AH EAQ Exam 2

The nurse is caring for a client with a hiatal hernia. The client states that favorite beverages include ginger ale, apple juice, orange juice, and cola beverages. Of the four the client listed, which is the only beverage that should remain in the client's diet? Incorrect 1 Ginger ale Correct 2 Apple juice 3 Orange juice 4 Cola beverages

apple juice

Metformin 2 g by mouth is prescribed for a client with type 2 diabetes. Each tablet contains 500 mg. How many tablets should the nurse administer? Record your answer using a whole number. ____________

4

The nurse is assessing a client experiencing diabetic ketoacidosis (DKA). Which unique response associated with DKA that is not exhibited with hyperglycemic hyperosmolar nonketotic syndrome (HHNS) should the nurse identify when assessing this client? 1 Fluid loss 2 Glycosuria 3 Kussmaul respirations 4 Increased blood glucose level

Kussmaul respirations

A nurse is caring for a client who is scheduled for a gastric bypass to treat morbid obesity. Which diet should the nurse teach the client to maintain because it will help minimize clinical manifestations of dumping syndrome? 1 Low-residue, bland diet 2 Fluid intake below 500 mL 3 Small, frequent feeding schedule 4 Low-protein, high-carbohydrate diet

Small, frequent feeding schedule

A nurse is reviewing the laboratory reports of four clients. Which client may have peptic ulcer disease?

H.Pylori

The nurse is reviewing the plan of care for a client who is scheduled for a barium swallow. What will the plan include? 1 Giving clear fluids on the day of the test Incorrect 2 Asking the client about allergies to iodine 3 Administering cleansing enemas before the test Correct 4 Administering a laxative after the procedure

Administering a laxative after the procedure

A client is being considered for bariatric surgery. Which client health problem does the nurse identify as consistent with morbid obesity? 1 Dumping syndrome 2 Compartment syndrome 3 Hypoventilation syndrome 4 Inappropriate antidiuretic hormone syndrome (ADH)

Hypoventilation syndrome

A nurse is preparing to administer insulin to a client with diabetes. In which order should the nurse perform the actions associated with insulin administration? Correct 1.Wash hands with soap and water. Correct 2.Rotate the vial of insulin between the palms of the hands. Incorrect3.Instill air into the vial of insulin equal to the desired dose. Incorrect4.Wipe the top of the insulin vial with an alcohol swab. Correct 5.Withdraw the correct amount of insulin from the inverted vial.

Wash Hands with soap and water rotate the vial of insulin between the palms of the hands wipe the top of the insulin equal to the desired rose instill air into the vial of insulin equal to the desired dose withdraw the correct amount of insulin from the inverted vial

Which statement made by a client recently diagnosed with type 1 diabetes indicates that further education is necessary regarding the teaching plan? 1 "I will need to have my eyes and vision examined once a year." 2 "I will need to check my blood sugar at home to evaluate my response to my treatment plan." 3 "I can improve metabolic and cardiac risk factors of this disease if I follow a low-calorie diet and lose weight." 4 "Once I reach my target weight there is a good chance that I will be able to switch from insulin to an oral medication."

"Once I reach my target weight there is a good chance that I will be able to switch from insulin to an oral medication."

During a diabetes mellitus campaign, the community nurse is assessing different clients. Which client should be treated first?

B

Six weeks after discharge, a client with a jejunoileal bypass for morbid obesity returns to the outpatient clinic reporting palpitations, abdominal cramps, diarrhea, and dizziness 30 minutes after meals. What complication should the nurse consider that the client is most likely experiencing? 1 Gastric reflux 2 Reflux gastritis 3 Dumping syndrome 4 Abdominal peritonitis

Dumping syndrome

A client with gastroesophageal reflux disease (GERD) should make diet and lifestyle changes. Which instructions should the nurse include in the client's discharge teaching? Select all that apply. 1 Encourage to quit smoking 2 Elevate the foot of the bed 3 Avoid caffeine-containing products 4 Eat three large, evenly spaced meals daily 5 Avoid lying down for 2 to 3 hours after eating

Encourage to quit smoking Avoid caffeine-containing products Avoid lying down for 2 to 3 hours after eating

The nurse is caring for a client who is scheduled for a gastric bypass to treat morbid obesity. Which statement by the client indicates a good understanding of preventing dumping syndrome after meals? Select all that apply. 1 "I will eat a bland diet." 2 "I will not drink fluids when I eat meals." 3 "I will avoid artificially-sweetened foods." 4 "I will eat a low-protein, high-carbohydrate diet." 5 "I will eat small, frequent meals instead of three large meals a day.

"I will not drink fluids when I eat meals." "I will avoid artificially-sweetened foods. "I will eat small, frequent meals instead of three large meals a day.

Which nursing intervention is the priority when a client is first admitted with hyperglycemic hyperosmolar nonketotic syndrome (HHNS)? 1 Providing oxygen 2 Encouraging carbohydrates 3 Administering fluid replacement 4 Teaching facts about dietary principles

Administering fluid replacement

A nurse is obtaining a health history from a client with the diagnosis of peptic ulcer disease. Which client statement provides evidence to support the identification of a possible contributory factor? 1 "My blood type is A positive." 2 "I smoke one pack of cigarettes a day." 3 "I have been overweight most of my life." 4 "My blood pressure has been high lately."

I smoke one pack of cigarettes a day

A nurse plans to teach a client with type 1 diabetes about the use of an insulin pump. What information will the nurse include in client teaching? 1 Insulin pumps mimic the way a healthy pancreas works. 2 The insulin pump's needle should be changed every day. 3 Pumps are implanted in a subcutaneous pocket near the abdomen. 4 The insulin pump's advantage is that it only requires glucose monitoring once a day.

Insulin pumps mimic the way a healthy pancreas works.

A client who has gastroesophageal reflux disease (GERD) is unable to tolerate a back rest elevation. The nurse should place the client in what position in the illustration?

position D

A nurse teaches a client about limiting the discomfort associated with a hiatal hernia. Which statement from the client indicates teaching by the nurse is effective? 1 "After meals I will take a 10-minute walk." 2 "After meals I will drink 8 oz (240 mL) of water." 3 "After meals I will rest in a sitting position for one hour." 4 "After meals I will lie down in bed for at least 20 minutes."

"After meals I will rest in a sitting position for one hour."

A client with gastroesophageal reflux disease (GERD) receives a prescription for an H2 receptor antagonist. Which medications are within the classification of an H2 receptor antagonist? Select all that apply. 1 Nizatidine 2 Ranitidine 3 Famotidine 4 Lansoprazole 5 Metoclopramide

1 Nizatidine 2 Ranitidine 3 Famotidine

A client with gastroesophageal reflux is to receive metoclopramide 15 mg orally before meals. The concentrated solution contains 10 mg/mL. How much solution should the nurse administer? Record your answer using one decimal place. _____ mL

1.5

A client with diabetes experiences tremors, pallor, and diaphoresis. What should the nurse consider is a possible cause of these clinical manifestations? 1 Overeating 2 Intestinal virus 3 Aerobic exercise 4 Missed insulin dose

Aerobic exercise

A nurse provides a list of suggested food choices to a client who has peptic ulcer disease. Which foods should be included on the list? 1 Orange juice, fried eggs, and sausage 2 Tomato juice, raisin bran cereal, and tea 3 Applesauce, cream of wheat, and apple juice 4 Sliced oranges, pancakes with syrup, and coffee

Applesauce, cream of wheat, and apple juice

A client is diagnosed with acute gastritis secondary to alcoholism and cirrhosis. The client reports frequent nausea, pain that increases after meals, and black, tarry stools. The client recently joined Alcoholics Anonymous. The nurse should give priority to which client history item? 1 Black, tarry stools 2 Frequent nausea 3 Joining Alcoholics Anonymous 4 Pain that increases after meals

Black, tarry stools

A client had a gastric bypass procedure to treat morbid obesity. After surgery the client reports weakness, sweating, palpitations, and dizziness after eating. What should the nurse encourage the client to do? 1 Reduce the intake of protein-rich foods 2 Drink 8 ounces (240 mL) of water with meals 3 Divide the daily caloric intake into six smaller meals 4 Remain in an upright position for one hour after eating

Divide the daily caloric intake into six smaller meals

A client newly diagnosed with diabetes arrives at the emergency department complaining of dizziness and weakness. The client's spouse reports that the client has been confused since this morning. The spouse reports that the client administered the morning dose of 10 units of regular insulin and 25 units of NPH insulin with difficulty and did not eat much breakfast. What does the nurse identify as the most likely cause of the client's signs and symptoms? 1 Hyperglycemia 2 Hyperlipidemia 3 Hypoglycemia 4 Hypocalcemia

Hypoglycemia

A nurse is caring for several clients with type 1 diabetes, and they each have a prescription for a specific type of insulin. Which insulin does the nurse conclude has the fastest onset of action? 1 NPH insulin 2 Insulin lispro 3 Regular insulin 4 Insulin glargine

Insulin lispro

A client with chronic gastritis is being treated with medication and diet. What should the nurse teach the client when discussing the therapeutic regimen? 1 Lie down after eating when possible 2 Take an antacid preparation with meals 3 Limit high-carbohydrate foods in the diet 4 Avoid using analgesics that contain aspirin

Avoid using analgesics that contain aspirin

A client with diabetes who is receiving long-term corticosteroid therapy is admitted to the hospital with leg ulcers. What increased risk does the nurse consider when assessing this client? 1 Weight loss 2 Hypoglycemia 3 Decreased blood pressure 4 Inadequate wound healing

Inadequate wound healing

A client with diabetes asks how exercise will affect insulin and dietary needs. What information does the nurse share about insulin and exercise? 1 "Exercise increases the need for carbohydrates and decreases the need for insulin." 2 "Exercise increases the need for insulin and increases the need for carbohydrates." 3 "Regular physical activity decreases the need for insulin and decreases the need for carbohydrates." 4 "Intensive physical activity decreases the need for carbohydrates but does not affect the need for insulin."

"Exercise increases the need for carbohydrates and decreases the need for insulin."

A nurse is teaching a client about gastroesophageal reflux disease (GERD). Which statement made by the client indicates correct understanding of GERD management? 1 "Three meals per day is the best regimen to avoid GERD symptoms." 2 "I can reduce my GERD symptoms through a high-carbohydrate, low-fat diet." 3 "A snack at bedtime will help reduce the acidity of my stomach during the night." 4 "I will place a 6-inch (15 cm) block under the head of my bed to help with digestion.

"I will place a 6-inch (15 cm) block under the head of my bed to help with digestion.

A client at the fertility clinic is being treated for hypertension and obesity with a regimen of diet and exercise. During the past month, she has lost 8 lb (3.6 kg) and her blood pressure has decreased to 154/98 mm Hg. The client states that she is using self-control strategies to reduce her blood pressure and weight. What is the nurse's most therapeutic response? 1 Explaining to the client that her current program needs revision to improve results 2 Acknowledging the client's achievement while encouraging continuation of her current program 3 Emphasizing to the client the importance of exercise in addition to reduction of sodium and caloric intake 4 Recommending that the client ask her practitioner about a prescription for an antihypertensive or a diuretic

Acknowledging the client's achievement while encouraging continuation of her current program

A nurse is caring for a client with severe gastritis who vomited a large amount of blood. A lavage is prescribed by the healthcare provider. Which response does the nurse expect when using a room temperature irrigating solution? 1 Coagulation of blood 2 Neutralization of acids 3 Constriction of blood vessels 4 Stimulation of the vagus nerve

Constriction of blood vessels

What is the priority of care to promote client safety directly after esophagogastroduodenoscopy? Select all that apply. Correct 1 Preventing aspiration 2 Reminding the client not to drive 3 Monitoring for signs of perforation 4 Advising the client to use throat lozenges 5 Teaching the client about hoarseness of voice

Monitoring for signs of perforation

A client with type 1 diabetes consistently has high glucose levels on awakening in the morning. What should the nurse instruct the client to do to differentiate between the Somogyi effect and the dawn phenomenon? 1 Eat a snack before going to bed. 2 Measure the blood glucose level between 2 AM and 4 AM. 3 Identify whether morning symptoms are typical for hyperglycemia. 4 Administer the prescribed bedtime insulin immediately before going to bed.

Measure the blood glucose level between 2 AM and 4 AM.

A client is diagnosed with gastric cancer, and a subtotal gastrectomy is performed. After surgery the client begins to hemorrhage. What clinical findings support the nurse's conclusion that the client is experiencing hypovolemic shock? Select all that apply. 1 Oliguria 2 Bradypnea 3 Diaphoresis 4 Tachycardia 5 Hypertension

Oliguria Diaphoresis Tachycardia

A client is experiencing stomatitis as a result of chemotherapy. Which action should the nurse take when caring for this client? 1 Provide frequent saline mouthwashes 2 Use karaya powder to decrease irritation 3 Increase fluid intake to compensate for accompanying diarrhea 4 Offer meticulous skin care of the abdomen with a gentle antiseptic

Provide frequent saline mouthwashes

A client has a hiatal hernia. The client is 5 feet 3 inches tall (163 cm) and weighs 160 pounds (72.6 kg). Which information should the nurse include when discussing prevention of esophageal reflux? 1 Increase your intake of fat with each meal. 2 Lie down after eating to help your digestion. 3 Reduce your caloric intake to foster weight reduction. 4 Drink several glasses of fluid during each of your meals.

Reduce your caloric intake to foster weight reduction.