ATI summer challenge 7

a nurse is providing teaching to a client with gastroesophageal reflux. which of the following statements by the client indicates a need further teaching

"I drink no more than 4 cups of coffee a day"

a nurse is teaching a client how to do fecal occult blood testing. which of the following statements by the client indicates a need for further teaching

"I will continue taking my Coumadin as prescribed

a nurse is providing teaching to a client who has stomatitis. which of the following statements by the client indicates a need for further teaching

"I will season foods with dried spices before cooking"

a nurse is teaching a client who is preoperative for a colectomy. the client asks the nurse why he needs a large-bore NG tube. which of the following statements should the nurse make

"The tube will remove gas and fluid from your stomach"

a nurse is caring for a client following the surgical placement of a colostomy. which of the following statements indicates the client understands the dietary teaching

"eating yogurt can help decrease the amount of gas I have"

a nurse is providing teaching to a client who takes opioid pain medication and has a new prescription for docusate sodium. which of the following statements by the client indicates an understanding of the teaching

"it might take up to 3 days for the medication to work"

a nurse is teaching a client who is scheduled for abdominal surgery about coughing and deep breathing. which of the following statements should the nurse make

"splint your incision with a pillow when coughing"

a nurse is providing teaching to a client who has peptic ulcer disease and a new prescription for sucralfate tablets. which of the following information should the nurse provide

"take sucralfate 1 hr before meals"

a nurse is caring for a client who is postoperative following abdominal surgery. the nurse discovers a loop of bowel through an opening in the surgical incision. which of the following actions should the nurse take

apply moistened sterile gauze to the site

a nurse is assessing a client who has peptic ulcer disease. which of the following findings should the nurse identify as the priority

hematemesis

a nurse is reviewing the medical record of a client who has a peptic ulcer. which of the following findings should the nurse recognize as a risk factor for this condition

history of NSAID use

a client who is about to undergo abdominal surgery states that he is very anxious about the operation. which of the following responses should the nurse make

ask him to describe what he is feeling

a nurse is preparing to perform an abdominal assessment on a client. identify the sequence of steps the nurse should take to conduct the assessment.

ask the client about having a history of abdominal pain inspect the abdomen for skin integrity auscultate the abdomen for bowel sounds percuss the abdomen in each of the four quardrants palpate the abdomen lightly for tenderness

a nurse is providing teaching for a client who has experienced an acute episode of gastritis. which of the following instructions should the nurse include in the teaching

avoid drinking alcohol

a nurse is teaching a client who has gastroesophageal reflux disease about managing his illness. which of the following recommendations should the nurse include in the teaching

avoid eating within 3 hrs of bedtime

a nurse is caring for a client who is scheduled for surgery and who reported they smoke cigarettes. the nurse should identify that tobacco use increases the client's risk for which of the following postoperative complications

blood clots

a nurse is caring for a client who has a history of angina

blood pressure anxiety irregular heart rate chest tightness

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

check to see if the suction equipment is working

a nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia

chronic blood loss

a nurse is caring for a client who is postoperative

client is difficult to arouse respirations 10/min pulse oximetry 89% on room air

a nurse is assessing a client who is postoperative and finds the client's abdominal incision has eviscerated. which of the following actions should the nurse take

cover the wound with a sterile saline-soaked dressing

a nurse is caring for a client who is postoperative following abdominal surgery. the surgeon initially prescribed a client liquid diet. which of the following items should the nurse include on the client's lunch tray.

cranberry juice

a nurse is caring for a client who is experiencing postoperative nausea and vomiting. the nurse should monitor the client for which of the following complications of vomiting

dehydration

a nurse is caring for a client who is scheduled for surgery. the nurse's role in regard to informed consent is which of the following

determining the client's level of understanding about the procedure

a nurse is caring for an older adult client who has had surgery for an intestinal obstruction and has an NG tube to wall suction. which of the following interventions should the nurse include in the client's postoperative plan of care

discontinue suction when assessing for peristalsis irrigate the NG tube with 0.9% sodium chloride irrigation solution place sequential compression devices on the bilateral lower extremities reposition the client from side to side every 2 hr

a nurse is assessing a client who will undergo abdominal surgery in 2 hr. the client reports being nervous about the surgery, last had foods and fluids at 2330 the previous evening, and signed the surgical consent 2 days ago. which of the following is an appropriate nursing action regarding these findings

document the findings in the client's medical record

a nurse is completing dietary teaching on consuming a low fiber diet with a client who has ulcerative colitis. which of the following foods should the eliminated in the client's diet

dried apricots

a nurse is developing a teaching plan for a client who has an ileostomy and will require stoma care. which of the following information should the nurse include?

empty the pouch when it is 1/2 full

a nurse is developing a plan of care for a client who is postoperative. which of the following interventions should the nurse include in the plan to prevent pulmonary complications

encourage the use of the incentive spirometer

a nurse is planning to provide preoperative teaching for a client. which of the following actions should the nurse plan to take

ensure privacy for the client

a nurse is teaching a class about the gastrointestinal (GI) tract. The nurse should include that food is transported through the GI tract starting from which of the following locations

esophagus

a nurse is preparing to administer three liquid medications to a client who has a NG feeding tube with continuous enteral feedings. which of the following actions should the nurse take

flush the NG feeding tube with 30 mL of water immediately following medication administration

a nurse is caring for a client following an esophagogastroduodenoscopy (EGD) procedure. which of the following assessments is the nurse's priority

gag reflex

a nurse is providing preoperative teaching by demonstrating diaphragmatic breathing to a client who is scheduled for surgery in the morning. which of the following actions should the nurse include in the demonstration

inhale slowly and evenly through her nose

a nurse is preparing to perform an abdominal assessment on a child. identify the sequence the nurse should follow

inspection auscultation superficial palpitation deep palpation

a nurse is caring for a client who has diverticular disease. when palpating the client's abdomen, in which of the following locations should the nurse expect the client to report abdominal pain

lower left quadrant

a nurse is administering a tap water enema to a client who is constipated. during the administration of the enema, the client states he is having abdominal cramps. which of the following actions should the nurse take to relieve the client's discomfort

lower the height of the solution container

a nurse has completed an informed consent form with a client. the client then states, "i have changed my mind and do not want to have the procedure done" which of the following actions should the nurse take

notify the surgeon that the client wishes to withdraw informed consent for the procedure

a nurse is reviewing the medical history on a client who is preoperative for surgery. which of the following findings places the client at risk for a postoperative complications

obstructive sleep apnea

an assistive personnel (AP) reports to the nurse that a client which is 3 days postoperative following an abdominal hysterectomy has a dressing that is saturated with blood. which of the following tasks should the nurse delegate to the AP

obtain vital signs

a nurse is administering morphine 2 mg IV every 2 to 4 hrs to a client who has an abdominal incision. the nurse should monitor the client for which of the following adverse effects

orthostatic hypertension

a nurse is caring for a client who is postoperative following a laminectomy

pain level incision site lung sounds

a nurse is assessing a client who is 3 days postoperative following abdominal surgery and notes the absence of bowel sounds, abdominal distention, and the client passing no flatus. which of the following conditions should the nurse suspect

paralytic ileus

a nurse is caring for a client who is postoperative following abdominal surgery. which of the following findings should indicate to the nurse the client's peristalsis is returning

passage of flatus

a nurse is caring for an older adult client who experienced temporary disorientation following surgery. the nurse should identify that this finding as a manifestation of which of the following complications

postoperative delirium

a nurse in a PACU is assessing a client who has a newly created colostomy. which of the following findings should the nurse report to the provider

purplish-colored stoma

a nurse is caring for a client who is postoperative

respirations 10/min pulse oximetry 87% on room air

a nurse is providing teaching to a parent of a child who has celiac disease. the nurse should include which of the following food choices for this child.

rice

a nurse is teaching a client who has cholecystitis about required dietary modifications. the nurse should include which of the following foods as appropriate for the client's diet

roast turkey

a nurse is reviewing the medication list for a client who has a new diagnosis of a small bowel obstruction. the nurse should withhold which of the following medications

senna

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 circumstance

serosanguineous drainage at this time is a manifestation of possible dehiscence

a nurse in a provider's office is caring for a client

smoking history NSAID use positive for helicobacter pylori

a nurse is discussing good food choices with a client who is recovering from an exacerbation of inflammatory bowel disease and is to start a low-lactose diet. which of the following is the best choice for the client

soy milk

a nurse is caring for a client who has a peptic ulcer disease. the nurse should monitor the client for which of the following findings as an indication of gastrointestinal performation

sudden abdominal pain

a nurse is caring for a client who is admitted with suspected acute appendicitis. which of the following manifestations should indicate to the nurse that the child's appendix is perforated

sudden decrease in abdominal pain

a nurse is caring who has a history of dementia. the client is alert and oriented to person, place, and time, and has advanced directives. the client is scheduled for a procedure that requires informed consent. which of the following persons should sign the informed consent.

the client

a nurse is caring for a client

the client reports abdominal pain for the last two days that is now moving to the right lower quadrant the pain has started to increase over the last hour and is a 9 on a 0 to 10 scale respiratory rate 22/min heart rate 110/min blood pressure 88/58 mm Hg while laying down

a nurse is caring for a client who is 3 hr postoperative following abdominal surgery. which of the following assessment data should the nurse report to the provider

the client urine output has been 50 mL since surgery

a nurse is caring for a client who is postoperative. the nurse should base her pain management interventions primarily on which of the following methods of determining the intensity of the client's pain

the client's self-report of pain severity

a nurse is assessing a client who has a colostomy. which of the following findings should the nurse report to the provider

the stoma is pale in color

a nurse is caring for a client who just returned from the PACU with an IV fluid infusion and an NG tube in place following abdominal surgery. which of the following data is the priority for the nurse to assess

the surgical dressing

a nurse is caring for a client who has a Jackson-Pratt (JP) drain in place after surgery for an open reduction and internal fixation. the nurse should understand that the JP drain was placed for which of the following purpose

to prevent fluid from accumulating in the wound

a nurse is caring for a client who has Crohn's disease. which of the following food choices would the recommended diet for clients who have Crohn's disease

toast with jelly

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

yellow-green drainage on the surgical incision