NURSING > EXAM > Kaplan Medsurg Exit Questions and Answers. (All)

Kaplan Medsurg Exit Questions and Answers.

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Kaplan Medsurg Exit Questions and Answers. The nurse cares for a patient after the physician performed a sigmoid colostomy due to cancer. The nurse instructs the patient about how to care for the stoma. The nurse knows that teaching is successful if the patient makes which of the following statements? 1. I will drape the area and wash the stoma with hexachlorophene soap. 2. I will clean the stoma vigorously with alcohol wipes and pat dry. 3. I will clean around the stoma with soap and water and pat dry. 4. I will drape the area and cleanse the stoma with povidone iodine. Answer: I will clean around the stoma with povidone iodine. Provide adequate cleaning with limited irritation; observe for skin breakdown. The nurse gives discharge instructions to the family of a patient diagnosed with hepatic encephalopathy. The nurse determines further teaching is necessary if the family makes which of the following statements? 1. We should contact the physician if Dad is restless at night. 2. Cephulac will cause Dad to have 2-3 stools per day. 3. Dad should eat meat at every meal. 4. Cephulac may cause bloating and cramps. Answer: Dad should eat meat at every meal Low-protein, high-calorie diet; instruct family to observe for and report mental changes. The nurse cares for a patient after a traditional cholecystectomy. The nurse should contact the physician if which of the following is observed? 1. 800 cc bloody drainage the first day post op 2. The patient frequently complains of abdominal pain during the first 24 hours. 3. Nasogastric tube connected to intermittent suction the first day postop. 4. Temperature elevation to 100 F the evening of surgery. Answer: 800 cc bloody drainage the first day postop. This amount of drainage after cholecystectomy would indicate hemorrhage; 50 cc is an appropriate amount of drainage. The nurse cares for a patient 18 hours after gastrectomy. The nurse is MOST concerned if which of the following is observed? 1. The Levin's tube is attached to low continuous suctioning. 2. The patients output during the previous 6 hours was 500 cc 3. The patient asks for pain medication 4. The patient performs deep breathing every two horus. Answer: The Levin's tube is attached to low continuous suctioning. Levin's tube is a single lumen tube with no air vent, suction should be intermittent, continuous suction appropriate for a Salem tube. The nurse instructs a client about how to increase folic acid in the diet. The nurse determines teaching is effective if the client makes which statement? 1. I like oatmeal for breakfast 2. My favorite lunch is spinach salad 3. I will eat more grapes, apples, and bananas each day. 4. I will eat more chicken. Answer: My favorite lunch is spinach salad. Spinach contains 108mg per half-cup serving, other folate-rich sources include organ meats, broccoli, asparagus, milk, orange juice. The nurse instructs a client about appropriate foods for a high-protein diet. The nurse determines teaching is effective if the client chooses which menu? 1.Chef salad, crackers, and ice tea. 2. Broiled fish, cream of tomato soup topped with grated cheese and custard 3. Peanut butter and jelly sandwich, chips, and fruit drink. 4. Turkey sandwich with lettuce and tomato, potato salad, and milk. Answer: Broiled fish, cream of tomato soup topped with grated cheese, and custard. All foods contain protein; increased protein by adding skim milk to soup, add crated cheese to foods, use peanut butter as a spread on fruits and vegetables, use yo

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