Nokea
A client with a peptic ulcer had a partial gastrectomy and vagotomy (Billroth I).
- A. What should the nurse caution the client about to prevent dumping syndrome post-gastrectomy?
- B. Sit up for at least 30 minutes after eating.
- C. Avoid fluids between meals.
- D. Increase the intake of high-carbohydrate foods.
- E. Avoid eating large meals that are high in simple sugars and liquids.
Correct Answer: D
Rationale: To prevent dumping syndrome, the client should avoid large meals high in simple sugars and liquids, which can cause rapid gastric emptying. The client should recline after meals, drink fluids between meals, and reduce carbohydrate intake to stabilize digestion.
You may also like to solve these questions
The nurse is reviewing client assignments on a medical/surgical unit.
The nurse determines that the assignment is appropriate if the nursing assistant is caring for which of the following clients?
- A. A client with AIDS dementia complex who requires a urine specimen.
- B. A client complaining of postoperative pain after repair of a torn rotator cuff.
- C. A client with GI bleeding due to a duodenal ulcer receiving packed cells.
- D. A client with type I diabetes receiving prednisone for a herniated disk.
Correct Answer: A
Rationale: Strategy: Assign clients with standard, unchanging procedures. (1) correct-standard, unchanging procedure (2) assign to the RN (3) assign to the RN (4) assign to the RN
The nurse is teaching a client with a new diagnosis of hypertension about hydrochlorothiazide (Hydrodiuril). Which of the following statements by the client indicates a need for further teaching?
- A. I should report muscle cramps to my doctor.
- B. I should eat foods high in potassium.
- C. I should take this medication in the morning.
- D. I should stop this medication if I feel better.
Correct Answer: D
Rationale: Stopping hydrochlorothiazide when feeling better is incorrect, as hypertension requires lifelong treatment to prevent complications. Options A, B, and C are correct: muscle cramps may indicate hypokalemia, potassium-rich foods are recommended, and morning dosing minimizes nocturia.
A diabetic client asks the nurse why the provider ordered a glycosylated hemoglobin (HbA) measurement, since a blood glucose reading was just performed. You will explain to the client that the HbA test:
- A. Provides a more precise blood glucose value than self-monitoring
- B. Is performed to detect complications of diabetes
- C. Measures circulating levels of insulin
- D. Reflects an average blood sugar for several months
Correct Answer: D
Rationale: Glycosylated hemoglobin values reflect the average blood glucose (hemoglobin-bound) for the previous 2-3 months and can be used to monitor client adherence to the therapeutic regimen.
An adult is being worked up for possible pulmonary tuberculosis. The nurse knows that which test is most conclusive for the diagnosis of tuberculosis?
- A. Intradermal skin test
- B. Chest x-ray
- C. Sputum examination
- D. Computed tomography (CT) scan
Correct Answer: C
Rationale: Sputum examination for acid-fast bacilli is the gold standard for confirming tuberculosis, unlike skin tests (screening), x-rays (supportive), or CT (non-specific).
The nurse is to move a client up in bed without any help. Where should the nurse place the client's pillow?
- A. At the bottom of the bed
- B. On the bedside stand
- C. At the head of the bed
- D. Under the client's head
Correct Answer: C
Rationale: Placing the pillow at the head of the bed supports the client's head after moving up, ensuring comfort and proper positioning.