Nokea
A client had a barium enema. Following the barium enema, the nurse should anticipate an order for which of the following?
- A. An antacid
- B. A laxative
- C. A muscle relaxant
- D. A sedative
Correct Answer: B
Rationale: Barium is constipating, and a laxative is typically ordered to prevent bowel obstruction post-barium enema.
You may also like to solve these questions
The client tells the nurse about being diagnosed with a 2-cm cancerous tumor in the liver. The client wants to know about the treatment. Which statement should be the basis for the nurse’s response?
- A. The use of chemotherapy is the first-line treatment for liver cancer.
- B. Liver transplantation is not an option for clients with liver cancer.
- C. Radiofrequency ablation can be successful in treating tumors of this size.
- D. A tumor of this size can only be removed through an open surgical approach.
Correct Answer: C
Rationale: A. Chemotherapy is only used for clients who are not likely to benefit from other therapies. B. Liver transplantation is used when the tumor is large or localized. C. Radiofrequency ablation is a treatment technique that uses high-frequency alternating electrical current to heat tissue cells and destroy them. It can be successfully used to treat tumors less than 5 cm in size because these tumors tend to be slow growing and encapsulated. D. Surgical resection of the tumor is used when the tumor is large or localized.
The client who has had an appendectomy and has a Penrose drain in place has recovered from anesthesia. The nurse places her in a semi-sitting position. What is the primary reason for selecting this position?
- A. To promote optimal ventilation
- B. To promote drainage from the abdominal cavity
- C. To prevent pressure sores from developing
- D. To reduce tension on the suture line
Correct Answer: B
Rationale: The semi-sitting position promotes gravity-dependent drainage through the Penrose drain from the abdominal cavity.
Which task is most appropriate for the nurse to delegate to the unlicensed assistive personnel (UAP)?
- A. Draw the serum liver function test.
- B. Evaluate the client’s intake and output.
- C. Perform the bedside glucometer check.
- D. Help the ward clerk transcribe orders.
Correct Answer: C
Rationale: Performing a glucometer check is within the UAP’s scope with proper training. Drawing blood, evaluating intake/output, and transcribing orders require RN skills.
The client diagnosed with end-stage renal failure and ascites is scheduled for a paracentesis. Which client teaching should the nurse discuss with the client?
- A. Explain the procedure will be done in the operating room.
- B. Instruct the client a Foley catheter will have to be inserted.
- C. Tell the client vital signs will be taken frequently after the procedure.
- D. Provide instructions on holding the breath when the HCP inserts the catheter.
Correct Answer: C
Rationale: Frequent vital sign monitoring post-paracentesis detects complications like hypotension or bleeding. Paracentesis is typically bedside, Foley catheters are unnecessary, and breath-holding is not standard.
Which outcome should the nurse identify for the client diagnosed with aphthous stomatitis?
- A. The client will be able to cope with perceived stress.
- B. The client will consume a balanced diet.
- C. The client will deny any difficulty swallowing.
- D. The client will take antacids as prescribed.
Correct Answer: C
Rationale: Aphthous stomatitis (canker sores) can cause painful swallowing, so denying difficulty swallowing is a key outcome. Stress coping and diet are secondary, and antacids are irrelevant.