What is the maximum height at which the container of fluid should be held by the nurse when administering the enema?

GI

A client has a paracentesis during which 1500 mL of fluid is removed. The nurse should monitor the client carefully for what reaction?
1
Hypertensive crisis
2
Hypovolemic shock
3
Abdominal distention
4
Tenting of the integument

Correct
Ans: 2
Fluid may shift from the intravascular space to the abdomen as fluid is removed, leading to hypovolemia and compensatory tachycardia. Fluid shifts can cause hypovolemia with resulting hypotension, not hypertension. A paracentesis should dec

A high cleansing enema is prescribed for a client. What is the maximum height at which the container of fluid should be held by the nurse when administering this enema?
1
30 cm (12 inches)
2
37 cm (15 inches)
3
51 cm (20 inches)
4
66 cm (26 inches)

I put 1
Ans: 2
For a high colonic enema, the fluid must extend higher in the colon. If the height of the enema fluid container above the anus is increased, the force and rate of flow also increase. 30 cm (12 inches) is too low for a cleansing enema. The h

A client who had abdominal surgery asks the nurse about when the client can return to work after discharge. Which is the most appropriate response by the nurse?
1
"Not for at least two weeks."
2
"What type of work did you have in mind?"
3
"You can return

Correct
Ans: 2
The nurse must identify the client's work activities before an appropriate response can be made. The client probably can do light work that will not injure the surgical site. The response "You can return to work if you know what it means to

A client with cancer of the pancreas has a pancreaticoduodenectomy (Whipple procedure). The nurse expects that the client will have which tube after surgery?
1
Chest
2
Intestinal
3
Nasogastric
4
Gastrostomy

Correct
Ans: 3
Nasogastric surgery involves the stomach, duodenum, pancreas, and common bile duct; a nasogastric tube removes gastric secretions and prevents distention of the gastrointestinal tract. A chest tube is used to remove air or blood from the ch

Twelve hours after a subtotal gastrectomy, a nurse identifies large amounts of bloody drainage from the client's nasogastric (NG) tube. Which action should the nurse take?
1
Obtain vital signs
2
Clamp the NG tube
3
Instill 30 mL of iced normal saline into

Correct
Ans: 1
Large amounts of blood or excessive bloody drainage 12 hours postoperatively indicate that the client is hemorrhaging. Vital signs should be taken. Clamping the tube is contraindicated; accumulation of secretions causes pressure on the sutu

A nurse is caring for a client who is vomiting. When caring for this client, the nurse considers the fact that the vomiting reflex follows a set pattern. List the following steps in the order that they occur.
1.
Contraction of abdominal muscles
2.
Closure

Ans: 3, 1, 2, 4
Reverse peristalsis starts the sequence; with contraction of the abdominal muscles, gastric contents are propelled into the esophagus, and the upper esophageal sphincter relaxes so vomiting can occur. Finally, the trachea closes to prevent

The nurse is caring for a client with biliary cancer. The associated jaundice gets progressively worse. The nurse is most concerned about the potential complication of what symptom?
1
Pruritus
2
Bleeding
3
Flatulence
4
Hypokalemia

Correct
Ans: 2
Obstruction of bile flow impairs absorption of phytonadione, a fat-soluble vitamin; prothrombin is not produced, and the clotting process is prolonged. Although deposition of bile salts in the skin may lead to pruritus, this is not life thr

A nurse is caring for a client with cholelithiasis and obstructive jaundice. When assessing this client, the nurse should be alert for which findings that are consistent with these conditions? Select all that apply.
1
Ecchymosis
2
Yellow sclera
3
Dark bro

Correct
Ans: 1, 2, 5
Inadequate bile flow interferes with vitamin K absorption, contributing to ecchymosis, hematuria, and other bleeding. Yellow sclera results from failure of bile to enter the intestines, with subsequent backup into the biliary system a

A client with an acute attack of cholecystitis has a cholecystectomy with a choledochostomy. The client returns from surgery with a T-tube connected to a drainage bag. What does the nurse conclude is the purpose of the T-tube?
1
Decrease edema
2
Permit dr

Correct
Ans: 2
The T-tube provides a passageway for bile to move through the common bile duct in the presence of edema; it does not reduce edema. When the common bile duct is explored, the T-tube maintains patency until edema subsides. The T-tube will not

A healthcare provider prescribes a gastrointestinal endoscopy with a capsule endoscopic device. What should the nurse instruct the client to do?
1
Check the recorder every hour.
2
Avoid eating food and fluid during the test.
3
Avoid stooping and bending d

Correct
Ans: 3
Stooping and bending during the test should be avoided to prevent inaccurate test results. The recorder should be checked every 15 minutes. Avoiding food and fluid during the test is unnecessary. The capsule should be held under the tongue

For two months a client has been taking nonprescription medications and has made dietary changes for symptoms of gastritis. Following assessment by a primary healthcare provider, a diagnosis of extensive carcinoma of the stomach is made. The client asks h

Correct
Ans: 4
This cancer usually is asymptomatic in the early stages; the stomach accommodates the mass. Gastric cancer is painless in its early stages. There is an increased risk of developing stomach cancer if the client has an infection with H. pylor

A client with a history of ulcerative colitis has a large portion of the large intestine removed, and an ileostomy is created. For which potential life-threatening complication should the nurse assess the client after this surgery?
1
Infection caused by t

Correct
Ans: 4
The continuous excretion of liquid feces may deplete the body of fluid and electrolytes, resulting in a life-threatening fluid deficit and electrolyte imbalance. Although the irritation of the skin by fecal material may result in an infecti

After a gastrectomy, a client has a nasogastric tube to low continuous suction. The client begins to hyperventilate. How does the nurse anticipate that this breathing pattern will alter the client's arterial blood gases?
1
Increase the PO2 level
2
Decreas

I put 3
Ans: 4
Hyperventilation results in the increased elimination of carbon dioxide from the blood. The PO2 level is not affected. The pH level will increase. The carbonic acid level will decrease.

A client presents with gastric pain, vomiting, dehydration, weakness, lethargy, and shallow respirations. Laboratory results indicate metabolic alkalosis. The diagnosis of gastric ulcer has been made. What is the primary nursing concern?
1
Chronic pain
2

Correct
Ans: 3
The stomach produces about 3 L of secretions per day. Fluid lost through vomiting can produce inadequate fluid volume and electrolyte imbalance, which can lead to dysrhythmias and death. Although pain is associated with gastric ulcers and r

A nurse is teaching a newly admitted client who has acute pancreatitis about dietary restrictions. What should the education include?
1
Use of IV fluids
2
Season foods sparingly
3
Eat small meals frequently
4
Limit coffee to three cups per day

I put 3
Ans: 1
Acute pancreatitis requires an NPO status to allow the pancreas to rest. IV fluids are administered. Spicy, seasoned foods stimulate the pancreas and should be avoided, not just sparingly used. Small, frequent feedings place less demand on

An obese client has had an abdominal cholecystectomy. How does the nurse plan to alleviate tension on the surgical wound after surgery?
1
Limiting deep breathing
2
Maintaining T-tube patency
3
Maintaining nasogastric tube patency
4
Encouraging the right s

Correct
Ans: 3
Maintaining nasogastric tube patency ensures gastric decompression, thus preventing abdominal distention, which places tension on the incision. Deep breathing should be encouraged to prevent respiratory complications. Maintaining T-tube pat

A nurse is caring for a client who recently is diagnosed with a gastric ulcer. The nurse expects that the plan of care will include a prescription for which type of diet?
1
Soft diet
2
Low-fat, high-protein liquid diet
3
Hourly feedings of dairy products

I put 2
Ans: 4
No specific diet is recommended; the client is encouraged to avoid meals that overdistend the stomach and foods that cause gastrointestinal (GI) distress. There is no need for a soft diet; a soft diet is appropriate for those who have diffi

A client who has had right upper quadrant pain for several months now experiences clay-colored stools. Laboratory results reveal elevated liver enzymes, and a needle biopsy of the liver is scheduled. What should the nurse include in the client's teaching

Correct
Ans: 3
Because of the vascularity of the liver, compression of the needle insertion site limits the risk of hemorrhage; also, it decreases the risk of bile leakage. The procedure is performed under local anesthesia, and some discomfort may be felt

A client is admitted to the hospital for the implantation of radon seeds in the oral cavity. Which intervention is most important when the nurse is caring for this client after the procedure?
1
Providing a regular diet within two days
2
Administering nurs

I put 3
Ans: 2
Nursing care should be organized and administered efficiently so that the nurse's exposure to radiation is kept to a minimum. A regular diet is contraindicated until the radon seeds are removed because chewing can dislodge the seeds. Freque

A nurse is caring for a client who is admitted to the hospital with ascites and a diagnosis of cirrhosis of the liver. What does the nurse conclude is the probable cause of ascites?
1
Impaired portal venous return
2
Inadequate secretion of bile salts
3
Ex

Correct
Ans: 1
An enlarged liver impairs venous return, leading to an increased portal vein hydrostatic pressure and a fluid shift into the abdominal cavity. Bile plays an important role in digestion of fats, but it is not a major factor in fluid balance.

A nurse is assessing different clients. Which female client has the greatest risk of developing gallbladder disease?
1
Older than age 40 and obese
2
Older than age 40 with a low serum cholesterol level
3
Less than 40 years of age with a history of high fa

I put 3
Ans: 1
These characteristics are well-established risk factors for gallbladder disease (4 Fs: female, fat, forty, and fertile). Gallbladder clients have an increase in serum cholesterol. A high fat intake does not predispose one to cholecystitis.

A client is admitted to the hospital with a diagnosis of peptic ulcer. Which most common complication should the nurse assess for in this client?
1
Perforation
2
Hemorrhage
3
Pyloric obstruction
4
Esophageal varices

Correct
Ans: 2
Hemorrhage because of erosion of blood vessel walls is the most common complication of peptic ulcer disease. The complication of gastric perforation usually occurs after, and is not as common as, hemorrhage. Pyloric obstruction is not a com

A client is admitted to the hospital with severe back and abdominal pain, nausea and occasional vomiting, and an oral temperature of 101� F (38.3� C). The client reports drinking six to eight beers a day. A diagnosis of acute pancreatitis is made. Based o

Correct
Ans: 1
Pain with pancreatitis usually is severe and is the major symptom; it occurs because of the autodigestive process in the pancreas and peritoneal irritation. Although clients with this medical diagnosis often are malnourished, addressing the

A nurse receives a telephone report from the postanesthesia care unit for a client status following a colon resection with anastomosis. Place the nursing actions in order of priority when the nurse receives this client from the postanesthesia care unit.
1

The nurse assesses consciousness, airway, breathing, and circulation almost simultaneously as the nurse approaches the client upon admission from the postanesthesia unit. Level of consciousness will be directly affected by the client's respiratory effort

What should be the nurse's focus when caring for a client after abdominal surgery?
1
Identifying signs of bleeding
2
Preventing pressure on the suture site
3
Encouraging use of an incentive spirometer
4
Detecting clinical manifestations of inflammation

Correct
Ans: 1
Bleeding and hemorrhage are the most serious concerns. Bleeding disorders are common when bile does not flow through the intestine. Phytonadione, a fat-soluble vitamin synthesized in the small intestine, requires bile salts for its absorpti

A client is discharged the same day after ambulatory surgery for a laparoscopic cholecystectomy. The nurse is providing discharge teaching about how many days the client should wait to engage in certain activities. Place in order the activities from the f

Getting out of bed is the activity that should be implemented first. It allows the client to adjust to the upright position before ambulating. Light exercise, such as walking, can begin after tolerating sitting in a chair. A client may shower or bathe one

A client is diagnosed with gastric cancer, and a subtotal gastrectomy is performed. After surgery the client begins to hemorrhage. What clinical findings support the nurse's conclusion that the client is experiencing hypovolemic shock? Select all that app

I put 1 & 4
Ans: 1, 3, 4
Decreased blood volume leads to decreased glomerular filtration; compensatory antidiuretic hormone (ADH) and aldosterone secretion cause sodium and water retention, thereby decreasing urinary output. Diaphoresis and tachycardia oc

An obese client asks the nurse how to lose weight. What should the nurse include in the response that explains when long-term weight loss occurs best?
1
Fats are limited in the diet.
2
Eating patterns are altered.
3
Carbohydrates are restricted.
4
Exercis

Correct
Ans: 2
A new dietary regimen, with a balance of foods following MyPlate (Canada's Food Guide), must be established and continued for weight reduction to occur and be maintained. Although fats and carbohydrates are limited in weight-reduction diets

Two weeks after sustaining a spinal cord injury, a client begins vomiting thick coffee-ground material and appears restless and apprehensive. What is the most important initial nursing action?
1
Change the client's diet to bland.
2
Obtain a stool specimen

I put 2
Ans: 3
The client should have a nasogastric tube inserted to keep the stomach decompressed; the nurse should monitor the amount and characteristics of the drainage. Coffee-ground gastric fluid indicates blood that has been influenced by gastric ju

A client is admitted to the hospital for surgery for a total abdominoperineal resection. What position should the nurse encourage the client to maintain when in bed to promote perineal wound healing after surgery?
1
Knee-chest
2
Dorsal recumbent
3
Left or

Correct
Ans: 4
The left or right side-lying position puts the least strain or pressure on the perineal suture line. The knee-chest position is difficult to maintain and places stress on the suture line. The dorsal recumbent position places undue stress on

When inserting a catheter to irrigate a client's colostomy, the nurse meets some resistance. What should the nurse do?
1
Probe with the irrigating catheter to determine the contour of the bowel
2
Obtain a more rigid tip for the irrigating catheter to inse

Correct
Ans: 1
Instilling a small amount of solution from the irrigating container into the stoma helps distend the bowel ahead of the catheter and eases catheter insertion. Probing with the irrigating catheter can cause damage to the delicate mucous memb

The nurse is creating a discharge teaching plan for a client who had a subtotal gastrectomy. The nurse should include what instructions about minimizing dumping syndrome? Select all that apply.
1
Drink fluids with meals.
2
Eat small, frequent meals.
3
Lie

i put 2, 3
ans- 2, 3, 5
Small, frequent meals keep the volume within the stomach to a minimum at any one time, limiting dumping syndrome. Lying down delays emptying of the stomach contents, which will limit dumping syndrome. Fluids should be taken between

A nurse is eliciting a health history from a client with ulcerative colitis. Which factor does the nurse consider to be most likely associated with the client's colitis?
1
Food allergy
2
Infectious agent
3
Dietary components
4
Genetic predisposition

Correct
Ans: 4
Studies indicate that inflammatory bowel diseases, which include ulcerative colitis and Crohn disease, are familial, which suggests that they are hereditary. Although food allergy and infectious agent may be causative factors, they are not

A client is diagnosed as having malabsorption syndrome secondary to celiac sprue. The client asks the nurse if there is anything that can help improve symptoms. What should the nurse encourage the client to incorporate into the diet for symptom improvemen

Correct
Ans: 4
Gluten, a cereal protein, appears to be responsible for morphologic changes of the intestinal mucosa with nontropical sprue (adult celiac disease). Folic acid, along with antimicrobial agents, is used to treat tropical, not celiac, sprue; i

A client who is having presurgical testing before a colon resection and possible colostomy says to the nurse, "If I have to have this surgery, I know my partner will never come near me." What would be the nurse's best initial response?
1
"You seem concern

correct
ans- 4
"You seem worried that the surgery will change how your partner sees you" is an open-ended response that encourages further discussion. The response "You seem concerned that your partner will reject you" is too specific; the nurse does not

When assessing a client's abdomen, the nurse palpates the area directly above the umbilicus. By what term is this area known?
1
Iliac area
2
Epigastric area
3
Hypogastric area
4
Suprasternal area

correct
ans- 2
The stomach is located within the sternal angle, known as the epigastric area. The iliac area is in the area of the iliac bones. The hypogastric area is the lowest middle abdominal area. The suprasternal area is the area above the sternum.

What information from a client's history should the nurse identify as risk factors for the development of colon cancer? Select all that apply.
1
Hemorrhoids
2
Increased age
3
High-fiber diet
4
Ulcerative colitis
5
Low hemoglobin level

correct
ans- 2, 4
A slower fecal transit time, which occurs with aging, may increase the risk for colon cancer. Chronic irritation of the intestinal mucosa, such as occurs in ulcerative colitis, increases the risk for colon cancer. Hemorrhoids are not a r

A client recovering from hepatitis A asks the nurse about returning to work. Which is the best response by the nurse?
1
"As soon as you're feeling less tired, you may go back to work."
2
"Unfortunately, few people fully recover from hepatitis in less than

correct
ans- 3
Relapses are common; they occur after too early ambulation and too much physical activity. Fatigue is a cardinal symptom; if the client tires at rest, a return to work must be delayed. The client does not stay contagious for six months.

The nurse provides discharge teaching to a client related to management of the client's new colostomy. The client states, "I hope I can handle all of this at home; it's a lot to remember." What is the nurse's best response?
1
"I'm sure you will be able to

correct
ans- 3
Reflection of feelings conveys acceptance and encourages further communication. The response "I'm sure you will be able to do it" is false reassurance that does not help to reduce anxiety. The response "Maybe a family member can do it for y

A client is diagnosed with celiac disease. Which foods should the nurse teach the client to avoid? Select all that apply.
1
Corn
2
Cheese
3
Oatmeal
4
Rye bread
5
Fruit juice

i put 1, 3, 4
ans- 3, 4
Gluten is found in rye, oats, wheat, and barley, which should be avoided because gluten in these grains is irritating to the gastrointestinal mucosa in clients with celiac disease. Gluten is found in oatmeal and rye bread and shoul

The nurse is developing a list of appropriate foods for a client who has been prescribed a low-sodium diet. The nurse reviews the list with the client. The nurse evaluates that the teaching is understood for food to include in the diet. Which food item di

correct
ans- 3
Shredded wheat cereal has low sodium content. Shellfish, processed meats (bologna), and beef and cheese enchiladas are high in sodium.

After an acute episode of upper gastrointestinal (GI) bleeding, a client vomits undigested antacids and reports having severe epigastric pain. The nursing assessment reveals an absence of bowel sounds, a pulse rate of 134, and shallow respirations of 32 p

i put 4
ans- 1
These symptoms are classic indicators of a perforated ulcer, for which immediate surgery is indicated; this should be anticipated. Although oxygen may be helpful, it is not the priority. The symptoms are more indicative of perforation than

After a subtotal gastrectomy, a client begins to eat more food in varied forms. After meals the client experiences a cramping discomfort and a rapid pulse with waves of weakness, which often are followed by nausea and vomiting. The nurse concludes that th

i put 2
ans- 3
Without an adequate stomach reservoir, the hypertonic, concentrated food mass quickly empties ("dumps") into the small intestine, drawing fluid from surrounding blood and tissue, causing hypovolemia and typical signs and symptoms of shock.

A client is recently diagnosed with an oral cancerous lesion. Which question should the nurse ask when assessing the client's need for instruction in relation to this condition?
1
"Are you having difficulty sleeping?"
2
"Do feel like your gums are inflame

correct
ans- 4
Problems involving the oral cavity often result in nutritional problems and weight loss needing nursing intervention. The question, "Have you noticed any change in your appetite?" will elicit more information. The nurse needs to determine a

A nurse is providing dietary teaching for a client who is receiving a high-protein diet while recovering from an acute episode of colitis. What should the nurse include in the rationale for this diet?
1
Repairs tissues
2
Slows peristalsis
3
Corrects the a

correct
ans- 1
Protein is required for the building and repair of intestinal tissues. Increased protein will not affect peristalsis significantly. Anemia may result from chronic bleeding; usually, it is corrected with increased iron intake. Muscle tone is

A client who is admitted to the hospital and requires a colon resection states, "I want to be a do not resuscitate (DNR)." The nurse questions the client's understanding of a DNR order. Which response by the client best indicates to the nurse an understan

correct
ans- 3
The statement, "If something happens to me, I do not want CPR," specifically states that if cardiac or respiratory arrest occurs, the client would rather die peacefully and does not want cardiorespiratory resuscitation. If a DNR order is si

The nurse is caring for a client with a 25-year history of excessive alcohol use. Which assessment finding is consistent with the client's history?
1
Signs of liver infection
2
A low blood ammonia level
3
A small liver with a rough surface
4
An elevated t

i put 2
ans- 3
Scar tissue that forms as cirrhosis progresses causes the liver tissue to contract, making the liver small with a rough surface; little lumps are formed as scar tissue pulls the liver at certain points. The client has cirrhosis, not a liver

An exploratory laparotomy is performed on a client with melena, and gastric cancer is discovered. A partial gastrectomy is performed, and a jejunostomy tube is surgically implanted. A nasogastric tube to suction is in place. What should the nurse expect r

correct
ans- 2
Containing some blood and clots is an expected response during the first 24 hours after a gastric resection because of oozing of blood and blood coagulation. There will be a moderate amount of drainage, not minimal or no drainage. Green and

A nurse designs a health education program specifically for a client who had a gastrectomy. What should this plan include?
1
Information about how to limit and prevent dumping syndrome
2
An explanation of the therapeutic effect of a high-roughage diet
3
A

correct
ans- 1
Symptoms of dumping syndrome occur to some degree in about 50% of all individuals who have undergone a gastrectomy. They include weakness, faintness, heart palpitations, and diaphoresis. It is therefore important to explain to the client th

A nurse advises a client receiving furosemide about potassium intake. Which fruits should the nurse encourage the client to eat? Select all that apply.
1
Apple
2
Orange
3
Banana
4
Pineapple
5
Dried fruit

i put 1, 2, 3
ans- 2, 3, 5
Foods high in potassium include oranges, bananas, and dried fruits. Furosemide is a diuretic that causes the body to lose potassium. Apples and pineapple are low in potassium.

A client with a diagnosis of stomach cancer expresses a lack of interest in food and consumes only small amounts. What is the best intervention the nurse should offer this client?
1
Smaller portions more frequently
2
Nutritional supplements between meals

i put 1
ans- 2
Clients with stomach cancer develop nutritional problems, especially weight loss. Nutritional supplements provide more adequate calories and nutrients. Although smaller food portions given more frequently may be helpful, adding nutritional

After many years of coping with ulcerative colitis, a client makes the decision to have a colectomy as advised by the primary healthcare provider. Which is most likely the significant factor that impacted on the client's decision?
1
It is temporary until

correct
ans- 2
When the diseased bowel is removed, the client's symptoms cease. Surgical removal of a body part is not temporary, but permanent. Ulcerative colitis does not progress to Crohn disease; clients with ulcerative colitis have an increased risk

After a subtotal gastrectomy (Billroth I), a client begins to eat more food in varied forms. After meals, the client experiences a cramping discomfort, a rapid pulse, and waves of weakness, which often are followed by nausea and vomiting. What does the nu

correct
ans- 3
Without an adequate stomach reservoir, the hypertonic, concentrated food mass moves into the small intestine, drawing fluid from surrounding blood and tissue and causing hypovolemia and symptoms of shock (dumping syndrome). The food passes

A client with cirrhosis of the liver has a prolonged prothrombin time and a low platelet count. A regular diet is prescribed. What should the nurse instruct the client to do considering the client's condition?
1
Avoid foods high in phytonadione.
2
Check t

correct
ans- 4
One of the many functions of the liver is the manufacture of clotting factors; there is interference in this process with cirrhosis of the liver, resulting in bleeding tendencies. The storage of fat-soluble vitamins (A, D, E, and K), water-

A client with jaundice associated with hepatitis expresses concern over the change in skin color. What does the nurse explain is the cause of this color change?
1
Stimulation of the liver to produce an excess quantity of bile pigments
2
Inability of the l

correct
ans- 2
Damage to liver cells affects the ability to facilitate removal of bilirubin from the blood, with resulting deposition in the skin and sclera. With hepatitis, the liver does not secrete excess bile. Destruction of red blood cells does not i

Which clinical findings would the nurse expect a client diagnosed with ulcerative colitis to report? Select all that apply.
1
Fever
2
Diarrhea
3
Gain in weight
4
Spitting up blood
5
Abdominal cramps

correct
ans- 1, 2, 5
The inflammatory process can promote a fever and tends to increase peristalsis, causing intestinal spasms and diarrhea. As ulceration occurs, the loss of blood leads to anemia. The client will lose weight (not gain it) because of anor

An older client with a history of chronic constipation develops acute appendicitis. Prior to arrival at the hospital, the client attempted self-care at home. Which self-care measures could potentially lead to rupture of the appendix?
1
Avoiding food and l

correct
ans- 3
Enemas can increase pressure in the intestines and cause rupture of an inflamed appendix. Fasting from food and liquids or applying an ice pack will not lead to rupture of the appendix. Masking the symptoms by taking acetaminophen may delay

A client is diagnosed with chronic pancreatitis. Which dietary instruction is most important for the nurse to share with the client?
1
Eat a low-fat, low-protein diet
2
Avoid foods high in carbohydrates
3
Avoid ingesting alcoholic beverages
4
Eat a bland

correct
ans- 3
Alcohol will cause the most damage. Alcohol increases pancreatic secretions, which cause autodigestion of the pancreas, leading to severe pain. Although the diet should be low in fat, it should be high in protein; also, it should be moderat

Before a male client signs an operative consent for an abdominoperineal resection, the nurse verifies that the client understands that surgery likely will result in which outcome?
1
Permanent ileostomy in the jejunum
2
Permanent colostomy and impotence
3

i put 4
ans- 2
Large portions of bowel and rectum are removed; during the perineal portion of the surgery, nerves involved in penile erection often are damaged. An ileostomy will not be performed because the lesion is in the descending colon. A colostomy

A healthcare provider schedules a paracentesis for a client with ascites. What should the nurse include in the client's teaching plan?
1
Maintaining a supine position during the procedure
2
Consuming a diet low in fat for three days before the procedure
3

correct
ans- 3
The bladder must be emptied immediately before the procedure to decrease the chance of puncture with the trocar used in a paracentesis. A paracentesis usually is performed with the client in the Fowler position to assist the flow of fluid b

Which position should the nurse place the client in when inserting a nasogastric tube for gastric lavage following an overdose of acetaminophen?

What should be the nurse's focus when caring for a client after abdominal surgery?

Which reported clinical manifestations would the nurse expect from a client with ulcerative colitis?