Nokea
The nurse is caring for a client who reports excessive flatulence and abdominal cramping. The nurse anticipates a prescription for which of the following?
- A. Simethicone
- B. Omeprazole
- C. Ferrous sulfate
- D. Cimetidine
Correct Answer: A
Rationale: Simethicone reduces gas bubbles, alleviating flatulence and cramping. Omeprazole and cimetidine treat acid-related conditions, and ferrous sulfate is for anemia, not gas or cramping.
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The nurse is caring for a client with a hiatal hernia who is being discharged today. The nurse talks to them regarding methods to manage symptoms and promote overall well-being associated with their condition. Which of the following statements from the client indicate that teaching is successful?
- A. I need to wear loose-fitting clothes.
- B. After a meal, I must lie down to avoid dumping syndrome.
- C. I need to eat three large meals a day.
- D. I can go to my favorite Indian restaurant anytime of the week.
Correct Answer: A
Rationale: Wearing loose-fitting clothes (A) reduces pressure on the stomach, helping manage hiatal hernia symptoms. Lying down after meals (B) can worsen reflux, large meals (C) increase symptoms, and spicy foods (D) may exacerbate reflux.
The nurse has taught a client scheduled for a liver biopsy. Which of the following statements by the client would indicate a correct understanding of the teaching?
- A. I will not be conscious during this procedure.
- B. I should not take any acetaminophen one week before this procedure.
- C. I will need to cough and deep breathe every two hours after this procedure.
- D. I may be asked to hold my breath during the insertion of the biopsy needle.
Correct Answer: D
Rationale: Holding the breath (D) during needle insertion stabilizes the liver, reducing complications. The procedure is typically done under local anesthesia (A is incorrect), acetaminophen restriction (B) is not standard, and coughing (C) is not required post-procedure.
The following scenario applies to the next 1 items
The nurse in the emergency department (ED) cares for a 21-year-old male client
Item 1 of 1
Nurses' Notes
1650: Client reports severe abdominal pain that radiates to his left shoulder. The client was tossing around the football with friends, and after being tackled, he began experiencing intense pain that worsened. He denies any medical history but is currently being treated for infectious mononucleosis and 'needed to get some fresh air,' so he started playing football with friends. During the assessment, the client was alert and fully oriented. He reports his abdominal pain is in the left upper quadrant, which radiates to his shoulder, as an 8/10 on the Numerical Rating Scale. Slight bruising was noted on the client's abdomen. A blotchy rash was observed on his back. His abdomen was slightly distended, taut, and tender to touch. Lung sounds are clear bilaterally. Peripheral pulses 2+. Skin is hot to the touch. Cervical lymphadenopathy is present. Vital signs: T 100.4°F (38°C), P 110, RR 21, BP 115/76.
Which of the following assessment findings require immediate follow-up? Select all that apply.
- A. Reports of abdominal pain
- B. Temperature
- C. Pulse
- D. Rash
- E. Cervical lymphadenopathy
- F. Abdominal assessment findings
Correct Answer: A,C,F
Rationale: Severe abdominal pain (A), elevated pulse (C), and abnormal abdominal findings (F) such as distention and tenderness suggest a serious condition like a ruptured spleen, especially given the history of trauma and infectious mononucleosis. These require urgent evaluation.
Which of the following interventions is helpful in reducing the effects of Gastroesophageal Reflux Disease (GERD)?
- A. Lie down after eating.
- B. Wear a girdle.
- C. Elevate the head of the bed on 4-6 inch blocks.
- D. Increase fluid intake just before bedtime.
Correct Answer: C
Rationale: Elevating the head of the bed (C) reduces GERD symptoms by preventing acid reflux during sleep. Lying down (A), wearing a girdle (B), or increasing fluids at bedtime (D) worsen reflux.
The nurse is admitting a client newly diagnosed with acute pancreatitis. The nurse should anticipate a prescription for which medication?
- A. 3% saline infusion
- B. Fentanyl
- C. Diphenoxylate-atropine
- D. Sucralfate
Correct Answer: B
Rationale: Fentanyl is used for pain management in acute pancreatitis, which is often severe. 3% saline is not standard, diphenoxylate-atropine treats diarrhea (not a primary symptom), and sucralfate is for ulcers, not pancreatitis.