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Medu surg Quiz 2
| Question | Answer |
|---|---|
| A nurse is caring for a client who just has been diagnosed with a peptic ulcer. When teaching the client about his new diagnosis, how should the nurse best describe it? | - Erosion of the lining of the stomach or intestine |
| A nurse is admitting a client who reports anorexia and is experiencing malnutrition. Which of the following laboratory findings should the nurse expect to be altered? | - Albumin |
| A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective? | - Reduced dyspepsia |
| A nurse is teaching a client's adult son about how to position the client when administering enteral feedings at home. Which of the following statements by the son indicates an understanding of the teaching? | I will have him sit up in his chair during the feeding." |
| The nurse screens a middle-aged client's vision and notes that the client has difficulty reading print unless it is placed at arm's length. The client tells the nurse that the same problem happened to his father. The nurseis aware that the health care pra | - Presbyopia |
| The nurse is caring for a client scheduled for a colonoscopy. The nurse should assist the client into what position during this diagnostic test? | - Lying on the left side with legs drawn toward the chest |
| A 35-year-old client presents at the emergency department with symptoms of a small bowel obstruction. In collaboration with the primary care provider, what intervention should the nurse prioritize? | - Insertion of a nasogastric tube |
| A nurse is providing teaching to 20-year-old Hispanic male patient who has celiac disease. The nurse should include which of the following food choices for this patient? | - Rice |
| - A nurse who provides care in an ambulatory clinic integrates basic cancer screening into admission assessments. What client most likely faces the highest immediate risk of oral cancer? | - A 65-year-old man with alcoholism who smokes |
| A client with gastroesophageal reflux disease (GERD) has a diagnosis of Barrett esophagus with minor cell changes. What principle should be integrated into the client's subsequent care? | - The client will be monitored closely to detect malignant changes. |
| - A 45-year-old Hypertensive and Diabetic client has informed the home health nurse that he/she has recently noticed distortions when looking at the Amsler grid that is mounted on the refrigerator. What is the nurse's most appropriate action? | - Avoid drinking alcohol |
| The nurse is assessing a client who had an ileostomy created three days ago, for the treatment of irritable bowel disease. The nurse observes that the client's stoma is bright red and there are scant amounts of blood on the stoma. What is the nurse's bes | - Document these expected assessment findings. |
| A nurse is caring for a client with a subclavian central line who is receiving parenteral nutrition (PN). In preparing a care plan for thisclient, what nursing diagnosis should the nurse prioritize? | - Risk for infection related to the presence of a subclavian catheter |
| - A nurse is completing a medication history for a client who reports using over-the-counter calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this medication to prevent esophageal ulcers? | - Reduce sodium intake. |
| A nurse is assessing a client who has just been admitted to the postsurgical unit following surgical resection for the treatment of oropharyngeal cancer. What assessment should the nurse prioritize? | - Assess for a patent airway. |
| - A nurse is presenting an educational event to a local community group. When speaking about colorectal cancer, what risk factor should the nurse cite? | - History of Crohn's Disease and/or Ulcerative Colitis |
| A nurse is working with a client who has chronic constipation. What should be included in client teaching to promote normal bowel function? | - Consume high-residue, high-fiber foods |
| A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation? | - Sudden sharp abdominal pain |
| A client is recovering in the hospital following gastrectomy. The nurse notes that the client has become increasingly difficult to engage and has had several angry outbursts at staff members in recent days The nurse's attempts at therapeutic dialogue hav | - Make appropriate referrals to services that provide psychosocial support. |
| A nurse is caring for a client who is 9 days postoperative followinga total laryngectomy. The nurse removes the client's NG tube and initiates oral feedings. Which of the following statements should the nurse make? | - "It is no longer possible for you to choke on or aspirate food." |
| A 26-year-old client presents at the emergency department reporting right lower quadrant pain and is subsequently diagnosed with appendicitis. When planning this client's nursing care, the nurse should prioritize what nursing diagnosis? | - Acute Risk for infection related to possible rupture of appendix |
| A nurse is caring for a client who is scheduled to have a magnetic resonance imaging (MRI) scan. The client asks the nurse what to expect during the procedure. Which of the following statements should the nurse make? | - "An MRI scan is very noisy, and you will be allowed to wear earplugs while in the scanner." |
| - A nurse is promoting increased protein intake to enhance a client's wound healing. What is the enzyme that will initiate the digestion of the protein that the client consumes? | - Checking the client's capillary blood glucose levels regularly |
| - A nurse is promoting increased protein intake to enhance a client's wound healing. What is the enzyme that will initiate the digestion of the protein that the client consumes? | - Pepsin |
| A nurse is caring for a client who has gastrointestinal bleeding. Which of the following actions should the nurse take first to assess for shock? | - Assess orthostatic blood pressure. |
| A nurse is conducting health screening with a diverse group of clients. Which client likely has the most risk factors for developing hemorrhoids? | - A pregnant woman at 28 weeks' gestation |
| The nurse is collecting the history of a client diagnosed with a cataract and is performing a focused assessment. Which finding should the nurse anticipate? | - Burred or cloudy Vision |
| A client has sought care because of recent dark-colored stools. Asa result, a fecal occult blood test has been ordered. The nurse should give what instructions to the client? | - "Do not take any NSAIDs within 72 hours of the test. |
| - A nurse is addressing the prevention of esophageal cancer in response to a question posed by a participant in a health promotion workshop. What action should the nurse recommend as having the greatest potential to prevent esophageal cancer? | - Early diagnosis and treatment of gastroesophageal reflux disease |
| A client who experienced shock secondary to a large upper gastrointestinal (G) bleed due to gastritis has had the bleeding controlled and is now stable. For the next several hours, the nurse caring for this client should assess for what signs and sympto | - Tachycardia, hypotension, and tachypnea |
| A nurse is providing teaching for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The client asks about foods he should avoid eating. Which of the following foods should the nurse tell him to avoid? | - Fatty and Fired foods. |
| A nurse is completing a health history on a client whose diagnosis is chronic gastritis. Which of the data should the nurse consider most significantly related to the etiology of the client's health problem? | - Smokes three packs of cigarettes daily. |
| A nurse is instructing a client who has GERD about positions that can help minimize the effects of reflux during sleep. Which of the following statements indicates to the nurse that the client understands the instructions? | - "I will lie on my right side to sleep at night while elevating the head of my bed 4 to 12 inches." |
| A medical nurse who is caring for a client being discharged home after a radical neck dissection has collaborated with the home health nurse to develop a plan of care for this client. What is a priority psychosocial outcome for this client? | - Indicates acceptance of altered appearance and demonstrates positive self- Image. |
| Some clients with acoustic neuromas have vertigo. What is a priority nursing action for clients with vertigo? | - Protect the client from injury. |
| A client has been brought to the emergency department with abdominal pain and is subsequently diagnosed with appendicitis. The client is scheduled for an appendectomy but questions the nurse about how a person's health is affected by the absence of the a | - "Your appendix doesn't play a major role in health, so you won't notice any difference after your recovery from surgery." |
Created by:
Maguirre1537