N195 Test 4

Question 1 of 68

1

A client has a routine sigmoidoscopy with a tissue biopsy. What complication is the nurse looking for in a postprocedure assessment?

Select one of the following:

Excessive diarrhea
Heavy bleeding
Nausea and vomiting
Severe rectal pain

Explanation

Question 2 of 68

1

A client is scheduled for a colonoscopy. What does the nurse tell the client to do before the procedure is performed?

Select one of the following:

"Begin a clear liquid diet 12 to 24 hours before the test."
"Do not eat or drink anything for 12 hours before the test."
"Give yourself tap water enemas until the fluid returns are clear."
"You will have to drink a contrast liquid 2 hours before the test."

Explanation

Question 3 of 68

1

A client with newly diagnosed irritable bowel syndrome (IBS) reports having five to six loose stools daily. What is the common psychological client response to this gastrointestinal health problem?

Select one of the following:

Acceptance
Embarassment
Euphoria
Grief

Explanation

Question 4 of 68

1

Which substance, produced in the stomach, facilitates the absorption of vitamin B12?

Select one of the following:

Glucagon
Hydrochloric acid
Intrinsic factor
Pepsinogen

Explanation

Question 5 of 68

1

What is a common gastrointestinal problem that older adults experience more frequently as they age?

Select one of the following:

Decreased hydrochloric acid
Excess lipase production
Increased liver enzymes
Increased peristalsis

Explanation

Question 6 of 68

1

A client is admitted to the hospital with severe right upper quadrant (RUQ) pain. Which assessment technique does the nurse use for this client?

Select one of the following:

Assesses the abdomen in the following sequence: inspection, palpation, percussion, auscultation
Examines the RUQ of the abdomen last
Has the client lie in a supine position with legs straight and arms at the sides
Views the abdomen by looking directly down while standing over the client's abdominal area

Explanation

Question 7 of 68

1

A client is admitted to the hospital with elevated serum amylase and lipase levels and a decreased calcium level. Which gastrointestinal health problem is indicated by these laboratory findings?

Select one of the following:

Acute pancreatitis
Cirrhosis
Chrohn's disease
Diarrhea

Explanation

Question 8 of 68

1

The nurse is assessing a client who had abdominal surgery yesterday. What method provides the most accurate data about resumption of peristalsis in the client?

Select one of the following:

Asking the client whether he or she has passes flatus (gas)
Auscultating bowel sounds in all abdominal quadrants
Counting the number of bowel sounds in each abdominal quadrant
Observing the abdomen for symmetry and distention

Explanation

Question 9 of 68

1

The nurse is educating a group of older adults about screening for colorectal cancer. Which statement by a group member indicates the need for further clarification about these guidelines?

Select one of the following:

"A barium enema every 5 years is a screening option."
"I will need to have a routine colonoscopy every 5 years."
"My routine flexible sigmoidoscopy every 5 years is OK."
"The 'virtual' colonoscopy every 5 years is acceptable."

Explanation

Question 10 of 68

1

The outpatient clinic nurse is caring for a recovering client who had a colonoscopy. The client asks for a drink. How does the nurse respond to this request?

Select one of the following:

"After I hear bowel sounds, you can have a drink."
"Twenty minutes after the procedure was completed, you may have some liquids."
"When you are able to pass flatus (gas), you can have a drink."
"You can have fluids hen you get home and are settled."

Explanation

Question 11 of 68

1

The nurse is assessing a client who comes to the emergency department with acute abdominal pain. The nurse notes a bulging, pulsating mass when inspecting the abdomen. Which action by the nurse is correct?

Select one of the following:

Auscultate the abdomen to determine the presence of bowel sounds.
Notify the provider about this finding immediately.
Palpate the client's abdomen to determine the outlines of the mass.
Question the client about recent stool habits.

Explanation

Question 12 of 68

1

The nurse is assessing a client who has come to the emergency department with acute abdominal pain. The client is very thin and the nurse observes visible peristaltic movements when inspecting the abdomen. What does the nurse suspect?

Select one of the following:

Acute diarrhea
Aortic aneurysm
Intestinal obstruction
Pancreatitis

Explanation

Question 13 of 68

1

Which client does the charge nurse on the adult medical unit assign to an RN who has floated from the outpatient gastrointestinal (GI) unit?

Select one of the following:

A 38-year-old who needs discharge after having an ERCP
A 40-year-old who needs laxatives administered and effectiveness monitored before a colonoscopy
A 43-year-old recently admitted with nausea, abdominal pain, and abdominal distention
A 50-year-old with epigastric pain who needs conscious sedation during a scheduled endoscopy procedure

Explanation

Question 14 of 68

1

Which client does the charge nurse assign to an experienced LPN/LVN working on the adult medical unit?

Select one of the following:

A 32-year-old who needs a nasogastric tube inserted for gastric acid analysis
A 36-year-old who needs teaching about an ERCP
A 40-year-old who will need administration of IV midazolam hydrochloride (Versed) during an upper endoscopy
A 46-year-old who was recently admitted with abdominal cramping and diarrhea of unknown causes

Explanation

Question 15 of 68

1

While working in the outpatient procedure unit, the RN is assigned to these clients. Which client does the nurse assess first?

Select one of the following:

A 51-year-old who recently had an ERCP
A 54-year-old who is ready for discharge following a colonoscopy
A 58-year-old who has just arrived for basal gastric secretion and gastric acid stimulation testing
A 60-year-old with questions about an endoscopic ultrasound examination

Explanation

Question 16 of 68

1

After a colonoscopy, a client reports severe abdominal pain. The nurse obtains these data: temperature 100.2 F, pulse 122 beats/min, blood pressure 100/45 mm Hg, respirations 44 breaths/min and O2 saturation 89%. Which request from the health care provider does the nurse implement first?

Select one of the following:

Give cefazolin (Ancef) 500 mg IV
Infuse normal saline at 200 mL/hr
Give morphine sulfate 2 mg IV
Provide oxygen at 6 L/min per nasal cannula

Explanation

Question 17 of 68

1

A client arrives at the emergency department with acute abdominal pain in the lower left quadrant. In which order does the nurse examine and assess the client's left lower quadrant (LLQ), left upper quadrant (LUQ), right lower quadrant (RLQ), and right upper quadrant (RUQ)?

Select one of the following:

LLQ, RLQ, LUQ, RUQ
LUQ, LLQ, RUQ, RLQ
RLQ, LLQ, RUQ, LUQ
RUQ, LUQ, RLQ, LLQ

Explanation

Question 18 of 68

1

The nurse practitioner is performing an abdominal assessment on a newly admitted client. In which order should the nurse proceed with assessment technique?

Select one of the following:

Auscultation, percussion, palpation, inspection
Inspection, auscultation, percussion, palpation
Palpation, percussion, inspection, auscultation
Percussion, auscultation, palpitation, inspection

Explanation

Question 19 of 68

1

Which factors place a client at risk for gastrointestinal (GI) problems? Select all that apply.

Select one or more of the following:

Eating a high-fiber diet
Smoking a half-pack of cigarettes per day
Socioeconomic status
Some herbal preparations
Use of NSAIDs

Explanation

Question 20 of 68

1

Which food does the nurse instruct a client undergoing chemotherapy for oral cancer with secondary stomatitis to avoid?

Select one of the following:

Broiled fish
Ice cream
Salted pretzels
Scrambled eggs

Explanation

Question 21 of 68

1

The nurse is providing instructions to a client who has a history of stomatitis. Which instructions does the nurse include in the client's teaching plan?

Select one of the following:

Encourage the client to eat acidic foods to decrease bacteria
Mouth care should be performed twice daily
Rinse the mouth with warm saline or sodium bicarbonate
Use a medium-bristled toothbrush for oral care

Explanation

Question 22 of 68

1

When caring for a client with oral cancer who has developed stomatitis as a complication of radiation and chemotherapy, which action does the nurse delegate to the home health aide?

Select one of the following:

Provide oral care using disposable foam swabs
Inspect the oral mucosa for evidence of oral candidiasis
Instruct the client on how to use nystatin oral rinses
Assist the client in making appropriate dietary choices

Explanation

Question 23 of 68

1

The nurse is working with the dietitian to plan a menu for a client who has persistent difficulty swallowing. What is a suitable breakfast selection for this client?

Select one of the following:

Scrambled eggs and toast
Oatmeal and orange juice
Pureed fruit and english muffin
Cream of wheat and applesauce

Explanation

Question 24 of 68

1

A client in the outpatient clinic tells the nurse about experiencing heartburn and nighttime coughing episodes. Which action does the nurse take first?

Select one of the following:

Teach the client about antacid effects and side effects
Ask the client about medications and dietary intake
Suggest that the client sleep with the head elevated 6 inches
Tell the client to avoid drinking alcohol late in the evening

Explanation

Question 25 of 68

1

A client has been diagnosed with mild GERD and asks the nurse about nonpharmacologic treatments to prevent symptoms. What does the nurse tell this client?

Select one of the following:

"Avoid caffeine-containing foods and beverages."
"Eat three meals each day and avoid snacking between meals."
"Peppermint lozenges help to reduce stomach upset."
"Sleep on your left side with a pillow between your knees."

Explanation

Question 26 of 68

1

The nurse is assessing a client with GERD. Which findings does the nurse expect to observe?

Select one or more of the following:

Blood-tinged sputum
Dyspepsia
Excessive salivation
Flatulence
Regurgitation

Explanation

Question 27 of 68

1

A client has a long-term history of Crohn's disease and has recently developed acute gastritis. The clients asks the nurse whether Crohn's disease was a direct cause of the gastritis. What is the nurse's best response?

Select one of the following:

"Yes, Crohn's disease is known to be a direct cause of the development of chronic gastritis."
"We know what there can be an association between Crohn's disease and chronic gastritis, but Crohn's does not directly cause acute gastritis to develop."
"What has your doctor told you about how your gastritis developed?"
"Yes, a familial tendency to inherit Crohn's disease and gastritis has been reported. Have your other family members been tested for Crohn's disease?"

Explanation

Question 28 of 68

1

The nurse is teaching a client how to prevent recurrent chronic gastritis symptoms before discharge. Which statement by the client demonstrates a correct understanding of the nurse's instruction?

Select one of the following:

"It is ok to continue to drink coffee in the morning when I get to work."
"I will need to take vitamin B12 shots for the rest of my life."
"I should avoid alcohol and tobacco."
"I should eat small meals about six times a day."

Explanation

Question 29 of 68

1

The home health nurse is teaching a client about the care of a new colostomy. Which client statement demonstrates a correct understanding of the instructions?

Select one of the following:

"A dark or purplish-looking stoma is normal and should not concern me."
"If the skin around the stoma is red or scratched, it will heal soon."
"I need to check for leakage underneath my colostomy."
"I should strive for a very tight fit when applying the barrier around the stoma."

Explanation

Question 30 of 68

1

A client is being evaluated in the emergency department for a possible small bowel obstruction. Which signs and/or symptoms does the nurse expect to assess?

Select one of the following:

Cramping intermittently, metabolic acidosis, and minimal vomiting
Intermittent lower abdominal cramping, obstipation, and metabolic alkalosis
Metabolic acidosis, upper abdominal distention, and intermittent cramping
Upper abdominal distention, metabolic alkalosis, and great amount of vomiting

Explanation

Question 31 of 68

1

What does the nurse advise a client diagnosed with irritable bowel syndrome (IBS) to take during periods of constipation?

Select one of the following:

Bulk-forming laxatives
Saline laxatives
Stimulant laxatives
Stool-softening agents

Explanation

Question 32 of 68

1

A client diagnosed with irritable bowel syndrome (IBS) is discharged home with a variety of medications for IBS symptoms. Upon returning to the clinic, the client states, "Most of my symptoms have improved, except for the diarrhea." What does the nurse anticipate will be prescribed for this client?

Select one of the following:

Antidiarrheal agent
Muscarinic receptor antagonist
Serotonin antagonist
Tricyclic antidepressant

Explanation

Question 33 of 68

1

A client is diagnosed with irritable bowel syndrome (IBS). What factors does the nurse suspect as possible causes of the client's problem?

Select one or more of the following:

Antihistamines
Caffeinated drinks
Stress
Sleeping pills
Anxiety

Explanation

Question 34 of 68

1

A client who had surgery for inflammatory bowel disease is being discharged. The case manager will arrange for home health care follow-up. The client tells the nurse that family members will also be helping with care. What information is critically important for the nurse to provide to these collaborating members?

Select one of the following:

A list of medical supply facilities where wound care supplies may be purchased
Proper handwashing techniques to avoid cross-contamination of the client's wound
The amount of pain medication that the client is allowed to take in each dose
Written and oral instructions regarding symptoms to report to the health care provider

Explanation

Question 35 of 68

1

A client is scheduled for discharge after surgery for inflammatory bowel disease. The client's spouse will be assisting home health services with the client's care. What is most important for the home health nurse to assess in the client and the spouse with regard to the client's home care?

Select one of the following:

Ability of the client and spouse to perform incision care and dressing changes
Effective coping mechanisms for the client and spouse after the surgical experience
Knowledge about the client's requested pain medications
Understanding of the importance of keeping scheduled follow-up appointments

Explanation

Question 36 of 68

1

A client with a history of osteoarthritis has a 10-inch incision following a colon resection. The incision has become infected, and the wound requires extensive irrigation and packing. What aspect of the client's care does the nurse make certain to discuss with the health care provider before the client's discharge?

Select one of the following:

Having a home health consultation for wound care
Requesting an antianxiety medication
Requesting pain medication for the client's osteoarthritis
Placing the client in a skilled nursing facility for rehabilitation

Explanation

Question 37 of 68

1

A client has vague symptoms that indicate an acute inflammatory bowel disorder. Which symptom is most indicative of Crohn's disease (CD)?

Select one of the following:

Abdominal pain relieved by bending the knees
Chronic diarrhea, abdominal pain, and fever
Epigastric cramping
Hypotension with vomiting

Explanation

Question 38 of 68

1

A client demonstrates the manifestations of diverticulitis with a suspected complication of peritonitis. What is the priority nursing intervention?

Select one of the following:

Assessing the client for changes in vital signs
Medicating the client for pain
Monitoring for changes in the client's mentation
Preparing the client for emergency surgery

Explanation

Question 39 of 68

1

A client has developed gastroenteritis while traveling outside the country. What is the likely cause of the client's symptoms?

Select one of the following:

Bacteria on the client's hands
Ingestion of parasites in the water
Insufficient vaccinations
Overcooked food

Explanation

Question 40 of 68

1

What is a correct statement differentiating Crohn's disease (CD) from ulcerative colitis (UC)?

Select one of the following:

Clients with CD experience about 20 loose, bloody stools daily
Clients with US may experience hemorrhage
The peak incidence of UC is between 15 and 40 years of age
Very few complications are associated with CD

Explanation

Question 41 of 68

1

A nurse is teaching a client with Crohn's disease about managing the disease with the drug adalimumab (Humira). Which instruction does the nurse emphasize to the client?

Select one of the following:

"Avoid large crowds and anyone who is sick."
"Do not take the medication if you are allergic to foods with fatty acids."
"Expect difficulty with wound healing while you are taking this drug."
"Monitor your blood pressure and report any significant decrease in it."

Explanation

Question 42 of 68

1

A nurse is teaching a client about dietary methods to help manage exacerbations ("flare-ups") of diverticulitis. What does the nurse advice the client?

Select one of the following:

"Be sure to maintain an exclusively low-fiber diet to prevent pain on defecation."
"Consume a low-fiber diet while your diverticulitis is active. When inflammation resolves, consume a high-fiber diet."
"Maintain a high-fiber diet to prevent the development of hemorrhoids that frequently accompany this condition."
"Make sure you consume a high-fiber diet wile diverticulitis is active. When inflammation resolves, consume a low-fiber diet."

Explanation

Question 43 of 68

1

A client who developed viral gastroenteritis with vomiting and diarrhea is scheduled to be seen in the clinic the following day. What will the nurse teach the client to do in the meantime?

Select one of the following:

"Avoid all solid foods to allow complete bowel rest."
"Consume extra fluids to replace fluid losses."
"Take an over-the-counter antidiarrheal medication."
"Contact your provider for an antibiotic medication."

Explanation

Question 44 of 68

1

A client has been newly diagnosed with ulcerative colitis (UC). What does the nurse teach the client about diet and lifestyle choices?

Select one of the following:

"Drinking carbonated beverages will help with your abdominal distress."
"It's OK to smoke cigarettes, but you should limit them to 1/2 pack per day."
"Lactose-containing foods should be reduced or eliminated from your diet."
"Raw vegetables and high-fiber foods may help to diminish your symptoms."

Explanation

Question 45 of 68

1

The nurse is instructing a client with recently diagnosed diverticular disease about diet. What food does the nurse suggest the client include?

Select one of the following:

A slice of 5-grain bread
Chuck steak patty
Strawberries
Tomato

Explanation

Question 46 of 68

1

An obese client is discharged 10 days after being hospitalized for peritonitis, which resulted in an exploratory laparotomy. Which assessment finding by the client's home health nurse requires immediate action?

Select one of the following:

Pain when coughing
States, "I am too tired to walk very much."
States, "I feel like the incision is splitting open"
Temperature of 100.8ª F (38.2ª C)

Explanation

Question 47 of 68

1

A client newly diagnosed with ulcerative colitis (UC) is started on sulfasalazine (Azulfidine). What does the nurse tell the client about why this therapy has been prescribed?

Select one of the following:

"It is to stop the diarrhea and blood stools."
"This will minimize your GI discomfort."
"With this medication, your cramping will be relieved."
"Your intestinal inflammation will be reduced."

Explanation

Question 48 of 68

1

A client with ulcerative colitis is prescribed sulfasalazine (Azulfidine) and corticosteroid therapy. As the disease improves, what change does the nurse expect in the client's medication regimen?

Select one of the following:

Corticosteroid therapy will be stopped
Sulfasalazine (Azulfidine) will be stopped
Corticosteroid therapy will be tapered
Sulfasalazine (Azulfidine) will be tapered

Explanation

Question 49 of 68

1

A client diagnosed with ulcerative colitis is to be discharged on loperamide (Imodium) for symptomatic management of diarrhea. What does the nurse include in the teaching about this medication?

Select one of the following:

"Be aware of the symptoms of toxic megacolon that we discussed."
"If diarrhea increases, you should let your health care provider know."
"Pregnancy should be avoided."
"You will need to decrease your dose of sulfasalazine (Azulfidine)."

Explanation

Question 50 of 68

1

A client is admitted with severe viral gastroenteritis caused by norovirus. The client asks the nurse, "How did I get this disease?" Which answer by the nurse is correct?

Select one of the following:

"You may have contracted it from an infected infant."
"You may have consumed contaminated food or water."
"You may have come into contact with an infected animal."
"You may have had contact with the blood of an infected person."

Explanation

Question 51 of 68

1

A client admitted with severe gastroenteritis has been started on an IV, but the client continues having excessive diarrhea. Which medication does the nurse ask the health care provider about prescribing?

Select one of the following:

Balsalazide (Colazal)
Loperamide (Imodium)
Mesalamine (Asacol)
Milk of Magnesia (MOM)

Explanation

Question 52 of 68

1

A humidified atmosphere is recommended for a young child with an upper respiratory tract infection because this environment facilitates:

Select one of the following:

liquefying secretions
improving oxygenation
promoting ventilation
soothing inflamed mucous membrane

Explanation

Question 53 of 68

1

A child with acute streptococcal pharyngitis should be treated with antibiotics to prevent:

Select one of the following:

otitis media
diabetes insipidus
nephrotic syndrome
acute rheumatic fever

Explanation

Question 54 of 68

1

The mother of a 20-month-old child tells the nurse that the child has a barking cough at night. The child's temperature is 37º C (98.6º F). Based on the nurse's knowledge of upper respiratory infections, this is a symptom of croup. The nurse should recommend to:

Select one of the following:

control the fever with acetaminophen and call if the cough gets worse tonight
try a cool-mist vaporizer at night and watch for signs of difficulty breathing
try over-the-counter cough medicine and come to the clinic tomorrow if there is no improvement
admit to the hospital and observe for impending epiglottitis

Explanation

Question 55 of 68

1

Which nursing intervention or practice is most effective in helping to prevent UTI in hospitalized clients?

Select one of the following:

Encouraging them to drink fluids
Irrigating all catheters daily with sterile salines
Recommending that catheters be placed in all clients
Periodically re-evaluating the need for indwelling catheters

Explanation

Question 56 of 68

1

A 26-year-old client with multiple sexual partners is being assessed for symptoms of dysuria and vaginal discharge. Because the results from the culture of the cervical cells are not available, the client will be treated for both Chlamydia and gonorrhea. Which explanation by the nurse is best?

Select one of the following:

"This early treatment will prevent obstruction to the fallopian tubes."
"Only azithromycin (Zithromax) is prescribed for both sexually transmitted diseases."
"The treatment will prevent aortic valve disease and aneurysms."
"Oral antibiotic treatment will prevent frequent occurrences of meningitis."

Explanation

Question 57 of 68

1

A 23-year-old female has been diagnosed with genital warts. Which action by the nurse is best?

Select one of the following:

Encourage the client to have an annual Papanicolaou (Pap) test
Recommend an over-the-counter wart treatment for genital tissue
Report the case to the Centers for Disease Control and Prevention (CDC)
Discuss popular options for contraception

Explanation

Question 58 of 68

1

A female client returned to the clinic with a yellow vaginal discharge after being treated for Chlamydia infection 3 weeks ago. Which statement by the client alerts the nurse that there may be a recurrence of the infection?

Select one of the following:

"I did practice abstinence while taking the medication."
"I took doxycycline two times a day for a week."
"I never told my boyfriend about the infection."
"I did drink wine when taking the medication for Chlamydia."

Explanation

Question 59 of 68

1

A client with pelvic inflammatory disease is seen by the nurse 72 hours after starting oral antibiotics. Which finding leads the nurse to take immediate action?

Select one of the following:

Feelings of anger that her partner infected her
Loose stools over the last 2 days
Anorexia and nausea
Chills and a temperature of 101ºF

Explanation

Question 60 of 68

1

A nurse wants to reduce the risk potential for transmission of chlamydia and gonorrhea with a female client diagnosed with both diseases. Which items should be included in the client's teaching plan? (Select all that apply.)

Select one or more of the following:

Expedited partner therapy
Abstinence until therapy is completed
Use of internal uterine devices
Proper use of condoms
Re-screening for infection
Use of oral contraception

Explanation

Question 61 of 68

1

A client being treated for syphilis visits the office with a possible allergic reaction to benzathine penicillin G. Which abnormal findings would the nurse expect to document? (Select all that apply.)

Select one or more of the following:

Red rash
Shortness of breath
Heart irregularity
Chest tightness
Anxiety

Explanation

Question 62 of 68

1

Which risk factors would the nurse teach a 23-year-old client about to prevent pelvic inflammatory disease (PID)? (Select all that apply.)

Select one or more of the following:

Having multiple sexual partners
Using in intrauterine device (IUD)
Smoking
Drinking two alcoholic beverages per day
Having a history of sexually transmitted diseases (STDs)

Explanation

Question 63 of 68

1

The nurse is teaching a client who is taking an oral antibiotic for treatment of an STD. Which statements by the client indicate a correct understanding of the treatment? Select all that apply.

Select one or more of the following:

"I need to drink at least 8 glasses of fluid each day with my antibiotic."
"I should read the instructions to see if I can take the medication with food."
"Antacids should not interfere with the effectiveness of the antibiotic."
"I need to wait 7 days after the last dose of the antibiotic to engage in intercourse."
"It should not matter if I skip a couple of doses of the antibiotic."

Explanation

Question 64 of 68

1

A confused client with pneumonia is admitted with an indwelling catheter in place. During interdisciplinary rounds the following day, which question should the nurse ask the primary health care provider?

Select one of the following:

"Do you want daily weights on this client?"
"Will the client be able to return home?"
"Can we discontinue the indwelling catheter?"
"Should we get another chest x-ray today?"

Explanation

Question 65 of 68

1

A nurse cares for a client admitted from a nursing home after several recent falls. What prescription should the nurse complete first?

Select one of the following:

Obtain urine sample for culture and sensitivity
Administer intravenous antibiotics
Encourage protein intake and additional fluids
Consult physical therapy for gait training

Explanation

Question 66 of 68

1

A nurse teaches a young female client who is prescribed amoxicillin (Amoxil) for a UTI. Which statement should the nurse include in this client's teaching?

Select one of the following:

"Use a second form of birth control while on this medication."
"You will experience increased menstrual bleeding while on this drug."
"You may experience an irregular heartbeat while on this drug."
"Watch for blood in your urine while taking this medication."

Explanation

Question 67 of 68

1

A nurse provides phone triage to a pregnant client. The client states, "I am experiencing a burning pain when I urinate." How should the nurse respond?

Select one of the following:

"This means labor will start soon. Prepare to go to the hospital."
"You probably have a urinary tract infection. Drink more cranberry juice."
"Make an appointment with your provider to have your infection treated."
"Your pelvic wall is weakening. Pelvic muscle exercises should help."

Explanation

Question 68 of 68

1

A nurse assess a client with a fungal urinary tract infection. Which assessments should the nurse complete? Select all that apply.

Select one or more of the following:

Palpate the kidneys and bladder
Assess the medical history and current medical problems
Perform a bladder scan to assess post-void residual
Inquire about recent travel to foreign countries
Obtain a current list of medications

	Created by Mary Roth almost 9 years ago

Quiz on N195 Test 4, created by Mary Roth on 24/10/2017.

N195 Test 4

N195 Test 4

Question 1 of 68

A client has a routine sigmoidoscopy with a tissue biopsy. What complication is the nurse looking for in a postprocedure assessment?

Select one of the following:

Explanation

Question 2 of 68

A client is scheduled for a colonoscopy. What does the nurse tell the client to do before the procedure is performed?

Select one of the following:

Explanation

Question 3 of 68

A client with newly diagnosed irritable bowel syndrome (IBS) reports having five to six loose stools daily. What is the common psychological client response to this gastrointestinal health problem?

Select one of the following:

Explanation

Question 4 of 68

Which substance, produced in the stomach, facilitates the absorption of vitamin B12?

Select one of the following:

Explanation

Question 5 of 68

What is a common gastrointestinal problem that older adults experience more frequently as they age?

Select one of the following:

Explanation

Question 6 of 68

A client is admitted to the hospital with severe right upper quadrant (RUQ) pain. Which assessment technique does the nurse use for this client?

Select one of the following:

Explanation

Question 7 of 68

A client is admitted to the hospital with elevated serum amylase and lipase levels and a decreased calcium level. Which gastrointestinal health problem is indicated by these laboratory findings?

Select one of the following:

Explanation

Question 8 of 68

The nurse is assessing a client who had abdominal surgery yesterday. What method provides the most accurate data about resumption of peristalsis in the client?

Select one of the following:

Explanation

Question 9 of 68

The nurse is educating a group of older adults about screening for colorectal cancer. Which statement by a group member indicates the need for further clarification about these guidelines?

Select one of the following:

Explanation

Question 10 of 68

The outpatient clinic nurse is caring for a recovering client who had a colonoscopy. The client asks for a drink. How does the nurse respond to this request?

Select one of the following:

Explanation

Question 11 of 68

The nurse is assessing a client who comes to the emergency department with acute abdominal pain. The nurse notes a bulging, pulsating mass when inspecting the abdomen. Which action by the nurse is correct?

Select one of the following:

Explanation

Question 12 of 68

The nurse is assessing a client who has come to the emergency department with acute abdominal pain. The client is very thin and the nurse observes visible peristaltic movements when inspecting the abdomen. What does the nurse suspect?

Select one of the following:

Explanation

Question 13 of 68

Which client does the charge nurse on the adult medical unit assign to an RN who has floated from the outpatient gastrointestinal (GI) unit?

Select one of the following:

Explanation

Question 14 of 68

Which client does the charge nurse assign to an experienced LPN/LVN working on the adult medical unit?

Select one of the following:

Explanation

Question 15 of 68

While working in the outpatient procedure unit, the RN is assigned to these clients. Which client does the nurse assess first?

Select one of the following:

Explanation

Question 16 of 68

After a colonoscopy, a client reports severe abdominal pain. The nurse obtains these data: temperature 100.2 F, pulse 122 beats/min, blood pressure 100/45 mm Hg, respirations 44 breaths/min and O2 saturation 89%. Which request from the health care provider does the nurse implement first?

Select one of the following:

Explanation

Question 17 of 68

A client arrives at the emergency department with acute abdominal pain in the lower left quadrant. In which order does the nurse examine and assess the client's left lower quadrant (LLQ), left upper quadrant (LUQ), right lower quadrant (RLQ), and right upper quadrant (RUQ)?

Select one of the following:

Explanation

Question 18 of 68

The nurse practitioner is performing an abdominal assessment on a newly admitted client. In which order should the nurse proceed with assessment technique?

Select one of the following:

Explanation

Question 19 of 68

Which factors place a client at risk for gastrointestinal (GI) problems? Select all that apply.

Select one or more of the following:

Explanation

Question 20 of 68