Nokea
After a right hemicolectomy for treatment of colon cancer, a 57-year old client is reluctant to turn while on bed rest. Which action by the nurse would be appropriate?
- A. Asking a co-worker to help turn the client
- B. Explaining to the client why turning is important.
- C. Allowing the client to turn when he's ready to do so
- D. Telling the client that the physician's order states he must turn every 2 hours
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Five days after undergoing surgery, a client develops a small-bowel obstruction. A Miller-Abbott tube is inserted for bowel decompression. Which nursing diagnosis takes priority?
- A. Imbalanced nutrition: Less than body requirements
- B. Acute pain
- C. Deficient fluid volume
- D. Excess fluid volume
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When teaching an elderly client how to prevent constipation, which of the following instructions should the nurse include?
- A. Drink 6 glasses of fluid each day.
- B. Avoid grain products and nuts.
- C. Add at least 4 grams of brain to your cereal each morning.
- D. Be sure to get regular exercise.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is caring for a hospitalized client with a diagnosis of ulcerative colitis. Which finding, if noted on assessment of the client, would the nurse report to the physician?
- A. Bloody diarrhea
- B. Hypotension
- C. A hemoglobin of 12 mg/dL
- D. Rebound tenderness
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.
Crohn's disease can be described as a chronic relapsing disease. Which of the following areas in the GI system may be involved with this disease?
- A. The entire length of the large colon
- B. Only the sigmoid area
- C. The entire large colon through the layers of mucosa and submucosa
- D. The small intestine and colon; affecting the entire thickness of the bowel
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.