Nokea
The nurse is teaching a client with a new colostomy about dietary modifications. Which of the following foods should the client avoid to prevent excessive gas?
- A. Broccoli.
- B. Chicken.
- C. Rice.
- D. Yogurt.
Correct Answer: A
Rationale: Broccoli, a cruciferous vegetable, can cause excessive gas in clients with a colostomy, which may lead to pouch ballooning. Chicken, rice, and yogurt are less likely to produce significant gas. CN: Physiological adaptation; CL: Synthesize
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The nurse is reviewing discharge prescriptions for a child postoperative following a tonsillectomy. Which medication requires clarification with the primary healthcare provider?
- A. tetracaine 0.5% lollipop
- B. acetaminophen (APAP)
- C. ibuprofen
- D. codeine
Correct Answer: D
Rationale: Codeine is not recommended for children post-tonsillectomy due to risks of respiratory depression, especially in those with undiagnosed sleep apnea or ultra-rapid metabolism.
A client with neutropenia is at risk for sepsis. Which of the following is the earliest sign the nurse should monitor for?
- A. Hypotension.
- B. Tachycardia.
- C. Oliguria.
- D. Confusion.
Correct Answer: B
Rationale: Tachycardia is often the earliest sign of sepsis, reflecting the body's response to infection, and requires prompt monitoring in a neutropenic client.
Following a gastrectomy, the nurse should position the client in which of the following positions?
- A. Prone.
- B. Supine.
- C. Right or left Sims.
- D. Fowler's.
Correct Answer: D
Rationale: Fowler's position (semi-upright) promotes lung expansion, reduces aspiration risk, and aids drainage post-gastrectomy. The other positions are less optimal for postoperative recovery.
A nurse is to administer 10 mg of morphine sulfate to a client with three fractured ribs. The available concentration for this drug is 15 mg/mL. How many milliliters should the nurse administer? Round to one decimal point.
Correct Answer: 0.7 mL
Rationale: To calculate: 10 mg ÷ 15 mg/mL = 0.666€¦ mL, rounded to 0.7 mL.
The nurse is conducting a postoperative assessment of a client on the first day after renal surgery. Which of the following findings would be most important for the nurse to report to the physician?
- A. Temperature, 99.8°F (37.7°C).
- B. Urine output, 20 mL/hour.
- C. Absence of bowel sounds.
- D. A 2€ x 2€ area of serosanguineous drainage on the flank dressing.
Correct Answer: B
Rationale: Urine output of 20 mL/hour is critically low, indicating potential renal compromise or obstruction, requiring immediate physician notification.