Nokea
The nurse is doing pre-op teaching with the client who is about to undergo creation of a Kock pouch. The nurse interprets that the client has the best understanding of the nature of the surgery if the client makes which of the following statements?
- A. I will need to drain the pouch regularly with a catheter.
- B. I will need to wear a drainage bag for the rest of my life.
- C. The drainage from this type of ostomy will be formed.
- D. I will be able to pass stool from my rectum eventually.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which of the following aspects is the priority focus of nursing management for a client with peritonitis?
- A. Fluid and electrolyte balance
- B. Gastric irrigation
- C. Pain management
- D. Psychosocial issues
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
After a right hemicolectomy for treatment of colon cancer, a 57-year old client is reluctant to turn while on bed rest. Which action by the nurse would be appropriate?
- A. Asking a co-worker to help turn the client
- B. Explaining to the client why turning is important.
- C. Allowing the client to turn when he's ready to do so
- D. Telling the client that the physician's order states he must turn every 2 hours
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is performing a colostomy irrigation on a client. During the irrigation, a client begins to complain of abdominal cramps. Which of the following is the most appropriate nursing action?
- A. Notify the physician
- B. Increase the height of the irrigation
- C. Stop the irrigation temporarily.
- D. Medicate with dilaudid and resume the irrigation
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The client being seen in a physician's office has just been scheduled for a barium swallow the next day. The nurse writes down which of the following instructions for the client to follow before the test?
- A. Fast for 8 hours before the test
- B. Eat a regular supper and breakfast
- C. Continue to take all oral medications as scheduled.
- D. Monitor own bowel movement pattern for constipation
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The client has been admitted with a diagnosis of acute pancreatitis. The nurse would assess this client for pain that is:
- A. Severe and unrelenting, located in the epigastric area and radiating to the back.
- B. Severe and unrelenting, located in the left lower quadrant and radiating to the groin.
- C. Burning and aching, located in the epigastric area and radiating to the umbilicus.
- D. Burning and aching, located in the left lower quadrant and radiating to the hip.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.