Nokea
You're caring for Jane, a 57 y.o. patient with liver cirrhosis who develops ascites and requires paracentesis. Before her paracentesis, you instruct her to:
- A. Empty her bladder.
- B. Lie supine in bed.
- C. Remain NPO for 4 hours.
- D. Clean her bowels with an enema.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The student nurse is teaching the family of a patient with liver failure. You instruct them to limit which foods in the patient's diet?
- A. Meats and beans.
- B. Butter and gravies.
- C. Potatoes and pastas.
- D. Cakes and pastries.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You're doing preoperative teaching with Gertrude who has ulcerative colitis who needs surgery to create an ileoanal reservoir. Which information do you include?
- A. A reservoir is created that exits through the abdominal wall.
- B. A second surgery is required 12 months after the first surgery.
- C. A permanent ileostomy is created.
- D. The surgery occurs in two stages.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Hepatic encephalopathy develops when the blood level of which substance increases?
- A. Ammonia
- B. Amylase
- C. Calcium
- D. Potassium
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Janice is waiting for discharge instructions after her herniorrhaphy. Which of the following instructions do you include?
- A. Eat a low-fiber diet.
- B. Resume heavy lifting in 2 weeks.
- C. Lose weight, if obese.
- D. Resume sexual activity once discomfort is gone.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You have to teach ostomy self care to a patient with a colostomy. You tell the patient to measure and cut the wafer:
- A. To the exact size of the stoma.
- B. About 1/16" larger than the stoma.
- C. About 1/8" larger than the stoma.
- D. About 1/4″ larger than the stoma.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.