a high-fiber diet c. serve dairy products d. serve the patient his usual diet

a. encourage plenty of fluids

Which of the following interventions would be the most appropriate for preventing the development of a paralytic ileus in a patient who has undergone abdominal surgery? a. encourage the patient to ambulate every 2 to 4 hours b. encourage use of a stool softener c. continue IV fluid therapy d. offer 3 to 4 oz of a carbonated beverage q 2 to 4 hours

a. encourage the patient to ambulate every 2 to 4 hours

The patient with nephrotic syndrome would have which priority NANDA diagnosis? a. excess fluid volume b. body image disturbance c. ineffective airway clearance d. anxiety

a. excess fluid volume

Which outcome indicates that treatment of a patient with diabetes insipidus has been effective? a. fluid intake is less than 2,500 ml/day b. urine output measures more than 200ml/hr c. blood pressure is 90/50 mmHg d. heart rate is 126 beats/min

a. fluid intake is less than 2,500 ml/day

Identify which signs and symptoms that Mrs. Johnson was displaying relate to Addison's disease. Check all that apply. a. hypotension b. tachycardia c. hyperkalemia d. hypoglycemia

a. hypotension b. tachycardia c. hyperkalemia d. hypoglycemia

Which intervention should the nurse implement prior to transferring this patient to the floor? a. insert a nasogastric tube and connect to low suction b. assist with the insertion of an esophageal balloon tamponade (Blakemore) tube c. attach an urometer to a drainage bag and insert a 16-gauge Foley catheter d. schedule the patient for an endoscopic retrograde cholangiopancreatography (ERCP)

a. insert a nasogastric tube and connect to low suction

Given his admitting diagnosis, which nursing action is appropriate while caring for Mr. Patterson? a. monitor neuro status at least every two hours b. keep HOB elevated to prevent ADH release c. teach the patient receiving treatment with diuretics to restrict sodium intake d. notify the HCP if the BP decreases more than 10 mmHg from baseline

a. monitor neuro status at least every two hours

When planning care for a patient with hepatitis, the nurse should review laboratory reports for which lab value? a. prolonged prothrombin time b. decreased blood glucose level c. elevated serum potassium level d. decreased serum calcium level

a. prolonged prothrombin time

Which finding in the patient's recent history/recent diagnostic work-ups would most likely relate to his admitting dx? a. tumor noted in LLL on CXR b. history of chronic atrial fib c. 50% blockage noted of LAD d. calcium stone noted in renal pelvis

a. tumor noted in LLL on CXR

When caring for a patient wit diabetes insipidus, the nurse expects to administer: a. vasopressin (Pitressin) b. furosemide (Lasix) c. regular insulin d. 10% dextrose

a. vasopressin (Pitressin)

The patient with addison's disease is taking glucocorticoids at home. Which of the following statements indicate that the patient understands how to take the medication? a. "various circumstances increase the need for glucocorticoids, so I will need to adjust the dosage" b. "my need for glucocorticoids will stabilize and I will be able to take a predetermined dose once a day" c. "glucocorticoids are cumulative, so I will take a dose every third day" d. "I must take a dose every 6 hours to ensure consistent blood levels of glucocorticoids"

b. "various circumstances increase the need for glucocorticoids, so I will need to adjust the dosage"

A physician orders prednisone (Deltasone) to control inflammation in a patient with interstitial lung disease. During patient teaching, the nurse stresses the importance of taking prednisone exactly as ordered and cautions against discontinuing the drug abruptly. A patient who discontinues prednisone abruptly may experience: a. hyperglycemia and glycosuria b. acute adrenocortical insufficiency c. GI bleeding d. restlessness and seizures

b. acute adrenocortical insufficiency

In developing a plan of care for Vernon, which should the nurse include? a. encourage the patient to take long walks in the hallway b. administer oxygen via nasal cannula c. irrigate the nasogastric tube every 2 hours d. keep the patient's room humidified and warm

b. administer oxygen via nasal cannula

Vernon undergoes the ERCP without any problems. What intervention has the highest priority after the procedure? a. monitor the patient's IV fluids b. assess the patient's pulse and blood pressure c. check the patient's abdomen for bowel sounds d. evaluate the patient's hemoglobin and hematocrit

b. assess the patient's pulse and blood pressure

Although a rare intervention, the nurse notes that the reason why Declomycin is ordered with patients with SIADH is because it: a. rids of the underlying infection associated with the disease b. blocks the effects of ADH in the kidney c. blocks sodium excretion in the renal tube d. decreases preload and afterload, thus decreases blood pressure

b. blocks the effects of AHD in the kidney

The nurse is preparing to check a patient's AV fistula for bruit. Bruit is present when: a. fistula dilation is noted through inspection b. blood flow is auscultated through the fistula c. vibration is palpated directly over the fistula d. fistula tympany is present through percussion

b. blood flow is auscultated through the fistula

The nurse is reviewing the lab and diagnostic test findings of a patient diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following would the nurse expect to find? a. elevated serum sodium levels b. decreased serum osmolality c. decreased urine sodium levels d. elevated urine calcium levels

b. decreased serum osmolality

The nurse continues to discuss strategies to prevent further attacks with Vernon and his wife. Which action should the nurse include when providing discharge teaching? a. provide the patient with a written list of high-calorie, high-fat snack foods b. discuss ways to deal with stressful situations and avoid stress when possible c. encourage daily exercise and teach the proper way to perform isotonic exercises d. teach the patient to limit coffee, tea, and colas to no more than 2 a day

b. discuss ways to deal with stressful situations and avoid stress when possible

Which nursing intervention has the highest priority when preparing this patient for discharge? a. discuss the need to avoid spicy foods b. explain the importance of alcohol abstinence c. refer him to alcoholics anonymous (AA) d. instruct him to eat a high-carbohydrate, low-fat diet

b. explain the importance of alcohol abstinence

The nurse is administering a histamine 2 receptor blocker to the patient. Which medication would be administered? a. sucralfate b. famotidine c. pantoprazole d. metoclopramide

b. famotidine

A nissen fundoplication is a surgical treatmetn for which type of medical problem? a. previous GI bleed b. gastroesophageal reflux disease (GERD) c. esophageal varices d. peptic ulcer disease

b. gastroesophageal reflux disease (GERD)

Total parenteral nutrition (TPN) is prescribed for a patient who has recently had a significant small and large bowel resection and is currently not taking anything by mouth. The nurse should: a. administer TPN through a nasogastric or gastrostomy tube b. handle TPN using strict aseptic technique c. auscultate for bowel sounds prior to administering TPN d. designate a peripheral intravenous (IV) site for TPN administration

b. handle TPN using strict aseptic technique

When caring for a patient with untreated CKD, the nurse should assess the patient carefully for which of the following? check all that apply a. metabolic alkalosis b. hyperkalemia c. hypercalcemia d. hypermagnesemia e. hyperphosphatemia

b. hyperkalemia d. hypermagnesemia e. hyperphosphatemia

A nurse is assessing a patient with nephrotic syndrome. The nurse should assess the patient for which condition? a. hematuria b. massive proteinuria c. increased serum albumin level d. weight loss

b. massive proteinuria

A patient with CKD brings all home medications to the clinic to be reviewed by the nurse. Which medication being used by the patient indicates that patient teaching is required? a. multivitamin w/iron b. milk of magnesia (MOM) 30 ml c. calcium acetate (PhosLo) d. acetaminophen (Tylenol)

b. milk of magnesia (MOM) 30 ml

Which task can the nurse delegate to the unlicensed assistant personnel (UAP) when caring for Vernon? a. change the subclavian site dressing b. obtain a blood glucose reading c. check the placement of the nasogastric d. evaluate the 24-hour intake and output

b. obtain a blood glucose reading

Which interventions are appropriate for a patient diagnosed with hepatitis A? Select all that apply. a. implement an exercise program b. provide relief from nausea and vomiting c. administer pain medication d. encourage multiple small meals daily e. plan frequent rest periods

b. provide relief from nausea and vomiting d. encourage multiple small meals daily e. plan frequent rest periods

Which information in Mrs. Johnson's chart is consistent with this diagnosis? a. recent weight gain b. recent unexpected death of her spouse c. excessive steroid intake d. presence of moon face

b. recent unexpected death of her spouse

Mrs. McBride needs to modify dietary intake to control symptoms. In addition to increasing protein, which strategy would be most appropriate? a. increase calories b. restrict sodium c. restrict potassium d. reduce fat to 50%

b. restrict sodium

When teaching a patient with chronic kidney disease about prevention of complications, the nurse instructs the patient to: a. monitor for proteinuria daily with a urine dipstick b. weigh daily and report a gain of greater than 4 pounds c. take calcium-based phosphate binders on an empty stomach d. perform self-catheterization every 4 hours to accurately measure I&O

b. weigh daily and report a gain of greater than 4 pounds

The nurse reinforces to the family that a vagotomy and pyloroplasty will do which of the following? Check all that apply. a. improve the lower esophageal sphincter b. widen the pyloric sphincter c. decrease HCl acid production d. remove the endothelium of the ulcer

b. widen the pyloric sphincter c. decrease HCl acid production

A nurse is to give a patient a 650 mg acetaminophen suppository. The patient has diarrhea and is in the bathroom. The best nursing approach at this time would be to: a. administer the suppository 15 minutes after the diarrhea stops b. withhold the suppository and notify the HCP c. tell the patient you'll give him the suppository when he is finished in the bathroom d. substitute 650 mg acetaminophen by mouth

b. withhold the suppository and notify the HCP

The patient with a UTI asks the nurse, "How will I know whether the antibiotics are effectively treating my infection?" The nurse's most appropriate response would be which of the following? a. "after you take the antibiotics for 2 weeks, you'll not have any infection." b. "your health care provider can tell by the color and odor of your urine" c. "your health care provider will take a urine culture" d. "when your symptoms disappear, you'll know that your infection is gone"

c. "your health care provider will take a urine culture"

A patient who has had ulcerative colitis for the past 5 years is admitted to the hospital with an exacerbation of the disease. Which of the following factors is most likely of greatest significance in causing an exacerbation of ulcerative colitis? a. walking 2 miles every day b. changing to a modified vegetarian diet c. a demanding and stressful job d. beginning a weight-training program

c. a demanding and stressful job

During the first few weeks after a cholecystectomy, the patient should follow a diet that includes: a. a decreased intake of fruits, vegetables, whole grains, and nuts, to minimize pressure within the small intestine b. at least four servings daily of meat, cheese, and peanut butter to increase protein intake that aids incisional healing c. a limited intake of fat distributed throughout the day so there is not an excessive amount in the intestine at any one time d. ingestion of pancreatic enzymes with meals to replace the normal enzyme secretion that has been surgically altered

c. a limited intake of fat distributed throughout the day so there is not an excessive amount in the intestine at any one time

Which action should the nurse take? a. notify the charge nurse that the TPN bag #2 is not on the unit b. instruct the pharmacy to bring the bag to the floor immediately c. administer D10W via the infusion pump at 75 ml/hr d. hang D5W via the infusion at a keep-vein-open rate

c. administer D10W via the infusion pump at 75 ml/hr

Which medical order can the nurse anticipate implementing? a. administering IV NS and forcing fluids b. administering dextrose and forcing fluids c. administering IV NS and restricting fluids d. administering dextrose and restricting fluids

c. administering IV NS and restricting fluids

Which lab data indicates that this patient is experiencing acute pancreatitis? a. hemoglobin (Hgb) 12.9 g/dl and hematocrit (HCT) 42% b. white blood cell count of 10,000/mm3 c. amylase of 982 U/L and lipase of 400 U/L d. blood alcohol level of 1.0 mg

c. amylase of 982 U/L and lipase of 400 U/L

The nurse is assessing a patient who is in the early stages of cirrhosis of the liver. Which focused assessment is appropriate? a. peripher edema b. ascites c. anorexia d. jaundice

c. anorexia

Which intervention should the nurse implement prior to administering TPN? a. assess the patency of the nasogastric tube b. restart his IV with an 18-gauge angiocath c. assist the HCP with a subclavian line insertion d. consult with a registered dietician about the formula

c. assist the HCP with a subclavian line insertion

Which intervention regarding positioning should the nurse implement to help alleviate this patient's pain? a. ensure that the patient remains in a supine position b. place 6-inch blocks under the foot of the bed c. encourage side lying with legs drawn to chest d. no specific position will affect this patient's Vernon's pain

c. encourage side lying with legs drawn to chest

Treatments for Mrs. Johnson will include: a. anti-hypertensives and aggressive bowel care b. IV potassium supplementation and reorientation to person, place and time c. fluid resuscitation and high-dose steroid replacement

c. fluid resuscitation and high-dose steroid replacement

The patient with end-stage kidney disease (ESKD) tell the nurse that she hates the thought of being tied to a machine but is glad to start her hemodialysis three days per week because she will be able to eat and drink what she wants. Based on this information, the nurse identifies the nursing diagnosis of: a. self-esteem disturbance related to dependence on dialysis b. anxiety related to perceived threat to health status and role functioning c. ineffective management of therapeutic regimen related to lack of knowledge of treatment plan d. risk for imbalanced nutrition: more than body requirements, related to increased dietary intake

c. ineffective management of therapeutic regimen related to lack of knowledge of treatment plan

A patient with mild iatrogenic cushing syndrome is on an alternate-day regimen of corticosteroid therapy. The nurse explains to the patient that this regimen is primarily for the purpose of: a. saving the patient money b. preventing ACTH release from the pituitary gland c. minimizing total suppression and atrophy of the adrenal gland d. providing a more effective therapeutic effect of the drug

c. minimizing total suppression and atrophy of the adrenal gland

The nurse is reviewing the lab test results of a patient with Crohn's disease. Which of the following would the nurse most likely find? a. decreased serum WBC b. increased serum albumin c. negative stool cultures d. decreased serum ESR

c. negative stool cultures

Which independent nursing action regarding the patient's nutritional status should the nurse include when caring for this patient? a. monitor his abdominal girth b. offer high-protein snacks frequently c. obtain and record a daily weight d. change the TPN IV tubing every 96 hours

c. obtain and record a daily weight

Which outcome criteria best indicates that hyponatremia is resolving? a. no cardiac disturbances noted b. patient is allowed to have desired fluid intake c. patient is alert and oriented x3 d. patient's urine output is 600ml in the last 24 hours

c. patient is alert and oriented x3

A patient who is receiving treatment for cholelithiasis experiences severe nausea and six episodes of vomiting. The nurse identifies that which intervention will be beneficial to the patient? a. administering lactulose b. administering rifaximin c. performing gastric decompression d. performing endotracheal intubation

c. performing gastric decompression

The nurse is caring for a patient with cirrhosis. Which assessment finding indicates that the patient has deficient vitamin K absorption caused by this hepatic disease? a. dyspnea b. ascites c. purpura d. hypoalbuminemia

c. purpura

The infusion rate of total parenteral nutrition is tapered before being discontinued. This is done to prevent which of the following complications? a. essential fatty acid b. dehydration c. rebound hypoglycemia d. malnutrition

c. rebound hypoglycemia

A nurse is caring for a patient who had an ileal conduit 3 days earlier. The nurse examines the stoma site and determines that she should consult with the ostomy nurse. Which assessment finding indicated the need for further consultation? a. beefy red stoma site b. stoma site not sensitive to touch c. red, sensitive skin around the stoma site d. clear mucus mixed with yellow urine drained from the appliance bag

c. red, sensitive skin around the stoma site

Which of the following statements indicates that the patient understands the home care of a sigmoid colostomy? a. "I can attach my pouch directly to my skin as long as it is irritated" b. "I can anticipate some pain around my stoma when I clean it" c. "I can expect to see some blood in my stool on occasion" d. "I should be able to establish a regular pattern of elimination with my colostomy"

d. "I should be able to establish a regular pattern of elimination with my colostomy"

When assessing a patient with pheochromocytoma, a tumor of the adrenal medulla that secretes excessive catecholamine, the nurse is most likely to detect: a. a serum potassium of 5.5 b. a serum glucose level of 130 c. a heart rate of 58 d. a blood pressure of 176/88

d. a blood pressure of 176/88

The patient with nephrolithiasis is experiencing renal colic. What is the nurse's first priority in managing this patient? a. do not allow the patient to ingest fluids b. encourage the patient to drink at least 500 ml of water each hour c. request the central supply department to send supplies for straining urine d. administer an opioid (& NSAIDs) analgesic as prescribed

d. administer an opioid (& NSAIDs) analgesic as prescribed

A nurse is caring for a patient diagnosed with cholelithiasis. Which of the following would be most appropriate for a patient who is experiencing biliary colic? a. ensure that the patient rests b. ensure that the patient has eaten a full meal c. avoid administering antispasmodics d. administer analgesics to the patient

d. administer analgesics to the patient

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

d. passage of flatus and feces from the colostomy