Nokea
The client with a colostomy has an order for irrigation of the colostomy. The nurse used which solution for irrigation?
- A. Distilled water
- B. Tap water
- C. Sterile water
- D. Lactated Ringer's
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which of the following conditions is most likely to directly cause peritonitis?
- A. Cholelithiasis
- B. Gastritis
- C. Perforated ulcer
- D. Incarcerated hernia
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following definitions best describes gastritis?
- A. Erosion of the gastric mucosa
- B. Inflammation of a diverticulum
- C. Inflammation of the gastric mucosa
- D. Reflux of stomach acid into the esophagus
Correct Answer: C
Rationale: The correct answer is C: 'Inflammation of the gastric mucosa.' Gastritis is characterized by inflammation of the stomach lining, specifically the gastric mucosa. This inflammation can be caused by various factors such as infections, medications, alcohol, or autoimmune diseases. Choice A, 'Erosion of the gastric mucosa,' is incorrect because erosion refers to the wearing away of tissue rather than inflammation. Choice B, 'Inflammation of a diverticulum,' is incorrect because gastritis specifically involves inflammation of the stomach lining, not a diverticulum. Choice D, 'Reflux of stomach acid into the esophagus,' describes gastroesophageal reflux disease (GERD), which is different from gastritis.
A client has a percutaneous endoscopic gastrostomy tube inserted for tube feedings. Before starting a continuous feeding, the nurse should place the client in which position?
- A. Semi-Fowlers
- B. Supine
- C. Reverse Trendelenburg
- D. High Fowler's
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
An enema is prescribed for a client with suspected appendicitis. Which of the following actions should the nurse take?
- A. Prepare 750 ml of irrigating solution warmed to 100*F
- B. Question the physician about the order
- C. Provide privacy and explain the procedure to the client
- D. Assist the client to left lateral Sim's position
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following associated disorders may a client with ulcerative colitis exhibit?
- A. Gallstones
- B. Hydronephrosis
- C. Nephrolithiasis
- D. Toxic megacolon
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.