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Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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show ANS: D The patient’s symptoms indicate moderate anemia, which is consistent with a Hgb of 6 to 10 g/dL. The other values are all within the range of normal.  
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show ANS: A Eggs and whole grain breads are high in iron. The other choices are appropriate for other nutritional deficiencies but are not the best choice for a patient with iron-deficiency anemia.  
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show B. Monitor stools for blood.  
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show  
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show Abdominal distention  
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Which screening test with the nurse plan to teach a 45-year-old male during an annual wellness exam Colonoscopy Endoscopy Computerized tomography CEA   show
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show Document stoma assessment findings  
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show Collect a stool specimen  
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show Use a fecal management system  
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A patient in the emergency room has just been diagnosed with peritonitis from a ruptured diverticulum which prescribed intervention with the nurse implement first Send a patient for a CT scan Insert a urinary catheter to drainage Infuse Flagyl 500 mg IV P   show
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Which action would the nurse include in the plan of care for a patient who is being admitted with CDiff? Teach the patient about proper food storage Order a diet without dietary products for the patient Play the patient in a private room on contact isolat   show
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A 70 year old patient tells the nurse that growing old causes constipation so he has been using a suppository to prevent constipation every morning which action would the nurse take first Encourage the patient to increase oral fluid intake Question the pa   show
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A 22-year-old female patient with an acute exacerbation of ulcerative colitis is having 15 to 20 stools daily and has excoriated perianal skin which patient behavior indicates the nurse is teaching about skin Integrity has been affective. The patient uses   show
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show Hemoglobin 8.6.  
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Which many choices indicates that the patient understands the nurses recommendations about dietary choices for iron deficiency, anemia? Omelette and whole wheat toast. Cantaloupe and cottage cheese. Strawberry and banana fruit plate. Cornmeal muffin and o   show
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show Folic acid  
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Which patient statement to the nurse in the case of the patient understands self-care for pernicious anemia? I need to start eating more red meat in Liver. I will stop having a glass of wine with dinner. I could choose nasal spray rather than injections o   show
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Which is an appropriate nursing intervention for a hospitalized. Patient with severe hemolytic anemia? Provide a diet high in vitamin K. Teach the patient how to avoid injury. Encourage alternating rest and activity. Placed a patient on protective, isolat   show
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show I should notify my healthcare provider if my stools turn black  
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show Infection  
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Which nursing intervention is important when providing care for a patient with sickle cell crisis? Limiting the patient intake of oral an IV fluids. Evaluating the effectiveness of opioid analgesics. Encouraging the patient ambulate as much as tolerated.   show
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show Restore crisis is decreased by having an annual influenza vaccination  
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show Avoid exposure to crowds when possible  
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The nurse observes Carol Johnson, a patient being admitted with hemolytic anemia. Which laboratory results to the nurse check? Schilling test. Bilirubin level. Stole occult blood. Gastric acid analysis.   show
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Which intervention will be included in the nursing care plan for a patient with immune thrombocytopenic purpura? Assign the patient to a private room. Avoid intramuscular injections. Use France rather than a soft toothbrush for oral care. Restrict activit   show
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show Activated partial, thromboplastin time  
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The nurse is caring for a patient with type a hemophiliac being admitted to the hospital a severe pain and swelling in the right knee. Which action should the nurse take? Apply heat to the knee. Immobilized a knee joint. Assist patient with light weight b   show
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show Bleeding time  
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show I may use over-the-counter loperamide or paregoric when I need to control the diarrhea  
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show Work gloves and wash hands with soap and water  
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show Assisted patient to the bathroom at the time of normal defecation  
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A nurse is doing assessment on a patient with chronic constipation. What date of tender in the interview may be a factor contributing to the constipation? Taking Citrucel daily. Hi dietary fiber in High fluid intake. History of hemorrhoids and hypertensio   show
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The nurse teach the patient with chronic constipation that which food has the highest dietary fiber? Peach. Popcorn. Dried beans. Shredded wheat.   show
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show Enema  
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When considering the following causes of acute abdomen, the nurse should know that surgery would be indicated for select all that apply? Pancreatitis. Acute ischemic bowel. Foreign body perforation. Ruptured ectopic pregnancy. Pelvic inflammatory disease.   show
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A patient returns to the surgical unit with an NG tube to load intermittent suction IV fluids in a Jackson-Pratt drain at the surgical site following exploratory, laparotomy and repair of a bowel perforation four hours after admission the patient experien   show
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show Ambulate the patient more frequently  
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show Have this sentence valuated right away by healthcare provider at a hospital ed  
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When caring for a patient with irritable bowel syndrome, what is the most important thing for the nurse to do? Recognize that IBS is a psycho, genic illness. That cannot be definitively diagnose. Develop a trusting relationship with a patient. Provide sup   show
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show Assess the patient’s vital signs  
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show NPO in preparation for surgery  
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The patient has peritonitis, which is a major complication of ruptured appendix. What treatment should the nurse plan to include? Paratonia Lavidge. Peritoneal dialysis. IV fluid replacement. Increase oral fluid intake.   show
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show Weight loss, abdominal pain, segment and distribution involves the entire thickness of the bowel wall  
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What laboratory findings are expected in ulcerative colitis because of diarrhea and vomiting? Increase albumin. Elevated white blood cells. Decrease serum, sodium potassium. Magnesium chloride and bicarb. Decreased hemoglobin and hematocrit.   show
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show Erythema, nodosum and osteoporosis  
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show NPO IV, fluids in ng suction parent Terrell nutrition  
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The medication as prescribed for the patient with IBD include Kvammen an iron injections. What is the reason for using these drugs? Alleviate stress. Combat infection. Correct amount nutrition. Improve quality of life.   show
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show Antidiarrheal agents  
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show A loop ileostomy with a plastic rod to hold it in place  
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A patient with ulcerative colitis has a total proctocolectomy with formation of terminal ileum stoma what is the most important nursing intervention for this patient postoperatively? Measure the ileostomy output determine the status of the patient’s fluid   show
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show Pallor in hair loss  
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Doctor just told the patient that she has a volvulus. When the patient ask the nurse what this is what is the best description for the nurse to give her? Val folding in on itself. Twisting about one itself. Emboli of arterial supply to the battle. Protrus   show
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The patient comes to the hospital with intermittent crampy, abdominal pain, nausea, vomiting, dehydration, the nurse suspects, G.I. obstruction based on the manifestations what area of the bells to the nurse suspects obstructed? Large intestine. Esophagea   show
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show Provide mouth care frequently  
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Turn the routine screening colonoscopy on a 56-year-old patient a rectosigmoid a polyp was identified and removed the patient as a nurse of his rest for colon cancer is increase because of the Pollock. What is the best response by the nurse?   show
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show Dietary intake  
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When a patient returns to the clinical unit after an abdominal, peroneal resection, what should the nurse expect the patient to have? An abdominal dressing. And abdominal wound drains. A temporary colostomy and drains. A perineal wound drains and stoma.   show
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show If leakage occurs promptly remove the pouch, clean the skin, and apply pouch  
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show Brick, red, puffy, stoma that oozes blood  
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The nurse coordinating care for a patient who is today’s postoperative following in a domino peroneal resection with colostomy may delegate which interventions to the license. Practical nurse select all that apply? Your get a colostomy. Teach ostomy and s   show
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show Explain the physical and emotional factors can affect sexual function, but not necessarily the patient sexuality  
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show Semi formed stool in a pouch with the need to monitor fluid balance  
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show Encourage the patient to share concerns and ask questions  
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What should the nurse teach the patient with diverticulosis to do? Use antibiotics routinely to prevent future inflammation have an annual colonoscopy to detect malignant changes in the lesions. Maintain a high fiber diet and encourage fluid intake of at   show
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show Monitor for signs of peritonitis  
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The patient calls the clinic and describes a bump, the side of a previous incision that it disappears when he lies down. The nurse suspects that this is which type of hernia select all that apply? Ventral. Inguinal. Femmoral. Reducible. Incarcerated. Stra   show
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The patient ask the nurse why she needs to have surgery for for moral strangulated hernia. What is the best explanation the nurse can give the patient? The surgery will relieve your constipation. The abnormal hernia must be replaced into the admin. The su   show
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What is a Nursin Monroe Vision? Service indicated for a male patient follow me an inguinal hernia repair? Apply heat to inguinal area. Elevate the scrotum with scrotal support. Apply trust to support the operative site. Encourage the patient to cough and   show
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show Avoidance of milk and milk products  
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show I don’t need to restrict gluten take because I don’t have diarrhea or bowel symptoms  
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show Extensive resection of the ileum  
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show Collection of peroneal pus  
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show Human papillomavirus  
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Following a hemorrhoid ectomy, what should the nurse advise the patient to do? Use daily laxatives to facilitate about emptying. Use ice packs to the perineum to prevent swelling. Avoid having a bowel movement for several days until healing occurs. Take w   show
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Which action will the nurse include in the plan of care for a patient who is being admitted with Clostridium difficile? a. Teach the patient about proper food storage. b. Order a diet without dairy products for the patient. c. Place the patient in a priva   show
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A 74-yr-old male patient tells the nurse that growing old causes constipation, so he has been using a suppository to prevent constipation every morning. Which action should the nurse take first? a. Encourage the patient to increase oral fluid intake. b.   show
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show D  
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A 26-yr-old woman is being evaluated for vomiting and abdominal pain. Which question from the nurse will be most useful in determining the cause of the patient’s symptoms? a. “What type of foods do you eat?” b. “Is it possible that you are pregnant?” c. “   show
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A patient reports gas pains and abdominal distention 2 days after a small bowel resection. USNT O Which nursing action should the nurse take? a. Administer morphine sulfate. b. Encourage the patient to ambulate. c. Offer the prescribed promethazine. d. I   show
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A patient with blunt abdominal trauma from a motor vehicle crash undergoes peritoneal lavage. If the lavage returns brown fecal drainage, which action will the nurse plan to take next? a. Auscultate the bowel sounds. b. Prepare the patient for surgery. c   show
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show C  
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Which nursing action will be included in the plan of care for a 25-yr-old male patient with a new diagnosis of irritable bowel syndrome (IBS)? a. Encourage the patient to express concerns and ask questions about IBS. b. Suggest that the patient increase t   show
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show B  
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Which nursing action will the nurse include in the plan of care for a patient admitted with an exacerbation of inflammatory bowel disease (IBD)? a. Restrict oral fluid intake. b. Monitor stools for blood. c. Ambulate six times daily. d. Increase dietary f   show
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show A  
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show B  
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Which diet choice by the patient with an acute exacerbation of inflammatory bowel disease (IBD) indicates a need for more teaching? a. Scrambled eggs b. White toast and jam c. Oatmeal with cream d. Pancakes with syrup   show
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show B  
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show A  
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A young woman with Crohn’s disease develops a fever and symptoms of a urinary tract infection (UTI) with tan, fecal-smelling urine. What information will the nurse add to a general teaching plan about UTIs in order to individualize the teaching for this p   show
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show D  
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show B  
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The nurse is providing preoperative teaching for a patient scheduled for an abdominal-perineal resection. Which information will the nurse include? a. The patient will need to remain on bedrest for three days after surgery. b. An additional surgery in 8 t   show
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A patient preparing to undergo a colon resection for cancer of the colon asks about the elevated carcinoembryonic antigen (CEA) test result. What should the nurse explain as the reason for the test? a. Identify any metastasis of the cancer. b. Monitor th   show
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A patient had an abdominal-perineal resection for colon cancer. Which nursing action is most important to include in the plan of care for the day after surgery? a. Teach about a low-residue diet. b. Monitor output from the stoma. c. Assess the perineal dr   show
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A patient is transferred from the recovery room to a surgical unit after a transverse colostomy. The nurse observes the stoma to be deep pink with edema and a small amount of sanguineous drainage. What action should the nurse take? a. Place ice packs arou   show
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Which information will the nurse include in teaching a patient who had a proctocolectomy and ileostomy for ulcerative colitis? N R I G B.C M a. Restrict fluid intake to prevent constant liquid drainage from the stoma. USNT O b. Use care when eating high-f   show
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A patient with a new ileostomy asks how much it will drain. How many cups of drainage per day should the nurse explain for the patient to expect? a. 2 b. 3 c. 4 d. 5   show
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What should the nurse admitting a patient with acute diverticulitis plan for initial care? a. Administer IV fluids. b. Prepare for colonoscopy. c. Encourage a high-fiber diet. d. Give stool softeners and enemas.   show
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show D  
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show D  
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show C  
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A patient calls the clinic to report a new onset of severe diarrhea. What should the nurse anticipate that the patient will need to do? a. Collect a stool specimen. b. Prepare for colonoscopy. c. Schedule a barium enema. d. Have blood cultures drawn.   show
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show D  
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The nurse is assessing a patient with abdominal pain. How will the nurse document ecchymosis around the area of umbilicus? a. Cullen sign b. Rovsing sign c. McBurney sign d. Grey-Turner’s sign   show
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show B  
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show D  
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A patient in the emergency department has just been diagnosed with peritonitis from a ruptured diverticulum. Which prescribed intervention will the nurse implement first? a. Send the patient for a CT scan. b. Insert a urinary catheter to drainage. c. Infu   show
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show C  
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A patient is admitted to the emergency department with severe abdominal pain and rebound tenderness. Vital signs include temperature 102° F (38.3° C), pulse 120 beats/min, respirations 32 breaths/min, and blood pressure (BP) 82/54 mm Hg. Which prescribed   show
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show C  
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A 19-yr-old woman is brought to the emergency department with a knife handle protruding from her abdomen. What should the nurse do during the initial assessment of the patient? a. Remove the knife and assess the wound. b. Determine the presence of Rovsing   show
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show C  
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show B  
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Which care activity for a patient with a paralytic ileus is appropriate for the registered nurse (RN) to delegate to unlicensed assistive personnel (UAP)? a. Auscultating for bowel sounds b. Brushing the teeth and tongue c. Assessing the nares for irritat   show
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show D  
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Which patient should the nurse assess first after receiving change-of-shift report? a. A 30-yr-old patient who has a distended abdomen and tachycardia b. A 60-yr-old patient whose ileostomy has drained 800 mL over 8 hours c. A 40-yr-old patient with ulcer   show
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A patient with Crohn’s disease who is taking infliximab (Remicade) calls the nurse in the outpatient clinic about new symptoms. Which symptom is most important to communicate to the health care provider? A.Fever b. Nausea c. Joint pain d. Headache   show
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A 33-yr-old male patient with a gunshot wound to the abdomen undergoes surgery, and a colostomy is formed as shown in the accompanying figure. Which information will be included in patient teaching? a. Stool will be expelled from both stomas. b. This type   show
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A 76-yr-old patient with obstipation has a fecal impaction and is incontinent of liquid stool. Which action should the nurse take first? a. Administer bulk-forming laxatives. b. Assist the patient to sit on the toilet. c. Manually remove the impacted sto   show
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show A  
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A 72-yr-old male patient with dehydration caused by an exacerbation of ulcerative colitis is receiving 5% dextrose in normal saline at 125 mL/hour. Which assessment finding by the nurse is most important to report to the health care provider? a. Skin is d   show
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show B  
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show A  
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After change-of-shift report, which patient should the nurse assess first? a. A 40-yr-old male patient with celiac disease who has frequent frothy diarrhea b. A 30-yr-old female patient with a femoral hernia who has abdominal pain and vomiting c. A 30-yr-   show
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The nurse is admitting a 67-yr-old patient with new-onset steatorrhea. Which question is most important for the nurse to ask? a. “How much milk do youNusuRallyIdrinGk?”B.C M USNT O b. “Have you noticed a recent weight loss?” c. “What time of day do your b   show
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show B  
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Which prescribed intervention for a patient with chronic short bowel syndrome should the nurse question? a. Senna 1 tablet daily b. Ferrous sulfate 325 mg daily c. Psyllium (Metamucil) 3 times daily d. Diphenoxylate with atropine (Lomotil) PRN loose stool   show
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show BCDE  
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