Nokea
A 30-year old client experiences weight loss, abdominal distention, crampy abdominal pain, and intermittent diarrhea after the birth of her 2nd child. Diagnostic tests reveal gluten-induced enteropathy. Which foods must she eliminate from her diet permanently?
- A. Milk and dairy products
- B. Protein-containing foods
- C. Cereal grains (except rice and corn)
- D. Carbohydrates
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which of the following diagnostic tests should be performed annually over age 50 to screen for colon cancer?
- A. Abdominal CT scan
- B. Abdominal x-ray
- C. Colonoscopy
- D. Fecal occult blood test
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following substances is most likely to cause gastritis?
- A. Milk
- B. Bicarbonate of soda or baking soda
- C. Enteric-coated aspirin
- D. Nonsteroidal anti-inflammatory drugs (NSAIDs)
Correct Answer: D
Rationale: The correct answer is D, Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs are known to cause gastritis by irritating the stomach lining. Choice A, Milk, is unlikely to cause gastritis and is actually a common remedy for mild gastritis symptoms. Choice B, Bicarbonate of soda or baking soda, is often used to relieve heartburn and indigestion, not cause gastritis. Choice C, Enteric-coated aspirin, is less likely to cause gastritis compared to NSAIDs because the enteric coating helps protect the stomach lining from irritation.
A client with gastric cancer can expect to have surgery for resection. Which of the following should be the nursing management priority for the preoperative client with gastric cancer?
- A. Discharge planning
- B. Correction of nutritional deficits
- C. Prevention of DVT
- D. Instruction regarding radiation treatment
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During the first few days of recovery from ostomy surgery for ulcerative colitis, which of the following aspects should be the first priority of client care?
- A. Body image
- B. Ostomy care
- C. Sexual concerns
- D. Skin care
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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.