NR 224 FINAL EXAM GUIDE.

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NR 224 FINAL EXAM GUIDE 1. A nurse is teaching a client how to perform personal ileostomy care prior to discharge. The client says “I don’t think that I am going to be able to take care of th... is myself.” Which is the most appropriate response from the nurse? a. In time you will be better at this than I am. b. Don’t worry about it, most clients feel like you do at first. c. What part of the ileostomy care are you having trouble with? d. I agree. This is a difficult process. 2 The adult child of a client who has had a colon resection will be caring for their parent at home. The client’s son tells the nurse “I don’t know how I am going to care for my mom now”. Which is the best nursing response? a. A home health nurse will be stopping by tomorrow to answer your questions. b. Your mother has been taught to care for her colostomy independently. c. What part of your mother’s care are you concerned with? d. It is quite simple. I’ll change the colostomy bag before she is discharged. 3 A nurse in the medical-surgical unit is assigning client care to a nurse who is floating from PACU. The float nurse is most qualified to care for which client? a. A client who is postoperative following a lobectomy and has a chest tube b. A client who is being discharged to a long-term care facility c. A client who needs teaching prior to initiating cardiac rehabilitation activities d. A client who needs teaching about insulin self-administration 4 A client asks the nurse what causes constipation. Choose the best response by the nurse. a. Constipation occurs when the bowel absorbs too much water b. Eating too many processed foods cause constipation c. When the bowel releases too much water it causes constipation d. Using over the counter laxatives causes constipation 5 The nurse caring for a post-operative client performs an abdominal assessment. The nurse does not hear any bowel sounds over the left lower quadrant of the abdomen. What is the most likely reason for this? a. The client has been NPO for several hours b. Post-operative clients may develop an ileus resulting in absent bowel sounds c. There is gas in the abdomen d. The client emptied their bowels before surgery 6 The nurse admits a client who is to undergo a colonoscopy. The nurse understands that this will be required in preparation for the procedure. a. NPO status for 24 hours b. A complete bowel cleanse c. Clear liquids after midnight d. A fleet enema to prep the bowel 7 A nurse is teaching a client about colorectal cancer testing. The nurse expects the provider to first perform this test for colorectal screening. a. Colonoscopy b. Barium enema c. Fecal occult blood test d. Cat scan of the lower intestine 8 A nurse is caring for a client with a newly placed colostomy. The nurse teaches the client they may have formed stool after the bowel has healed because the surgeon placed the stoma where? a. Ascending colon b. Transverse colon c. Descending colon d. Sigmoid colon 9 The nurse is administering a tap water enema to a client in preparation for bowel surgery. The nurse correctly positions the enema bag containing the fluid where? a. 12 inches above the anus for a regular enema b. 6-10 inches above the anus for a high enema c. To shoulder height then lower it 6 inches d. On an IV pole 18 inches above the bed 10 The nurse correctly positions a client for a fleets enema by placing them in this position: a. Supine with the knees flexed b. Prone with the right leg flexed c. On the left side with the right leg flexed d. On the right side with both knees flexed [Show More]

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