Nokea
After a subtotal gastrectomy, care of the client's nasogastric tube and drainage system should include which of the following nursing interventions?
- A. Irrigate the tube with 30 ml of sterile water every hour, if needed.
- B. Reposition the tube if it is not draining well
- C. Monitor the client for N/V, and abdominal distention
- D. Turn the machine to high suction of the drainage is sluggish on low suction.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The client being treated for esophageal varices has a Sengstaken-Blakemore tube inserted to control the bleeding. The most important assessment is for the nurse to:
- A. Check that the hemostat is on the bedside
- B. Monitor IV fluids for the shift
- C. Regularly assess respiratory status
- D. Check that the balloon is deflated on a regular basis
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has been taking aluminum hydroxide 30 mL six times per day at home to treat his peptic ulcer. He tells the nurse that he has been unable to have a bowel movement for 3 days. Based on this information, the nurse would determine that which of the following is the most likely cause of the client's constipation?
- A. The client has not been including enough fiber in his diet
- B. The client needs to increase his daily exercise
- C. The client is experiencing a side effect of the aluminum hydroxide.
- D. The client has developed a gastrointestinal obstruction.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is admitted to the hospital with acute viral hepatitis. Which of the following signs or symptoms would the nurse expect to note based on this diagnosis?
- A. Spider angiomas
- B. Fatigue
- C. Pale urine
- D. Weight gain
Correct Answer: B
Rationale: Common signs of acute viral hepatitis include weight loss, dark urine, and fatigue. The client is anorexic, possibly from a toxin produced by the diseased liver, and finds food distasteful. The urine darkens because of excess bilirubin being excreted by the kidneys. Fatigue occurs during all phases of hepatitis.
The nurse is providing discharge instructions to a client following gastrectomy. Which measure will the nurse instruct the client to follow to assist in preventing dumping syndrome?
- A. Eat high-carbohydrate foods
- B. Limit the fluids taken with meals
- C. Ambulate following a meal
- D. Sit in a high-Fowlers position during meals
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is to take one daily dose of ranitidine (Zantac) at home to treat her peptic ulcer. The nurse knows that the client understands proper drug administration of ranitidine when she says that she will take the drug at which of the following times?
- A. Before meals
- B. With meals
- C. At bedtime
- D. When pain occurs
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.