Nokea
The nurse is assessing for stoma prolapse in a client with a colostomy. The nurse would observe which of the following if stoma prolapse occurred?
- A. Sunken and hidden stoma
- B. Dark- and bluish-colored stoma
- C. Narrowed and flattened stoma
- D. Protruding stoma
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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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.
The nurse is reviewing the physician's orders written for a client admitted with acute pancreatitis. Which physician order would the nurse question if noted on the client's chart?
- A. NPO status
- B. Insert a nasogastric tube
- C. An anticholinergic medication
- D. Morphine for pain
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following areas is the most common site of fistulas in clients with Crohn's disease?
- A. Anorectal
- B. Ileum
- C. Rectovaginal
- D. Transverse colon
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client presents to the emergency room, reporting that he has been vomiting every 30 to 40 minutes for the past 8 hours. Frequent vomiting puts him at risk for which of the following?
- A. Metabolic acidosis with hyperkalemia
- B. Metabolic acidosis with hypokalemia
- C. Metabolic alkalosis with hyperkalemia
- D. Metabolic alkalosis with hypokalemia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 30-year old client experiences weight loss, abdominal distention, crampy abdominal pain, and intermittent diarrhea after the birth of her 2nd child. Diagnostic tests reveal gluten-induced enteropathy. Which foods must she eliminate from her diet permanently?
- A. Milk and dairy products
- B. Protein-containing foods
- C. Cereal grains (except rice and corn)
- D. Carbohydrates
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.