EAQ exam 1

The nurse is caring for a client who had a subtotal gastrectomy. Which assessment finding indicated the client is ready fro postoperative oral feedings? a) presence of flatulence b) minimal incisional pain c) stabilization of hematocrit levels d) occurrence of dumping syndrome

a) presence of flatulence

Which available staff member would be best for the nursing manager to assign to take frequent vital signs for a client with suspected shock? a) registered nurse b) nursing student c) licensed practical nurse d) unlicensed assistive personnel

a) registered nurse

Which rationale will the nurse provide to a client with Crohn's disease who asks why the prescribed vitamins have to be given IV rather than by mouth? SATA: a) they provide more rapid action results b) they decrease colon irritability c) oral vitamins are less effective d) intestinal absorption may be inadequate e) allergic responses are less likely to occur

a) they provide more rapid action results c) oral vitamins are less effective d) intestinal absorption may be inadequate

Which statement by an unlicensed assistive personnel (UAP) who is assisting the nurse in caring for a group of clients indicated a correct understanding of the UAP's role? a) I will turn off clients' intravenous lines that have infiltrated b) I will take clients' vitals after their procedures are over c) I will use unit written materials to teach clients before surgery d) I will help by giving medications to clients who are slow in taking pills

b) I will take clients' vitals after their procedures are over

The newly promoted registered nurse (RN) is about to start the process of delegation for the first time in their career. Which experiences foster professional self-confidence in the early career stage for an RN? SATA. a) inability to comprehend b) experience in clinical delegation c) application of theory to practice d) development of clinical judgment e) engagement with a nursing mentor

b) experience in clinical delegation c) application of theory to practice d) development of clinical judgment e) engagement with a nursing mentor

A nurse is reviewing a list of current medications with a client who has developed gastrointestinal bleeding. Which medication prescription should the nurse discuss with the primary healthcare provider? a) digoxin b) ibuprofen c) famotidine d) atorvastatin

b) ibuprofen

Which substance does vitamin K contributes to the formation of? a) bilirubin b) prothrombin c) thromboplastin d) cholecystokinin

b) prothrombin

Which purpose of metoclopramide administered intravenously 30 minutes before initiating chemotherapy for cancer of the colon would the nurse explains to a client? a) to stimulate production of gastrointestinal secretions b) to stimulate peristalsis of the upper GI tract c) to prolong excretion of the chemotherapeutic medication d) to increase absorption of the chemotherapeutic medication

b) to stimulate peristalsis of the upper GI tract

Which instruction will the nurse give to a client who is prescribed isoniazid? a) prolonged use can cause dark, concentrated urine b) the medication is best absorbed when taken on an empty stomach c) take the medication with aluminum hydroxide to minimize GI upset d) drinking alcohol daily can cause medication-induced hepatitis

d) drinking alcohol daily can cause medication-induced hepatitis

A healthcare provider prescribes an upper GI series and a barium enema. The client asks, "Why do I need barium for these tests?" Which explanation would the nurse give? a) it gives off visible light, illuminating the alimentary tract b) it provides fluorescence, thereby lighting up the alimentary tract c) it dyes the structures of the alimentary tract, making them more visible d) it gives more contract to the soft tissue of the alimentary tract, allowing absorption of x-rays

d) it gives more contract to the soft tissue of the alimentary tract, allowing absorption of x-rays

Which action is responsible for the therapeutic effect of docusate sodium? a) lubricates the feces b) creates an osmotic effect c) stimulates motor activity d) softens the feces

d) softens the feces

The nurse is reviewing the plan of care for a client who is scheduled for a barium swallow test. Which will the plan include? a) giving clear fluids on the day of the test b) asking the client about allergies to iodine c) administering cleansing enemas before the test d) administering a laxative after the procedure

d) administering a laxative after the procedure why? a laxative and increased fluids promotes the elimination of barium. pt must be NPO, Iodine is not used with barium.

The nurse is assessing a client for possible malabsorption syndrome. Which stool assessment finding supports this diagnosis? a) melena b) frank blood c) fat globules d) currant jelly consistency

c) fat globules

A nurse is planning care for a client admitted to the hospital with abdominal spasms and pain associated with severe diarrhea. What primary serum blood level should the nurse monitor? a) urea b) chloride c) potassium d) creatinine

c) potassium

After an acute epidote of upper GI bleeding, a client vomits undigested medications and reports severe epigastric and abdominal pain. The client has absent bowel sounds, rigid abdomen, a pulse rate of 134, and shallow respirations of 32 per min. The primary HCP has been contacted. Which action would the nurse take? a) Keep the client nothing by mouth (NPO) b) Teach the client coughing and deep breathing c) Inquire whether any red or black stools have been noted d) Place the client in the supine position with the legs elevated

a) Keep the client nothing by mouth (NPO)

A self-help group of clients with irritable bowel syndrome has invited the nurse to present a program on nutrition. Which substance would the nurse teach the clients to minimize in the diet to decrease gastrointestinal (GI) irritability? a) cola drinks b) gelatin c) fiber d) rice

a) cola drinks

Which is a risk factor of necrotizing enterocolitis in the preterm infant? a) polycythemia b) hypoglycemia c) ventilatory support d) antibiotic administration

a) polycythemia

Which life-threatening complication may occur in clients taking high-dose or long-term ibuprofen? a) anaphylaxis b) GI bleed c) cardiac dysrhythmia d) disulfiram reaction

b) GI bleed