Nokea
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.
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Regina is a 46 y.o. woman with ulcerative colitis. You expect her stools to look like:
- A. Watery and frothy.
- B. Bloody and mucoid.
- C. Firm and well-formed.
- D. Alternating constipation and diarrhea.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Sitty, a 66 y.o. patient underwent a colostomy for ruptured diverticulum. She did well during the surgery and returned to your med-surg floor in stable condition. You assess her colostomy 2 days after surgery. Which finding do you report to the doctor?
- A. Blanched stoma
- B. Edematous stoma
- C. Reddish-pink stoma
- D. Brownish-black stoma
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You're caring for a 28 y.o. woman with hepatitis B. She's concerned about the duration of her recovery. Which response isn't appropriate?
- A. Encourage her to not worry about the future.
- B. Encourage her to express her feelings about the illness.
- C. Discuss the effects of hepatitis B on future health problems.
- D. Provide avenues for financial counseling if she expresses the need.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During the assessment of a client's mouth, the nurse notes the absence of saliva. The client is also complaining of pain near the area of the ear. The client has been NPO for several days because of the insertion of an NG tube. Based on these findings, the nurse suspects that the client is developing which of the following mouth conditions?
- A. Stomatitis
- B. Oral candidiasis
- C. Parotitis
- D. Gingivitis
Correct Answer: C
Rationale: The correct answer is C, Parotitis. Parotitis, inflammation of the parotid glands, can occur due to the absence of saliva and dehydration, often associated with being NPO and having an NG tube. Stomatitis (choice A) is inflammation of the oral mucosa, not specifically related to absent saliva. Oral candidiasis (choice B) is a fungal infection that can occur in the mouth, not directly related to the absence of saliva. Gingivitis (choice D) is inflammation of the gums and is not typically associated with the absence of saliva and dehydration.
A patient who underwent abdominal surgery now has a gaping incision due to delayed wound healing. Which method is correct when you irrigate a gaping abdominal incision with sterile normal saline solution, using a piston syringe?
- A. Rapidly instill a stream of irrigating solution into the wound.
- B. Apply a wet-to-dry dressing to the wound after the irrigation.
- C. Moisten the area around the wound with normal saline solution after the irrigation.
- D. Irrigate continuously until the solution becomes clear or all of the solution is used.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.