Medical Studies > EXAM > Targeted Medical-Surgical 2016: Gastrointestinal with comprehensive solution (All)

Targeted Medical-Surgical 2016: Gastrointestinal with comprehensive solution

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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? - ANSWER I will decrease the amount of carbonated beverages I drink-- limit fatty foods, coffee, cola, tea, carbonated beverages and chocolate because they irritate the lining of the stomach A nurse is teaching a client how to prepare for a colonoscopy. Which of the following instructions should the nurse include in the teaching? - ANSWER Drink clear liquids for 24 hours prior to the procedure, and then take nothing by mouth for 6 hours before the procedure-- this will ensure adequate bowel cleansing A nurse is admitting a client who has acute pancreatitis. Which of the following actions should the nurse take first? - ANSWER Identify the client's current pain level-- by assessing pain level the nurse can identify the need and implement interventions to alleviate the client's pain A nurse is assessing a client who has appendicitis. Which of the following findings should the nurse expect? (Select all that apply) - ANSWER 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 peptic ulcer disease and a new prescription for famotidine. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER I should take this medication at bedtime-- this inhibits the action of histamine at the H2 receptor site in the stomach A nurse is reviewing the laboratory values of a client who has colorectal cancer. Which of the following findings should the nurse expect? - ANSWER Hemoglobin 9.1g/dL-- decreased hemoglobin is expected due to occult intestinal bleeding A nurse is assessing a client who has peritonitis. Which of the following findings should the nurse expect? - ANSWER Board-like abdomen-- distention, extreme pain and tenderness are also expected findings A nurse is caring for a client who has colorectal cancer and is receiving chemotherapy. The client asks the nurse why his blood is being drawn for a carcinoembryonic antigen (CEA) level. Which for the following responses should the nurse make? - ANSWER The CEA determines the efficacy of your chemotherapy-- the CEA levels decrease if chemo is effective A nurse is providing discharge teaching for a client who has a new colostomy and is concerned about f

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