Nokea
You're advising a 21 y.o. with a colostomy who reports problems with flatus. What food should you recommend?
- A. Peas
- B. Cabbage
- C. Broccoli
- D. Yogurt
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Stephen is a 62 y.o. patient that has had a liver biopsy. Which of the following groups of signs alert you to a possible pneumothorax?
- A. Dyspnea and reduced or absent breath sounds over the right lung
- B. Tachycardia, hypotension, and cool, clammy skin
- C. Fever, rebound tenderness, and abdominal rigidity
- D. Redness, warmth, and drainage at the biopsy site
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Your goal is to minimize David's risk of complications after a heriorrhaphy. You instruct the patient to:
- A. Avoid the use of pain medication.
- B. Cough and deep breathe Q2H.
- C. Splint the incision if he can't avoid sneezing or coughing.
- D. Apply heat to scrotal swelling.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A patient who underwent abdominal surgery now has a gaping incision due to delayed wound healing. Which method is correct when you irrigate a gaping abdominal incision with sterile normal saline solution, using a piston syringe?
- A. Rapidly instill a stream of irrigating solution into the wound.
- B. Apply a wet-to-dry dressing to the wound after the irrigation.
- C. Moisten the area around the wound with normal saline solution after the irrigation.
- D. Irrigate continuously until the solution becomes clear or all of the solution is used.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What information is correct about stomach cancer?
- A. Stomach pain is often a late symptom.
- B. Surgery is often a successful treatment.
- C. Chemotherapy and radiation are often successful treatments.
- D. The patient can survive for an extended time with TPN.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
An intubated patient is receiving continuous enteral feedings through a Salem sump tube at a rate of 60ml/hr. Gastric residuals have been 30-40ml when monitored Q4H. You check the gastric residual and aspirate 220ml. What is your first response to this finding?
- A. Notify the doctor immediately.
- B. Stop the feeding, and clamp the NG tube.
- C. Discard the 220ml, and clamp the NG tube.
- D. Give a prescribed GI stimulant such as metoclopramide (Reglan).
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.