a nurse is providing discharge teaching for a client who has a new prescription for medications to treat peptic ulcer disease. The nurse should identify that which of the gollowing medications inhibits gastric acid secre
...
a nurse is providing discharge teaching for a client who has a new prescription for medications to treat peptic ulcer disease. The nurse should identify that which of the gollowing medications inhibits gastric acid secretion?
A. Calcium carbonate
B. Famotidine
C. Aluminum hydroxide
D. Sucralfate - ANSWER B. Famotidine
The nurse should inform the client that famotidine is an H2-receptor antagonist that is prescribed for the treatment of peptic ulcer disease to inhibit the secretion of gastric acid.
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 her diet to prevent dumping syndrome?
A. Ice cream
B. Eggs
C. Grape juice
D. Honey - ANSWER B. Eggs
The nurse should instruct the client to increase intake of protein-containing foods, such as eggs, to decrease the risk for manifestations of dumping syndrome. The client should eat some form of protein at each meal.
A nurse is assessing a client who has Crohn's disease. Which of the following findings should the nurse expect?
A. Fatty diarrheal stools
B. Hyperkalemia
C. Weight gain
D. Sharp epigastric pain - ANSWER A Fatty diarrheal stools
Steatorrhea, or fatty stool, is an expected finding in a client who has Crohn's disease.
A nurse is assessing a client immediately following a paracentesis for the treatment of ascites. Which of the following findings indicates the procedure was effective?
A. Presence of a fluid wave
B. Increased heart rate
C. Equal pre and postprocedure weights
D. Decreased SOB - ANSWER D. Decreased SOB
Increased abdominal fluid can limit the expansion of the diaphragm and prevent the client from taking a deep breath. Once excess peritoneal fluid is removed, the diaphragm will expand more freely. The nurse should identify this finding as an indicator the procedure was effective.
A nurse is providing discharge teaching for a client following an ileostomy. The nurse should instruct the client to report which of the following findings to the provider?
A. Intolerance to high-fiber foods
B. Liquid ileostomy output
C. Dark purple stoma
D. Sensation of burning during bowel elimination - ANSWER C. Dark purple stoma
The nurse should instruct the client to contact the provider if the stoma is a dark purple color, which is an indication of bowel ischemia.
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?
A. Eggs
B. Fish.
C. Yogurt
D. Broccoli - ANSWER C. Yogurt
The nurse should recommend yogurt, cracker and toast, which can prevent flatus and odor.
A nurse is providing teaching for a client who has cirrhosis and a new prescription for lactulose. THe nurse should include which of the following instructions in the teaching.
A. Notify provider if bloating occurs
B. Expect to have 2-3 soft stools per day
C. Restrict carbohydrates in the diet
D. Limit oral fluid intake to 1000 mL per day of clear fluids - ANSWER B. Expect ot have 2-3 soft stools per day
The purpose of administering lactulose is to promote excretion of ammonia in stool. the nurse should instruct the client to take he medication every day and inform the client that 2-3 bowel movements everyday is the treatment goal.
A nurse is developing a plan of care for a client who has cirrhosis and ascites. Which of the following inteventions should the nurse include the plan?
A. Measure the client's abdominal girth daily
B. Check mental status once daily
C. Provide a daily intake of 4g of sodium for the client
D. Assess the client's breath sounds every 12 hr - ANSWER A. Measure the client's abdominal girth daily
The nurse should measure the client's abdominal girth and weigh the client daily to monitor the amount of fluid accumulation in the abdomen and the effectiveness of treatment measures.
A nurse is reviewing the laboratory values of a client who has colorectal cancer. Which of the following findings should the nurse expect?
A. Negative fecal occult blood test
B. Decreased serum carcinoembryonic antigen (CEA) level
C. Hematocrit 43%
D. Hemoglobin 9.1 g/dL - ANSWER D. Hemoglobin 9.1g/dL
A hemoglobin level of 9.1 g/dL is below the expected reference range. Decreased hemoglobin is an expected finding in a client who has colorectal cancer due to occult intestinal bleeding.
A nurse is providing discharge teaching for a client who has peptic ulcer disease and a new famotidine. Which of the following statements by the client indicates an understanding of the teaching?
A. "I should take this medication at bedtime."
B. "I should expect this medication to discolor my stools."
C. "I will drink iced tea with my meals and snacks."
D. "I will monitor my blood glucose level regularly while taking this medication." - ANSWER A. "I should take this medication at bedtime."
The nurse should instruct the client to take the medication at bedtime to inhibit the action of histamine at the H2-receptor site in the stomach.
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?
A. Albumin 4.0 g/dL
B. INR 1.0
C. Direct bilirubin 0.5 mg/dL
D. Ammonia 180 mcg/dL - ANSWER D. Ammonia 180 mcg/dL
An ammonia level of 180 mcg/dL is above the expected reference range of 10 to 80 mcg/dL. The nurse should report an increased ammonia level because it can indicate portal-systemic encephalopathy.
A nurse is caring for a client who has ulcerative colitis. The client has had several exacerbations over the past 3 yr. Which of the following instructions should the nurse include in the plan of care tom inimize risk of further exacerbations? (Select all that apply)
A. Use progressive relaxation techniques.
B. Increase dietary fiber intake.
C. Drink two 240 mL (8 oz) glasses of milk per day.
[Show More]
