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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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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.
After abdominal surgery, your patient has a severe coughing episode that causes wound evisceration. In addition to calling the doctor, which intervention is most appropriate?
- A. Irrigate the wound & organs with Betadine.
- B. Cover the wound with a saline soaked sterile dressing.
- C. Apply a dry sterile dressing & binder.
- D. Push the organs back & cover with moist sterile dressings.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Your patient recently had abdominal surgery and tells you that he feels a popping sensation in his incision during a coughing spell, followed by severe pain. You anticipate an evisceration. Which supplies should you take to his room?
- A. A suture kit.
- B. Sterile water and a suture kit.
- C. Sterile water and sterile dressings.
- D. Sterile saline solution and sterile dressings.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Your patient, Christopher, has a diagnosis of ulcerative colitis and has severe abdominal pain aggravated by movement, rebound tenderness, fever, nausea, and decreased urine output. This may indicate which complication?
- A. Fistula.
- B. Bowel perforation.
- C. Bowel obstruction.
- D. Abscess.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The student nurse is preparing a teaching care plan to help improve nutrition in a patient with achalasia. You include which of the following:
- A. Swallow foods while leaning forward.
- B. Omit fluids at mealtimes.
- C. Eat meals sitting upright.
- D. Avoid soft and semisoft foods.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.