Nokea
You're preparing a teaching plan for a 27 y.o. named Jeff who underwent surgery to close a temporary ileostomy. Which nutritional guideline do you include in this plan?
- A. There is no need to change eating habits.
- B. Eat six small meals a day.
- C. Eat the largest meal in the evening.
- D. Restrict fluid intake.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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You're doing preoperative teaching with Gertrude who has ulcerative colitis who needs surgery to create an ileoanal reservoir. Which information do you include?
- A. A reservoir is created that exits through the abdominal wall.
- B. A second surgery is required 12 months after the first surgery.
- C. A permanent ileostomy is created.
- D. The surgery occurs in two stages.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You're caring for Beth who underwent a Billroth II procedure (surgical removal of the pylorus and duodenum) for treatment of a peptic ulcer. Which findings suggest that the patient is developing dumping syndrome, a complication associated with this procedure?
- A. Flushed, dry skin.
- B. Headache and bradycardia.
- C. Dizziness and sweating.
- D. Dyspnea and chest pain.
Correct Answer: C
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.
You're assessing the stoma of a patient with a healthy, well-healed colostomy. You expect the stoma to appear:
- A. Pale, pink and moist
- B. Red and moist
- C. Dark or purple colored
- D. Dry and black
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Sharon has cirrhosis of the liver and develops ascites. What intervention is necessary to decrease the excessive accumulation of serous fluid in her peritoneal cavity?
- A. Restrict fluids
- B. Encourage ambulation
- C. Increase sodium in the diet
- D. Give antacids as prescribed
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.