Nokea
You're preparing a patient with a malignant tumor for colorectal surgery and subsequent colostomy. The patient tells you he's anxious. What should your initial step be in working with this patient?
- A. Determine what the patient already knows about colostomies.
- B. Show the patient some pictures of colostomies.
- C. Arrange for someone who has a colostomy to visit the patient.
- D. Provide the patient with written material about colostomy care.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Dark, tarry stools indicate bleeding in which location of the GI tract?
- A. Upper colon.
- B. Lower colon.
- C. Upper GI tract.
- D. Small intestine.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Your patient recently had abdominal surgery and tells you that he feels a popping sensation in his incision during a coughing spell, followed by severe pain. You anticipate an evisceration. Which supplies should you take to his room?
- A. A suture kit.
- B. Sterile water and a suture kit.
- C. Sterile water and sterile dressings.
- D. Sterile saline solution and sterile dressings.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Your patient has a GI tract that is functioning, but has the inability to swallow foods. Which is the preferred method of feeding for your patient?
- A. TPN
- B. PPN
- C. NG feeding
- D. Oral liquid supplements
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During the assessment of a client's mouth, the nurse notes the absence of saliva. The client is also complaining of pain near the area of the ear. The client has been NPO for several days because of the insertion of an NG tube. Based on these findings, the nurse suspects that the client is developing which of the following mouth conditions?
- A. Stomatitis
- B. Oral candidiasis
- C. Parotitis
- D. Gingivitis
Correct Answer: C
Rationale: The correct answer is C, Parotitis. Parotitis, inflammation of the parotid glands, can occur due to the absence of saliva and dehydration, often associated with being NPO and having an NG tube. Stomatitis (choice A) is inflammation of the oral mucosa, not specifically related to absent saliva. Oral candidiasis (choice B) is a fungal infection that can occur in the mouth, not directly related to the absence of saliva. Gingivitis (choice D) is inflammation of the gums and is not typically associated with the absence of saliva and dehydration.
Nathaniel has severe pruritus due to having hepatitis B. What is the best intervention for his comfort?
- A. Give tepid baths.
- B. Avoid lotions and creams.
- C. Use hot water to increase vasodilation.
- D. Use cold water to decrease the itching.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.