ATI test 2 questions
A charge nurse is teaching a group of nurses about a client who has chronic gastritis and is scheduled for a selective vagotomy. Which of the following statements by a unit nurse indicates understanding of the purpose of the procedure? A. "The client will have increased duodenal gastric emptying." B. "The client will have a reduction of gastric acid secretions." C. "The client will have an increase of gastric mucus secretion." D. "The client will have an increased secretion of hydrogen/potassium ATPase enzymes."
B
A nurse is assessing a client who has a history of asthma. Which of the following factors should the nurse identify as a risk for asthma? A. Sex B. Environmental allergies C. Alcohol use D. History of diabetes
B
A nurse is caring for a client who is having difficulty breathing. The client is lying in bed and is already receiving oxygen therapy via nasal cannula. Which of the following interventions is the nurse's priority? A. Increase the oxygen flow. B. Assist the client to Fowler's position C. Promote removal of pulmonary secretions D. Obtain a specimen for arterial blood gases.
B
A nurse is completing an assessment of a client who has GERD. Which of the following is an expected finding? A. Absence of saliva B. Painful swallowing C. Sweet taste in mouth D. Absence of eructation
B
A nurse in an emergency department is caring for a client who is experiencing an acute asthma attack. Which of the following assessments indicates that the respiratory status is declining? (select all that apply) A. SaO2 95% B. Wheezing C. Retraction of sternal muscles D. Pink mucous membranes E. Tachycardia
B, C, E
A nurse is providing discharge teaching to a client who has a new prescription for aluminum hydroxide. Which of the following information should the nurse include in the teaching? A. Take the medication with food. B. Monitor for diarrhea C. Wait 1 hr before taking other oral medications D. Maintain a low-fiber diet
C
A nurse is reviewing the health record of a client who has a suspected tumor of the jejunum. The nurse should expect a prescription for which of the following tests? (select all that apply) A. Blood alpha-fetoprotein B. Endoscopic retrograde cholangiopancreatography (ERCP) C. Gastrointestinal x-ray with contrast D. Small bowel capsule endoscopy (M2A) E. Colonoscopy
C, D Blood alpha-fetoprotein is used to detect liver cancer ERCP is used to visualize the duodenum, biliary ducts, gall bladder, liver, and pancreas
A nurse is preparing a presentation about basic nutrients for a group of high school athletes. She should explain that which of the following nutrients provides the body with the most energy? A. Fat B. Protein C. Glycogen D. Carbohydrates
D. Carbohydrates are the body's greatest energy source; providing energy for cells is their primary function. They provide glucose, which burns completely and efficiently without end products to excrete. They are also a ready source of energy, and they spare proteins from depletion.
Tubes used for feeding
Duo, Levin, Dobhoff
What are cathartics?
They promote peristalsis
tubes used for compression
sengstaken-blakemore
Daily fiber requirements
25-38 g/day
A nurse is teaching a group of clients about influenza. Which of the following client statements indicates an understanding of the teaching? A. "I should wash my hands after blowing my nose to prevent spreading the virus." B. "I need to avoid drinking fluids if i develop symptoms." C. "I need a flu shot every 2 years because of the different flu strains. D. "I should cover my mouth with my hand when I sneeze,"
A
A nurse is delivering an enteral feeding to a client who has an NG tube in place for intermittent feedings. When the nurse pours water into the syringe after the formula drains from the syringe, the client asks the nurse why the water is necessary. Which of the following responses should the nurse make? A. "Water helps clear the tube so it doesn't get clogged." B. "Flushing helps make sure the tube stays in place." C. "This will help you get enough fluids." D. "Adding water makes the formula less concentrated."
A. FLush the tube after instilling the feeding to help keep the NG tube patent by clearing any excess formula from the tube so that it doesn't clump and clog the tube.
Why is decompression used during intubation of the GI tract?
It helps remove gas of the stomach contents to prevent or relieve distention, nausea, and vomiting
Why is compression used during intubation of the GI tract?
Using an internal balloon to apply pressure for preventing GI or esophageal hemorrhaging
what is enuresis
bed-wetting
A provider is discharging a client who has a prescription for home oxygen therapy via nasal cannula. Client and family teaching by the nurse should include which of the following instructions? (Select all that apply) A. Apply petroleum jelly around and inside the nares B. Remove the nasal cannula during mealtimes. C. Check the position of the cannula frequently. D. Report any nausea or difficulty breathing E. Post "No Smoking" signs in prominent locations
C, D, E lubricant should be water based
A nurse is caring for a client who requires a low-residue diet. The nurse should expect to see which of the following foods on the client's meal tray? A. Cooked Barley B. Pureed Broccoli C. Vanilla Custard D. Lentil Soup
C. A low-residue diet consists of foods that are low in fiber and easy to digest. Dairy products and eggs (custard and yogurt) are appropriate for a low-residue diet.
A nurse is assessing a client following a bronchoscopy. Which of the following findings should the nurse report to the provider? A. Blood-tinged sputum B. Dry, nonproductive cough C. Sore throat D. Bronchospasms
D. Bronchospasms can indicate the client is having difficulty maintaining a patent airway. The nurse should notify the provider immediately. All the others are expected findings following a bronchoscopy
Tubes used for decompression
Salem sump, Miller-Abbott, Levin
Tubes used for lavage
ewald, levin, salem-sump
What do you need to look out for with intravenous pyelograms?
shellfish allergies, because of the medium used
A nurse is caring for a client who weighs 80 kg (176 lbs) and is 1.6 m (5 ft 3 in) tall. Calculate the body mass index (BMI) and determine whether this client's BMI indicates a healthy weight, underweight, overweight, or obese.
80/1.6^2 (2.56m^2) = 31.25 A BMI greater than 30 identifies obesity
A client who has an indwelling catheter reports a need to urinate. Which of the following actions should the nurse take? A. Check to see whether the catheter is patent. B. Reassure the client that it is not possible for them to urinate C. Recatheterize the bladder with a larger-gauge catheter. D. Collect a urine specimen for analysis.
A
A nurse is caring for a client who, upon awakening, was disoriented to person, place, and time. The client reports chills and chest pain that is worse upon inspiration. Which of the following actions is the nursing priority? A. Obtain baseline vital signs and oxygen saturation. B. Obtain a sputum culture C. Obtain a complete history from the client D. Provide a pneumococcal vaccine
A
A nurse is teaching a client who has a duodenal ulcer and a new prescription for esomeprazole. Which of the following information should the nurse include in the teaching. (Select all that apply) A. Take the medication 1 hr before a meal B. Limit NSAIDs when taking this medication C. Expect skin flushing when taking this medication D. Increase fiber intake when taking this medication E. Chew the medication thoroughly before swallowing
A, B
A nurse is teaching a client who will undergo a sigmoidoscopy. Which of the following information about the procedure should the nurse include? (Select all that apply) A. Increase flatulence can occur following the procedure B. NPO status should be maintained preprocedure. C. Conscious sedation is used D. Repositioning will occur throughout the procedure. E. Fluid intake is limited the day after the procedure
A, B
A nurse is preparing to administer a cleansing enema to an adult client in preparation for a diagnostic procedure. Which of the following steps should the nurse take? (select all that apply) A. Warm the enema solution prior to instillation B. Position the client on the left side with the right leg flexed forward C. Lubricate the rectal tube or nozzle D. Slowly insert the rectal tube about 5 cm (2 in) E. Hang the enema container 61 cm (24 in) above the client's anus.
A, B, C A - cold fluid could cause abdominal cramping and hot fluid can injure intestinal mucosa D - wrong; correct length of insertion for children is 5 cm. Adults is 7.6-10 cm (3-4 in) E - wrong; maximum recommended height is 46 cm. The height affects the rate of instillation. If hung above this, it will instill too fast and possibly cause painful distention of the colon
A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take when providing tracheostomy care? (Select all that apply) A. Apply the oxygen source loosely if the SpO2 decreases during the procedure B. Use surgical asepsis to remove and clean the inner cannula C. Clean the outer cannula surfaces in a circular motion from the stoma site outward D. Replace the tracheostomy ties with new ties E. Cut a slit in gause squares to place beneath the tube holder
A, B, C Only replace the ties when necessary, because there is risk for dislodging of tache
A nurse is preparing to care for a client following chest tube placement. Which of the following items should be available in the client's room? (select all that apply) A. Oxygen B. Sterile water C. Enclosed hemostat clamps D. Indwelling urinary catheter E. Occlusive dressing
A, B, C, E
A nurse is assessing a client who has acute respiratory infection, increasing the risk for hypoxemia. Which of the following findings are early indications that should alert the nurse that the client is developing hypoxia? (select all that apply) A. Restlessness B. Tachypnea C. Bradycardia D. Confusion E. Hypertension
A, B, D, E
A nurse in the emergency department is completing an assessment of a client who has suspected stomach perforation due to a peptic ulcer. Which of the following findings should the nurse expect? (Select all that apply) A. Rigid abdoment B. Tachycardia C. Elevated blood pressure D. Circumoral cyanosis E. Rebound tenderness
A, B, E
A nurse is caring for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The nurse should expect prescriptions for which of the following medications? (Select all that apply) A. Antacids B. Histamine2 receptor antagonists C. Opioid analgesics D. Fiber laxatives E. Proton Pump inhibitors
A, B, E
A nurse is planning care for a client who has acute gastritis. Which of the following nursing interventions should the nurse include in the plan of care? (Select all that apply) A. Evaluate intake and output B. Monitor laboratory reports of electrolytes C. Provide three large meals a day D. Administer ibuprofen for pain E. Observe stool characteristics
A, B, E
A nurse is planning care for a client following the insertion of a chest tube and drainage system. Which of the following should be included in the plan of care? (select all that apply) A. Encourage the client to cough and deep breathe. B. Check for continuous bubbling in the suction chamber C. Strip the drainage tubing every 4 hours D. Clamp the tube once a day E. Obtain a chest x-ray
A, B, E C is incorrect, because stripping creates negative high pressure and can damage lung tissue D is incorrect because tension from clamping can cause pneumothorax
A nurse is monitoring a group of clients for increased risk for developing pneumonia. Which of the following clients should the nurse expect to be at risk? (select all that apply) A. Client who has dysphagia B. Client who has AIDS C. Client who was vaccinated for pneumococcus and influenza 6 months ago D. Client who is postoperative and has received local anesthesia E. Client who has a closed head injury and is receiving mechanical ventilation F. Client who has myasthenia gravis
A, B, E, F
A nurse is caring for a client following a thoracentesis. Which of the following supplies should the nurse ensure are in the client's room? (select all that apply) A. Oxygen equipment B. Incentive spirometer C. Pulse oximeter D. sterile dressing E. Suture removal kit
A, C, D
A nurse is caring for a client following a thoracentesis. Which of the following manifestations should the nurse recognize as risks for complications? (Select all that apply) A. Dyspnea B. Localized bloody drainage on the dressing C. Fever D. Hypotension E. Report of pain at the puncture site.
A, C, D A: can indicate pneumothorax or a reaccumulation of fluid C: fever can indicate infection D: can indicate intrathoracic bleeding
A nurse is reviewing factors that increase the risk of urinary tract infections (UTI's) with a client who has recurrent UTIs. Which of the following factors should the nurse include? (Select all that apply) A. Frequent sexual intercourse B. Lowering of testosterone levels C. Wiping from front to back to clean the perineum. D. Location of the urethra closer to the anus E. Frequent catheterization
A, D, E
A nurse is preparing to perform endotracheal suctioning for a client. The nurse should follow which of the following guidelines? (Select all that apply) A. Apply suction while withdrawing the catheter. B. Perform suctioning on a routine basis every 2 to 3 hr. C. Maintain medical asepsis during suctioning attempt. D. Use a new catheter for each suctioning attempt E. Apply suction for 10 to 15 seconds.
A, D, E Only perform as needed, because it's risky. You use surgical asepsis (idk the difference) Only 10-15 seconds is what they mean, not more
A nurse is caring for a client who has a prescription for a 24-hr urine collection. Which of the following actions should the nurse take? A. Discard the first void B. Keep the urine in a single container at room temperature C. Dispose of the last voiding. D. Ask the client to urinate into the toilet, stop midstream, and finish urinating into the specimen container.
A. Should be refridgerated
A nurse is reviewing bowel prep using polyethylene glycol with a client scheduled for a colonoscopy. Which of the following instructions should the nurse include? A. Check with the provider about taking current medications when consuming bowel prep B. Consume a normal diet until starting the bowel prep. C. Expect the bowel prep to not begin acting until the day after all the prep is consumed. D. Discontinue the bowel prep once feces start to be expelled.
A. a clear liquid diet should be consumed before the bowel prep
A nurse is caring for a client in a long-term care facility who is receiving enteral feedings via an NG tube. Which of the following actions should the nurse complete prior to administering the tube feeding? (select all that apply) A. Auscultate bowel sounds B. Assist the client to an upright position C. Test the pH of gastric aspirate. D. Warm the formula to body temperature E. Discard any residual gastric contents
A. Auscultate for bowel sounds, because the client's gastrointestinal tract might not be able to absorb nutrients. Then withhold feedings and notify the provider. B. Place the client in an upright position, with at least a 30 degree elevation of the head of the bed. Upright positioning helps prevent aspiration. C. Before administering enteral feedings, verify the placement of the NG tube. The only reliable method is x-ray confirmation, which is impractical prior to every feeding. Testing the pH of gastric aspirate is an acceptable method between x-ray confirmations.
A nurse is preparing to insert an NG tube for a client who requires gastric decompression. Which of the following actions should the nurse perform before beginning the procedure? (select all that apply) A. Review a signal the client can use if feeling any distress. B. Lay a towel across the client's chest. C. Administer oral pain medication. D. Obtain a Dobhoff tube for insertion E. Have a petroleum-based lubricant available
A. Establish a means for the client to communicate that they want to stop the procedure before inserting an NG tube. B. Place a disposable towel across the client's chest to provide for a clean environment and protect the client's gown from becoming soiled.
A nurse is caring for a client who is scheduled for a thorecentesis. Prior to the procedure, which of the following actions should the nurse take? A. Position the client in an upright position, leaning over the bedside table, B. Explain the procedure C. Obtain ABG's D. Administer benzocaine spray
A. Positioning the client in an upright position and bent over the bedside table widens the intercostal space for the provider to access the pleural fluid.
A nurse in a senior center is counseling a group of older adults about their nutritional needs & considerations. Which of the following info should the nurse include? Select all. A. Older adults are more prone to dehydration than younger adults are B. Older adults need the same amount of most vitamins & minerals as younger adults do C. Many older men & women need calcium supplementation D. Older adults need more calories than they did when they were younger E. Older adults should consume a diet low in carbohydrates
A. Sensations of thirst diminish with age, leaving older adults more prone to dehydration B. These requirements do not change form middle adulthood to older adulthood. However, some older adults need additional vitamin and miner supplements to treat or prevent specific deficiencies. C. If older adults ingest insufficient calcium in the diet, they need supplements to help prevent bone demineralization (osteoporosis)
A nurse is having difficulty arousing a client following an esophagogastroduodenoscopy (EGD). Which of the following is the priority action by the nurse? A. Assess the client's airway B. Allow the client to sleep. C. Prepare to administer an antidote to the sedative D. Evaluate preprocedure laboratory findings
A. because of the A,B, C's in priority setting framework All others are correct, but not priority
Which medications will cause urinary retention?
Antihistimines and Anticholinergics
A nurse is instructing a client who has celiac disease about foods to avoid. Which of the following foods should the nurse include in the teaching? A. potatoes B. graham crackers c. Wild rice D. canned pears
B
A nurse is teaching about pernicious anemia with a client who has chronic gastritis. Which of the following information should the nurse include int he teaching? A. Pernicious anemia is caused when the cells producing gastric acid are damaged. B. Expect a monthly injection of vitamin B12 C. Plan to take vitamin K supplements. D. Pernicious anemia is caused by an increased production of intrinsic factor
B
A nurse is assessing a client who has a chest tube and drainage system in place. Which of the following are expected findings? (select all that apply) A. Continuous bubbling in the water seal chamber B. Gentle constant bubbling in the suction control chamber C. Rise and fall in the level of water in the water seal chamber with inspiration and expiration D. Exposed sutures without dressing E. Drainage system upright at chest level
B, C
A nurse is caring for a client who has pneumonia. Assessment findings include temperature 37.8 degrees Celsius (100 degrees F), respirations 30/min, blood pressure 130/76, heart rate 100 bpm, and SaO2 91% on room air. Prioritize the following nursing interventions. A. Administer antibiotics. B. Administer oxygen therapy. C. Perform sputum culture D. Instruct the client to obtain a yearly influenza vaccine
B, C, A, D
A nurse is collecting data from a client who has peptic ulcer disease (PUD). Which of the following findings should the nurse expect? (select all that apply) A. Steatorrhea B. Anemia C. Tarry stools D. Epigastric pain E. Swollen lymph nodes
B, C, D
A nurse is preparing to initiate a bladder-retraining program for a client who has incontinence. Which of the following actions should the nurse take? (Select all that apply) A. Restrict the clients intake of fluids during the daytime. B. Have the client record urination times. C. Gradually increase the urination intervals D. Remind the client to hold urine until the next schedule urination time. E. Provide a sterile container for urine
B, C, D
A nurse is assessing a client who has had diarrhea for 4 days. Which of the following findings should the nurse expect? (select all that apply) A. Bradycardia B. Hypotension C. Elevated temperature D. Poor skin turgor E. Peripheral Edema
B, C, E A- wrong; clients with prolonged diarrhea are expected to have tachycardia due to dehydration E. Wrong; expect possibly weakened peripheral pulses due to dehydration. Edema results from a fluid overload
A nurse is teaching a client who reports stress urinary incontinence. Which of the following instructions should the nurse include? (select all that apply) A. Limit total daily fluid intake. B. Decrease or avoid caffeine C. Take calcium supplements D. Avoid drinking alcohol E. Use the Crede maneuver
B, D The Crede maneuver helps with reflex incontinence.
A nurse is assessing a client who is postoperative from a gastric bypass and who just finished eating a meal. Which of the following findings are manifestations of dumping syndrome? (Select all that apply) A. Bradycardia B. Dizziness C. Dry skin D. Hypotension E. Diarrhea
B, D, E
A nurse is teaching a client who is recovering from pancreatitis about following a low-fat diet. Which of the following foods should the nurse recommend? (Select all that apply) A. Ribeye steak B. Oatmeal C. Ice cream D. Canned peaches E. Pretzels
B, D, E
A nurse at a provider's office is reviewing information with a client scheduled for pulmonary function tests (PFT's). Which of the following information should the nurse include? A. "Do not use inhaler medications for 6 hr following the test." B. "Do no smoke tobacco for 6 to 8 hr prior to the test." C. "You will be asked to bear down and hold your breath during the test." D. "The arterial blood flow to your hand will be evaluated as part of the test."
B.
While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the following actions should the nurse take? A. Have the client hold their breath briefly and bear down. B. Clamp the enema tubing C. Remind the client that cramping is common at this time D. Raise the level of the enema fluid container.
B. Correct: clamp the tube for 30 seconds to reduce intestinal spasms A - wrong; slow, deep breaths to relax and ease discomfort C - wrong; this is nontherapeutic, because it implies that the client must tolerate the discomfort and that the nurse cannot or will not do anything to ease it. D - wrong; do not raise the enema fluid container because this action can INCREASE intestinal spasms and abdominal cramping
A nurse is providing dietary teaching for a client who reports constipation. Which of the following foods should the nurse recommend? A. Macaroni and cheese B. one medium apple with skin C. One cup of plain yogurt D. Roast chicken and white rice
B. One medium apple with the skin is the best food source to recommend because it contains 4.4 g of fiber
A nurse is caring for a client who is receiving continuous enteral feedings. Which of the following nursing interventions is the highest priority when the nurse suspects aspiration of the feeding? A. Auscultate breath sounds B. Stop the feeding C. Obtain a chest x-ray D. Initiate oxygen therapy
B. The greatest risk to client is aspiration pneumonia. The first action to take is to stop the feeding so that no more formula can enter the lungs.
A nurse is preparing to instill an enteral feeding for a client who has an NG tube in place. Which of following actions is the nurse's highest assessment priority before performing this procedure? A. Check how long the feeding container has been open B. Verify the placement of the NG tube C. Confirm that the client does not have diarrhea D. Make sure the client is alert and oriented
B. The greatest risk to the client receiving enteral feedings is injury from aspiration. The priority nursing assessment before initiating an enteral feeding is to verify proper placement of the NG tube.
A nurse is caring for a client who has a chest tube and drainage system in place. The nurse observes that the chest tube was accidentally removed. Which of the following actions should the nurse take first? A. Obtain a chest x-ray B. Apply sterile gauze to the insertion site. C. Place tape around the insertion site D. Assess respiratory status.
B. To reduce the chance of a tension pneumothorax. D is a close second, but not the very first step
A nurse is caring for a client who is at high risk for aspiration. Which of the following actions should the nurse take? A. Give the client thin liquids B. Instruct the client to tuck their chin when swallowing C. Have the client use a straw D. Encourage the client to lie down and rest after meals
B. Tucking the chin when swallowing allows food to pass down the esophagus more easily
A nurse is reinforcing teaching with a client on the purpose of taking a bronchodilator. Which of the following client statements indicates understanding? A. "This medication can decrease my immune response." B. "I take this medication to prevent asthma attacks." C. "I need to take this medication with food." D. "This medication has a slow onset to treat my symptoms."
B. it has a fast onset to relieve symptoms
A nurse is teaching a client who has a hiatal hernia. Which of the following client statements indicates an understanding of the teaching? A. "I can take my medications with soda." B. "Peppermint tea will increase my indigestion." C. "Wearing an abdominal binder will limit my manifestations." D. "I will drink hot chocolate at bedtime to help me sleep." E. "I can lift weights as a way to exercise."
B. this decreases LES pressure and should be avoided
A nurse is completing a discharge teaching for a client who has an infection due to Helicobacter pylori (H. pylori). Which of the following statements by the client indicates understanding of the teaching? A. "I will continue my prescription for corticosteroids." B. "I will schedule a CT scan to monitor improvement." C. "I will take a combination of medications for treatment." D. "I will have my throat swabbed to recheck for this bacteria."
C Corticosteroids are a CONTRIBUTING factor, so must be avoided. A combination of antibiotics and a histamine2 receptor antagonist will be used.
A nurse is completing an assessment of a client who has a gastric ulcer. Which of the following findings should the nurse expect? (Select all that apply) A. Client reports pain relieved by eating. B. Client states that pain often occurs at night C. Client reports a sensation of bloating D. Client states that pain occurs 30 min to 1 hr after a meal E. Client experiences pain upon palpation of the epigastric region.
C, D, E
A nurse is teaching a client who has a new prescription for famotidine. Which of the following statements by the client indicates understanding of the teaching? A. "The medicine coats the lining of my stomach." B. "The medication should stop the pain right away." C. "I will take my pill at bedtime." D. "I will monitor for bleeding from my nose."
C. This decreased acid output and helps with nocturnal acid release
A nurse is providing a discharge teaching to a client who has a new prescription for prednisone for asthma. Which of the following client statements indicates understanding? A. "I will decrease my fluid intake while taking this medication.: B. "I will expect to have black, tarry stools." C. "I will take my medication with meals." D. "I will monitor for weight loss while on this medication."
C: On an empty stomach, prednisone could cause GI distress
A nurse in a clinic is assessing a client who has sinusitis. Which of the following techniques should the nurse use to identify manifestations of this disorder? A. Percussion of posterior lobes of lungs B. Auscultation of the trachea C. Inspection of the conjunctiva D. Palpation of the orbital areas
D
A nurse is assisting a provider with the removal of a chest tube. Which of the following actions should the nurse take? A. Instruct the client to lie prone with arms by the sides. B. Complete a surgical checklist on the client. C. Remind the client that there is minimal discomfort during the removal process. D. Place an occlusive dressing over the site once the tube is removed.
D
A nurse is teaching a client who has constipation about a high-fiber, low-fat diet. Which of the following food choices by the client indicates understanding of the teaching? A. Peanut butter B. Peeled apples C. Hardboiled egg D. Brown rice
D
A nurse in a clinic is instructing a client about a fecal occult blood test, which requires mailing three specimens. Which of the following statements by the client indicates understanding? A. "I will continue taking my warfarin while I complete these tests. B. "I'm glad I don't have to follow any special diet at this time." C. "This test determines if I have parasites in my bowel." D. "This is an easy way to screen for colon cancer."
D. A is incorrect because clients are encouraged NOT to take anticoagulants because it can interfere with the results
A nurse is caring for a client who will perform fecal occult blood testing at home. Which of the following information should be included when explaining the procedure to the client? A. Eating more protein is optimal prior to testing. B. One stool specimen is sufficient for testing C. A red color change indicates a positive test D. The specimen cannot be contaminated with urine.
D. For fecal occult blood testing, instruct the client not to contaminate the stool specimens with water or urine.
A nurse is admitting a client who has bleeding esophageal varices. The nurse should expect a prescription for which of the following medications? A. Propranolol B. Metoclopramide C. Ranitidine D. Vasopressin
D. Vasopressin restricts blood vessels and is used to treat this
A nurse is caring for a client 2 hrs after admission. The client has an SaO2 of 91%, exhibits audible wheezes, and is using accessory muscles when breathing. Which of the following classes of medications should the nurse expect to administer? A. Antibiotic B. Beta-blocker C. Antiviral D. Beta2 agonist
D. causes dilation of the bronchioles Beta-blockers are used for dysrhythmias, hypertension and heart disease
A nurse is teaching a client who has a new diagnosis of dumping syndrome following gastric surgery. Which of the following information should the nurse include in the teaching? A. Eat three moderate-sized meals a day B. Drink at least one glass of water with each meal. C. Eat a bedtime snack that contains a milk product. D. Increase protein in the diet
D. this slows the process so stuff doesn't shoot through
Lavage
Washing out the stomach to treat active bleeding, ingestion of poison, or for gastric dilation
When marking the side of the urinal to measure urine, what would be cause of concern?
a urinary measurement of less than 30mL/hr for more than 2 hours
paralytic ileus
an intestinal obstruction caused by reduced motility following bowel manipulation during surgery, electrolyte imbalance, wound infection, or by the effects of medication
A nurse is completing discharge teaching with a client who is postoperative following fundoplication. Which of the following statements by the client indicates understanding of the teaching? A. "When sitting in my lounge chair after a meal, I will lower the back of it." B. "I will try to eat three large meals a day." C. "I will elevate the head of my bed on blocks." D. "I will avoid eating within 1 hour before bedtime."
c
syncope
fainting or sudden loss of consciousness
fluid requirements
females - 2L/day males - 3L/day