The student nurse is preparing a teaching care plan to help improve nutrition in a patient with achalasia. You include which of the following:
- A. Swallow foods while leaning forward.
- B. Omit fluids at mealtimes.
- C. Eat meals sitting upright.
- D. Avoid soft and semisoft foods.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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You're caring for Betty with liver cirrhosis. Which of the following assessment findings leads you to suspect hepatic encephalopathy in her?
- A. Asterixis
- B. Chvostek's sign
- C. Trousseau's sign
- D. Hepatojugular reflex
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Michael, a 42 y.o. man is admitted to the med-surg floor with a diagnosis of acute pancreatitis. His BP is 136/76, pulse 96, Resps 22 and temp 101. His past history includes hyperlipidemia and alcohol abuse. The doctor prescribes an NG tube. Before inserting the tube, you explain the purpose to patient. Which of the following is a most accurate explanation?
- A. It empties the stomach of fluids and gas.
- B. It prevents spasms at the sphincter of Oddi.
- C. It prevents air from forming in the small intestine and large intestine.
- D. It removes bile from the gallbladder.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Janice is waiting for discharge instructions after her herniorrhaphy. Which of the following instructions do you include?
- A. Eat a low-fiber diet.
- B. Resume heavy lifting in 2 weeks.
- C. Lose weight, if obese.
- D. Resume sexual activity once discomfort is gone.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Gail is scheduled for a cholecystectomy. After completion of preoperative teaching, Gail states,"If I lie still and avoid turning after the operation, I'll avoid pain. Do you think this is a good idea?" What is the best response?
- A. You'll need to turn from side to side every 2 hours.
- B. It's always a good idea to rest quietly after surgery.
- C. The doctor will probably order you to lie flat for 24 hours.
- D. Why don't you decide about activity after you return from the recovery room?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You're caring for a patient with a sigmoid colostomy. The stool from this colostomy is:
- A. Formed
- B. Semisolid
- C. Semiliquid
- D. Watery
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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