Nokea
Which dietary instruction is most important for the nurse to explain to a client who has had gastric bypass surgery?
- A. Sip fluids with each meal.
- B. Chew slowly and thoroughly.
- C. Reduce intake of fatty foods.
- D. Eat small frequent meals.
Correct Answer: D
Rationale: Eating small frequent meals is crucial after gastric bypass surgery to prevent complications like dumping syndrome and manage portion sizes effectively.
You may also like to solve these questions
A college student comes to the school's health clinic troubled by urinary frequency and burning with right lower back pain. Which intervention should the nurse implement first?
- A. Palpate the right flank for tenderness.
- B. Test the urine for the presence of hematuria.
- C. Evaluate the urine for a strong odor.
- D. Measure the temperature and pulse rate.
Correct Answer: D
Rationale: Measuring temperature and pulse rate is important to identify signs of systemic infection or inflammation contributing to the client's symptoms.
The nurse is caring for a client who is receiving teletherapy radiation for a malignant tumor. Which instruction regarding skin care of the portal site should the nurse provide?
- A. Protect the skin of the radiation portal site from sunlight exposure.
- B. Avoid washing the skin inside the radiation portal site.
- C. Remove the ink marks of the portal after each radiation treatment.
- D. Apply moisture lotions daily to the radiation portal site.
Correct Answer: A
Rationale: Protecting the radiation portal site from sunlight exposure prevents further damage to the sensitive irradiated skin.
The nurse is caring for a client who tests positive for the sexually transmitted infection (STI) gonorrhea. The client reports having sex with someone who has many partners. Which response should the nurse provide?
- A. Teach importance of medication regimen and follow-up protocol.
- B. Discuss that partners without similar symptoms may not be infected.
- C. Emphasize that using safe sex practices removes the risk of STIs.
- D. Clarify that all STIs are transmitted through sexual intercourse.
Correct Answer: A
Rationale: Teaching the importance of medication regimen and follow-up protocol is crucial for treating gonorrhea and preventing its spread.
The nurse is performing a physical assessment of a client. Which finding should the nurse recognize is a result of a compromised peripheral arterial circulation of the lower extremity?
- A. Bronze pigmentation.
- B. Lower leg edema.
- C. Uneven hair distribution.
- D. Bounding peripheral pulse.
Correct Answer: C
Rationale: Uneven hair distribution, such as decreased hair growth, is indicative of compromised peripheral arterial circulation due to reduced blood flow to the area.
Nurses' Notes
A 34-year-old male client presents to the emergency department (ED) for an acute asthma attack which began after jogging through a local park. The client is able to answer questions, pausing every few words to catch his breath. The client reports using a rescue Inhaler three times, but he just couldn't catch his breath. The client reports that symptoms seem worse when outdoors and when exercising and that episodes like this make him extremely nervous. The client reports that it has been a couple of months since he had an asthma attack, and he came to the ED today because he noticed that his inhaler was expired and was worried the medication was not working.
Initial Assessment
Temperature 98.9° F (37.1° C)
Heart rate 112 beats/minute
Respirations 28 breaths/minute
Blood pressure 130/86 mm Hg
Oxygen saturation 88% on room air
Lung sounds reveal expiratory wheezes
Capillary refill time 2 seconds
Complete the following sentences by choosing from the lists of corresponding options. Based on history and assessment data, the nurse should prioritize [condition] as the priority problem for this client, as evidenced by the client's statement, [statement].
- A. chronic bronchitis
- B. anxiety disorder
- C. exercise-induced bronchospasm
- D. impaired gas exchange
- E. cardiovascular disease
- F. respiratory infection
Correct Answer: D
Rationale: The client's difficulty breathing, need to pause to catch breath, ineffective rescue inhaler, and oxygen saturation of 88% indicate impaired gas exchange, requiring immediate intervention to improve respiratory function.