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Michael, a 42 y.o. man is admitted to the med-surg floor with a diagnosis of acute pancreatitis. His BP is 136/76, pulse 96, Resps 22 and temp 101. His past history includes hyperlipidemia and alcohol abuse. The doctor prescribes an NG tube. Before inserting the tube, you explain the purpose to patient. Which of the following is a most accurate explanation?
- A. It empties the stomach of fluids and gas.
- B. It prevents spasms at the sphincter of Oddi.
- C. It prevents air from forming in the small intestine and large intestine.
- D. It removes bile from the gallbladder.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Your patient has a GI tract that is functioning, but has the inability to swallow foods. Which is the preferred method of feeding for your patient?
- A. TPN
- B. PPN
- C. NG feeding
- D. Oral liquid supplements
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 29 y.o. patient has an acute episode of ulcerative colitis. What diagnostic test confirms this diagnosis?
- A. Barium Swallow.
- B. Stool examination.
- C. Gastric analysis.
- D. Sigmoidoscopy.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When planning care for a client with ulcerative colitis who is experiencing symptoms, which client care activities can the nurse appropriately delegate to a unlicensed assistant?
- A. Assessing the client's bowel sounds
- B. Providing skin care following bowel movements
- C. Evaluating the client's response to antidiarrheal medications
- D. administration of pain medication every 4 hours
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Gail is scheduled for a cholecystectomy. After completion of preoperative teaching, Gail states,"If I lie still and avoid turning after the operation, I'll avoid pain. Do you think this is a good idea?" What is the best response?
- A. You'll need to turn from side to side every 2 hours.
- B. It's always a good idea to rest quietly after surgery.
- C. The doctor will probably order you to lie flat for 24 hours.
- D. Why don't you decide about activity after you return from the recovery room?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Donald is a 61 y.o. man with diverticulitis. Diverticulitis is characterized by:
- A. Periodic rectal hemorrhage.
- B. Hypertension and tachycardia.
- C. Vomiting and elevated temperature.
- D. Crampy and lower left quadrant pain and low-grade fever.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.