NCLEX Review Chapter 45 & 46

The nurse is reviewing the prescriptions of a client admitted to the hospital with a diagnosis of acute pancreatitis. Which interventions would the nurse expect to be prescribed? Select all that apply 1. Administer antacids, as prescribed 2. Encourage coughing and deep breathing 3. Administer anticholinergics, as prescribed 4. Maintain the client in a supine and flat position 5. Encourage small frequent high-calorie feedings

1. Administer antacids, as prescribed 2. Encourage coughing and deep breathing 3. Administer anticholinergics, as prescribed

The nurse is reviewing the record of a client with Crohn's disease. Which stool characteristic would the nurse expect to see documented in the record? 1. Diarrhea 2. Constipation 3. Bloody stools 4. Stool constantly oozing from the rectum

1. Diarrhea

It has been determined that a client with hepatitis has contracted the infection from contaminated food. Which type of hepatitis is this client most likely experiencing? 1. Hepatitis A 2. Hepatitis B 3. Hepatitis C 4. Hepatitis D

1. Hepatitis A

The nurse is reinforcing teaching to a client about an upcoming colonoscopy procedure. The nurse would include in the instructions that the client will be placed in which position for the procedure? 1. Left Sims' position 2. Lithotomy position 3. Knee-chest position 4. Right Sims' position

1. Left Sims' position

A client with hiatal hernia chronically experiences heartburn after meals. Which would the nurse teach the client to avoid? 1. Lying recumbent after meals 2. Eating small frequent bland meals 3. Raising the head of the bed on 6 in blocks 4. Taking histamine receptor antagonist medication as prescribed

1. Lying recumbent after meals

A H2 antagonist will be prescribed for a client. The nurse understands that which medications are H2 receptor antagonists? Select all that apply 1. Nizatidine 2. Famotidine 3. Cimetidine 4. Esomeprazole 5. Lansoprazole

1. Nizatidine 2. Famotidine 3. Cimetidine

The nurse is monitoring a client for the early signs/symptoms of dumping syndrome. Which indicates this occurrence? 1. Sweating and pallor 2. Dry skin and stomach pain 3. Bradycardia and indigestion 4. Double vision and chest pain

1. Sweating and pallor

The client has an as needed prescription for loperamide hydrochloride. For which condition would the nurse administer tis medication? 1. Constipation 2. Acute diarrhea 3. Abdominal pain 4. Hematest-positive nasogastric tube drainage

2. Acute diarrhea

A client with Crohn's disease is scheduled to receive an infusion of infliximab. The nurse assisting with caring for the client would take which action to monitor the effectiveness of treatment? 1. Monitoring the leukocyte count for 2 days after the infusion 2. Checking the frequency and consistency of bowel movements 3. Checking serum liver enzyme levels before and after the infusion 4. Carrying out a Hematest on gastric fluids after the infusion is completed

2. Checking the frequency and consistency of bowel movements

The client has been taking omeprazole for 4 weeks. The nurse evaluates the client is receiving the optimal intended effect of the medication if the client reports the absence of which symptom? 1. Diarrhea 2. Heartburn 3. Flatulence 4. Constipation

2. Heartburn

The nurse is preparing to perform an abdominal examination. Which step would be taken first? 1. Palpation 2. Inspection 3. Percussion 4. Auscultation

2. Inspection

The client who frequently uses NSAIDs has been taking misoprostol. The nurse determines that this medication is having the intended therapeutic effect if which is noted? 1. Resolved diarrhea 2. Relief of epigastric pain 3. Decreased platelet count 4. Decreased white blood cell count

2. Relief of epigastric pain

A client with ascites is scheduled for a paracentesis. The nurse is assisting the PHCP with performing the procedure. Which position would the nurse assist the client into for this procedure? 1. Flat 2. Upright 3. Leff side-lying 4. Right side-lying

2. Upright

An older client has recently been taking cimetidine. The nurse needs to monitor the client for which most frequent central nervous system side effect of this medication? 1. Tremors 2. Dizziness 3. Confusion 4. Hallucinations

3. Confusion

The nurse is caring for a client after a Billroth II (gastrojejunostomy) procedure. During review of the postoperative prescriptions, which would the nurse clarify? 1. Leg exercises 2. Early ambulation 3. Irrigating the NG tube 4.Coughing and deep-breathing exercises

3. Irrigating the NG tube

The nurse reinforces postoperative live biopsy instructions to a client. Which would the nurse tell the client? 1. Avoid alcohol for 8 hrs 2. Remain NPO for 24 hrs 3. Lie on the right side for 2 hrs 4. Save all stools to be checked for blood

3. Lie on the right side for 2 hrs

The nurse is reinforcing discharge instructions to a client after a gastrectomy. Which measure would the nurse include during client teaching to help prevent dumping syndrome? 1. Ambulate after a meal 2. Eat high-carbohydrate foods 3. Limit the fluids taken with meals 4. Sit in a high Fowler's position during meals

3. Limit the fluids taken with meals

The nurse is reviewing the PHCP's prescriptions written for a client admitted with acute pancreatitis. Which PHCP prescription would the nurse verify if noted in the client's chart? 1. NPO status 2. An anticholinergic medication 3. Position the client supine and flat 4. Prepare to insert a NG tube

3. Position the client supine and flat

The client has begun medication therapy with pancrelipase. The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed? 1. Weight loss 2. Relief of heartburn 3. Reduction of steatorrhea 4. Absence of abdominal pain

3. Reduction of steatorrhea

A client with a peptic ulcer is diagnosed with a H. pylori infection. The nurse is reinforcing teaching for the client about the medications prescribed, including clarithromycin esomeprazole and amoxicillin. Which statement by the client indicates the best understanding of the medication regimen? 1. My ulcer will heal because these medications will kill the bacteria 2. These medications are only taken when I have pain from my ulcer 3. The medications will kill the bacteria and stop the acid production 4. These medications will coat the ulcer and decrease the acid production in my stomach

3. The medications will kill the bacteria and stop the acid production

An ultrasound of the gallbladder is scheduled for the client with a suspected diagnosis of cholecystitis. Which would he nurse explain to the client that this test? 1. The test is uncomfortable 2. The test requires that the client be NPO 3. The test requires the client to lie still for short intervals 4. The test is preceded by the administration of oral tablets

3. The test requires the client to lie still for short intervals

The client has an as need prescription for ondansetron. For which condition would the nurse administer this medication? 1. Paralytic ileus 2. Incisional pain 3. Urinary retention 4. Nausea and vomiting

4. Nausea and vomiting

The client with a gastric ulcer has a prescription for sucralfate 1 g by mouth four times daily. The nurse would schedule the medication to be administered at which times? 1. With meals and at bedtime 2. Every 6 hrs around the clock 3. One hour after meals and at bedtime 4. One hour before meals and at bedtime

4. One hour before meals and at bedtime

The nurse is monitoring for stoma prolapse in a client with a colostomy. Which stoma observation would indicate that a prolapse has occurred? 1. Dark and bluish 2. Sunken and hidden 3. Narrowed and flattened 4. Protruding and swollen

4. Protruding and swollen

The nurse is caring for a client with a diagnosis of chronic gastritis. The nurse anticipates that the client is at risk for which vitamin deficiency? 1. Vitamin A 2. Vitamin C 3. Vitamin E 4. Vitamin B12

4. Vitamin B12