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Med Surg 2 Test
| Question | Answer |
|---|---|
| A nurse is teaching a client to prepare for a colostomy. Which of the following instructions should the nurse include in the teaching? | "Drink clear liquids for 24 hr prior to the procedure, then take nothing by mouth for 6 hr before the procedure". |
| A nurse is providing discharge teaching for a client who has mild diverticulitis. Which of the following statements made by the client indicates an understanding of the teaching. | "I should eat foods that are low in fiber." |
| A nurse is providing discharge teaching for a client following an ileostomy. The nurse should instruct the client to report which of the following to the provider? | Dark purple stoma |
| A nurse is assessing a client who has a duodenal ulcer. Which of the following findings should the nurse expect? | The client reports that the pain occurs during the night |
| A nurse is reviewing the laboratory results of a client who has acute pancreatitis. Which of the following findings should the nurse expect? | Increased amylase |
| A nurse is caring for a client who has GERD and a new prescription for metoclopramide. The nurse should plan to monitor for which of the following adverse effects? | Ataxia |
| A nurse is caring for a client who has colorectal cancer and is having chemotherapy. The client ask the nurse why blood is being drawn for a carcinoembryonic antigen (CEA) level. Which of the following responses should the nurse make? | "The CEA determines the efficacy if you're chemotherapy". |
| A nurse is assessing a client who has acute hepatitis B. Which of the following findings should the nurse expect? | Joint pain |
| A nurse is providing discharge teaching for a client who has GERD. Which of the following statements by the client indicates an understanding of the teaching? | "I will decrease the amount of carbonated beverages I drink". |
| A nurse is assessing a client who has gastrointestinal bleeding. Which of the following findings should the nurse expect? | Hypotension |
| A nurse is reviewing the laboratory values of a client who has colorectal cancer. Which of the following findings should the nurse expect? | Hemoglobin 9.1 g/dL |
| A nurse is providing discharge teaching for a client who has a new colostomy and is concerned about flatus and odor. Which of the following foods should the nurse recommend to the client? | Yogurt |
| A nurse is caring for a client who has ulcerative colitis. The client has several exacerbations over the past 3 years. Which of the following instructions should the base include in the plan of care to minimize the risk of further exacerbations? | - Use progressive relaxation techniques. - Arrange activities to allow for daily rest periods. - Restrict intake of carbonated beverages. |
| A nurse is admitting a client who has acute pancreatitis. Which of the following actions should the nurse take first? | Identify the clients current level of pain. |
| A nurse is providing dietary teaching for a client who is postoperative following a gastrectomy. Which of the following foods should the nurse encourage the client to include in their diet to reduce the risk for dumping syndrome? | Eggs |
| A nurse is providing discharge teaching for a client who has a prescription for medications to treat peptic ulcer disease. The nurse should inform the client that which of the following medications inhibits gastric acid secretions? | Famotidine |
| A nurse is assessing a client who has cirrhosis. Which of the following findings is a priority for the nurse to report to the provider? | Bloody stools |
| A nurse is providing dietary teaching for a client who has chronic pancreatitis. Which of the following food selections by the client indicates an understanding of the teaching? | 1 cup (0.24 L) sliced banana |
| A nurse is providing discharge teaching for a client who has peptic ulcer disease and a new prescription for famotidine. Which of the following statements by the client indicates an understanding of the teaching? | "I should take this medication at bedtime". |
| A nurse is reviewing a prescription for a client who has campylobacter enteritis. Which of the following prescriptions should the nurse clarify with the provider? | Magnesium hydroxide |
| A nurse is assessing a client who has peritonitis. Which of the following findings should the nurse expect? | Board-like abdomen |
| A nurse is assessing a client who has Crohn's disease. Which of the following findings should the nurse expect? | Fatty diarrheal stools |
| A nurse is developing a plan of care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse include in the plan? | Measure the clients abdominal girth daily |
| A nurse is assessing a client immediately following a paracentesis for the treatment of ascites. Which of the following indicates the procedure was effective? | Decreased shortness of breath |
| A nurse is proving dietary teaching for a client who has a new diagnosis of celiac disease. Which of the following statements by the client indicates an understanding of the teaching? | "I will eat beans to ensure that I get enough fiber in my diet." |
| A nurse is reviewing the laboratory results of a client who has hepatic cirrhosis. Which of the following laboratory findings should the nurse report to the provider? | Ammonia 180 mcg/dL |
| A nurse is providing teaching for a client who has cirrhosis and a new prescription for lactulose. The nurse should include which if the instructions in the teaching? | Expect to have two to three soft stools per day |
| A nurse is assessing a client who is postoperative following a gastrectomy. The nurse should identify which of the following findings as an indication of abdominal distention. | Hiccups |
| A nurse is assessing a client who has appendicitis. Which of the following findings should the nurse expect. (select all that apply) | - Oral temperature 38.4 C (101.1 F) - Nausea and vomiting - Right lower quadrant pain |
| A nurse is providing discharge teaching for a client who has chronic hepatitis C. Which of the following statements by the client indicates understanding of the teaching? | "I will avoid medications that contain acetaminophen". |