PHILIPINES WOMENS UNOVERSITY : MEDICAL SURGICAL NURSING

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1. In counseling a client with ulcerative colitis for 25 years about health plans, the nurse would include the advice that the client should A. Avoid red meat C. obtain genetic counseling B. reduce ... physical exercise D. Schedule regular proctoscopic exams 2. The out-patient clinic nurse is caring for a 66-year-old woman with insulin-dependent diabetes mellitus (IDDM). Because the client is unwilling to perform blood glucose monitoring, she tests her urine for sugar and acetone. The nurse knows that blood glucose monitoring is preferred over urine testing for glucose because A. the renal threshold for glucose is elevated in the elderly. B. blood glucose monitoring is easier and less costly for clients to perform. C. urine testing for glucose provides false-positive readings. D. determination of the color on a reagent strip varies from person to person. 3. The Clinical instructor is supervising a student nurse administering an enema to a patient. During the administration, it is MOST important for the Student nurse to take which of the following actions? A. Place the solution 20 inches above the anus. B. Adjust the temperature of the solution. C. Insert the tube six inches. D. Position the patient left side-lying (Sim's) with knee flexed. 4. Which of the following types of foods should the nurse encourage in the diet of a client with hypoparathyroidism? A. High in phosphorus. C. Low in sodium. B. High in calcium. D. Low in potassium. 5. The nurse suggests that the client not eat or drink anything just before going to bed. The appropriateness of this comment is based on which of these understandings about GERD? A. The client is less likely to awaken during the night with heartburn if the stomach is empty. B. Early-morning vomiting will be less of a problem if the stomach is empty. C. Drinking or eating before lying down causes decreased respirations due to increased pressure on the lungs. D. The client may develop fluid overload if fluids are taken just before going to bed. [Show More]

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