Nokea
The nurse is performing a colostomy irrigation on a client. During the irrigation, a client begins to complain of abdominal cramps. Which of the following is the most appropriate nursing action?
- A. Notify the physician
- B. Increase the height of the irrigation
- C. Stop the irrigation temporarily.
- D. Medicate with dilaudid and resume the irrigation
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is doing pre-op teaching with the client who is about to undergo creation of a Kock pouch. The nurse interprets that the client has the best understanding of the nature of the surgery if the client makes which of the following statements?
- A. I will need to drain the pouch regularly with a catheter.
- B. I will need to wear a drainage bag for the rest of my life.
- C. The drainage from this type of ostomy will be formed.
- D. I will be able to pass stool from my rectum eventually.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is monitoring a client for the early signs of dumping syndrome. Which symptom indicates this occurrence?
- A. Abdominal cramping and pain
- B. Bradycardia and indigestion
- C. Sweating and pallor
- D. Double vision and chest pain
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client presents to the emergency room, reporting that he has been vomiting every 30 to 40 minutes for the past 8 hours. Frequent vomiting puts him at risk for which of the following?
- A. Metabolic acidosis with hyperkalemia
- B. Metabolic acidosis with hypokalemia
- C. Metabolic alkalosis with hyperkalemia
- D. Metabolic alkalosis with hypokalemia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Surgical management of ulcerative colitis may be performed to treat which of the following complications?
- A. Gastritis
- B. Bowel herniation
- C. Bowel outpouching
- D. Bowel perforation
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with rectal cancer may exhibit which of the following symptoms?
- A. Abdominal fullness
- B. Gastric fullness
- C. Rectal bleeding
- D. Right upper quadrant pain
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.