A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

A 43-year-old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every two hours. Which of the following outcome criteria would the nurse use?

A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

A.

Body temperature of 99°F or less

A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

B.

Toes moved in active range of motion

A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

C.

Sensation reported when soles of feet are touched

A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

D.

Capillary refill of < 3 seconds

Quick Answer: 223

Detailed Answer: 225

  • A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Side-lying with knees flexed

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Knee-chest

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    High Fowler’s with knees flexed

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Semi-Fowler’s with legs extended on the bed

    Quick Answer: 223

    Detailed Answer: 225

  • A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Taking hourly blood pressures with mechanical cuff

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Encouraging fluid intake of at least 200mL per hour

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Position in high Fowler’s with knee gatch raised

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Administering Tylenol as ordered

    Quick Answer: 223

    Detailed Answer: 225

  • Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Steak

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Cottage cheese

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Popsicle

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Lima beans

    Quick Answer: 223

    Detailed Answer: 225

  • A newly admitted client has sickle cell crisis. He is complaining of pain in his feet and hands. The nurse’s assessment findings include a pulse oximetry of 92. Assuming that all the following interventions are ordered, which should be done first?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Adjust the room temperature

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Give a bolus of IV fluids

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Start O2

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Administer meperidine (Demerol) 75mg IV push

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Roast beef, gelatin salad, green beans, and peach pie

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Chicken salad sandwich, coleslaw, French fries, ice cream

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Pork chop, creamed potatoes, corn, and coconut cake

    Quick Answer: 223

    Detailed Answer: 225

  • Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    A family vacation in the Rocky Mountains

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Chaperoning the local boys club on a snow-skiing trip

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Traveling by airplane for business trips

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    A bus trip to the Museum of Natural History

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Enlarged spleen

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Elevated blood pressure

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Bradycardia

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Beefy tongue

    Quick Answer: 223

    Detailed Answer: 225

  • The body part that would most likely display jaundice in the dark-skinned individual is the:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Conjunctiva of the eye

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Soles of the feet

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Roof of the mouth

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Shins

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    BP 146/88

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Respirations 28 shallow

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Weight gain of 10 pounds in six months

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Pink complexion

    Quick Answer: 223

    Detailed Answer: 226

  • The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    “I will drink 500mL of fluid or less each day.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    “I will wear support hose.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    “I will check my blood pressure regularly.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    “I will report ankle edema.”

    Quick Answer: 223

    Detailed Answer: 226

  • A 33-year-old male is being evaluated for possible acute leukemia. Which of the following findings is most likely related to the diagnosis of leukemia?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The client collects stamps as a hobby.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The client recently lost his job as a postal worker.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The client had radiation for treatment of Hodgkin’s disease as a teenager.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The client’s brother had leukemia as a child.

    Quick Answer: 223

    Detailed Answer: 226

  • Where is the best site for examining for the presence of petechiae in an African American client?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The abdomen

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The thorax

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The earlobes

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The soles of the feet

    Quick Answer: 223

    Detailed Answer: 226

  • The client is being evaluated for possible acute leukemia. Which inquiry by the nurse is most important?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    “Have you noticed a change in sleeping habits recently?”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    “Have you had a respiratory infection in the last six months?”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    “Have you lost weight recently?”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    “Have you noticed changes in your alertness?”

    Quick Answer: 223

    Detailed Answer: 226

  • Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Oral mucous membrane, altered related to chemo-therapy

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Risk for injury related to thrombocytopenia

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Fatigue related to the disease process

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Interrupted family processes related to life-threatening illness of a family member

    Quick Answer: 223

    Detailed Answer: 226

  • A 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Sexual dysfunction related to radiation therapy

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Anticipatory grieving related to terminal illness

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Tissue integrity related to prolonged bed rest

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Fatigue related to chemotherapy

    Quick Answer: 223

    Detailed Answer: 226

  • A client has autoimmune thrombocytopenic purpura. To determine the client’s response to treatment, the nurse would monitor:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Platelet count

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    White blood cell count

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Potassium levels

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Partial prothrombin time (PTT)

    Quick Answer: 223

    Detailed Answer: 226

  • The home health nurse is visiting a client with autoimmune thrombocytopenic purpura (ATP). The client’s platelet count currently is 80,000. It will be most important to teach the client and family about:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Bleeding precautions

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Prevention of falls

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Oxygen therapy

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Conservation of energy

    Quick Answer: 223

    Detailed Answer: 226

  • The client has surgery for removal of a Prolactinoma. Which of the following interventions would be appropriate for this client?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Place the client in Trendelenburg position for postural drainage.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Encourage coughing and deep breathing every two hours.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Elevate the head of the bed 30°.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Encourage the Valsalva maneuver for bowel movements.

    Quick Answer: 223

    Detailed Answer: 226

  • The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Measure the urinary output.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Check the vital signs.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Encourage increased fluid intake.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Weigh the client.

    Quick Answer: 223

    Detailed Answer: 227

  • A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Place the client in a sitting position.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Administer acetaminophen (Tylenol).

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Pinch the soft lower part of the nose.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Apply ice packs to the forehead.

    Quick Answer: 223

    Detailed Answer: 227

  • A client has had a unilateral adrenalectomy to remove a tumor. The most important measurement in the immediate post-operative period for the nurse to take is:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The blood pressure

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The temperature

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The urinary output

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The specific gravity of the urine

    Quick Answer: 223

    Detailed Answer: 227

  • A client with Addison’s disease has been admitted with a history of nausea and vomiting for the past three days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Glucometer readings as ordered

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Intake/output measurements

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Evaluating the sodium and potassium levels

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Daily weights

    Quick Answer: 223

    Detailed Answer: 227

  • A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses’ next action be?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Obtain a crash cart.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Check the calcium level.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Assess the dressing for drainage.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Assess the blood pressure for hypertension.

    Quick Answer: 223

    Detailed Answer: 227

  • A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in four months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Impaired physical mobility related to decreased endurance

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Hypothermia r/t decreased metabolic rate

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Disturbed thought processes r/t interstitial edema

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Decreased cardiac output r/t bradycardia

    Quick Answer: 223

    Detailed Answer: 227

  • The client presents to the clinic with a serum cholesterol of 275mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client taking rosuvastatin (Crestor)?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Report muscle weakness to the physician.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Allow six months for the drug to take effect.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Take the medication with fruit juice.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Report difficulty sleeping.

    Quick Answer: 223

    Detailed Answer: 227

  • The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Utilize an infusion pump.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Check the blood glucose level.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Place the client in Trendelenburg position.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Cover the solution with foil.

    Quick Answer: 223

    Detailed Answer: 227

  • The six-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Blood pressure of 126/80

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Blood glucose of 110mg/dL

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Heart rate of 60bpm

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Respiratory rate of 30 per minute

    Quick Answer: 223

    Detailed Answer: 227

  • The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Replenish his supply every three months.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Take one every 15 minutes if pain occurs.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Leave the medication in the brown bottle.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Crush the medication and take with water.

    Quick Answer: 223

    Detailed Answer: 228

  • The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Macaroni and cheese

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Shrimp with rice

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Turkey breast

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Spaghetti with meat sauce

    Quick Answer: 223

    Detailed Answer: 228

  • The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Feet

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Neck

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Hands

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Sacrum

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is checking the client’s central venous pressure. The nurse should place the zero of the manometer at the:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Phlebostatic axis

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    PMI

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Erb’s point

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Tail of Spence

    Quick Answer: 223

    Detailed Answer: 228

  • The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Question the order.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Administer the medications.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Administer separately.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Contact the pharmacy.

    Quick Answer: 223

    Detailed Answer: 228

  • The best method of evaluating the amount of peripheral edema is:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Weighing the client daily

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Measuring the extremity

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Measuring the intake and output

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Checking for pitting

    Quick Answer: 223

    Detailed Answer: 228

  • A client with vaginal cancer is being treated with a radioactive vaginal implant. The client’s husband asks the nurse if he can spend the night with his wife. The nurse should explain that:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Overnight stays by family members is against hospital policy.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    There is no need for him to stay because staffing is adequate.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    His wife will rest much better knowing that he is at home.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Visitation is limited to 30 minutes when the implant is in place.

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Roast beef sandwich, potato chips, pickle spear, iced tea

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Split pea soup, mashed potatoes, pudding, milk

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Tomato soup, cheese toast, Jello, coffee

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Hamburger, baked beans, fruit cup, iced tea

    Quick Answer: 223

    Detailed Answer: 228

  • The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    “I will make sure I eat breakfast within 10 minutes of taking my insulin.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    “I will eat a snack around three o’clock each afternoon.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 223

    Detailed Answer: 229

  • The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first two weeks of life because:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    New parents need time to learn how to hold the baby.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The umbilical cord needs time to separate.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Newborn skin is easily traumatized by washing.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The chance of chilling the baby outweighs the benefits of bathing.

    Quick Answer: 223

    Detailed Answer: 229

  • A client with leukemia is receiving Trimetrexate. After reviewing the client’s chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Treat iron-deficiency anemia caused by chemotherapeutic agents

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Create a synergistic effect that shortens treatment time

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Increase the number of circulating neutrophils

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Reverse drug toxicity and prevent tissue damage

    Quick Answer: 223

    Detailed Answer: 229

  • A four-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Hib titer

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Mumps vaccine

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Hepatitis B vaccine

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    MMR

    Quick Answer: 223

    Detailed Answer: 229

  • The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    30 minutes before a meal

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    With each meal

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    In a single dose at bedtime

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    30 minutes after meals

    Quick Answer: 223

    Detailed Answer: 229

  • A client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Call security for assistance and prepare to sedate the client.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Tell the client to calm down and ask him if he would like to play cards.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Tell the client that if he continues his behavior he will be punished.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Leave the client alone until he calms down.

    Quick Answer: 223

    Detailed Answer: 229

  • When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Check the client for bladder distention.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Assess the blood pressure for hypotension.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Determine whether an oxytocic drug was given.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Check for the expulsion of small clots.

    Quick Answer: 223

    Detailed Answer: 229

  • A client is admitted to the hospital with a temperature of 99.8°F, complaints of blood-tinged hemoptysis, fatigue, and night sweats. The client’s symptoms are consistent with a diagnosis of:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Pneumonia

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Reaction to antiviral medication

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Tuberculosis

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Superinfection due to low CD4 count

    Quick Answer: 223

    Detailed Answer: 229

  • The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client’s history should be reported to the doctor?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Diabetes

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Prinzmetal’s angina

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Cancer

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Cluster headaches

    Quick Answer: 223

    Detailed Answer: 229

  • The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig’s sign is charted if the nurse notes:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Pain on flexion of the hip and knee

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Nuchal rigidity on flexion of the neck

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Pain when the head is turned to the left side

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Dizziness when changing positions

    Quick Answer: 223

    Detailed Answer: 229

  • The client with Alzheimer’s disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Agnosia

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Apraxia

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Anomia

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Aphasia

    Quick Answer: 223

    Detailed Answer: 229

  • The client with dementia is experiencing confusion late in the afternoon and before bedtime. The nurse is aware that the client is experiencing what is known as:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Chronic fatigue syndrome

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Normal aging

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Sundowning

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Delusions

    Quick Answer: 223

    Detailed Answer: 230

  • The client with confusion says to the nurse, “I haven’t had anything to eat all day long. When are they going to bring breakfast?” The nurse saw the client in the day room eating breakfast with other clients 30 minutes before this conversation. Which response would be best for the nurse to make?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    “You know you had breakfast 30 minutes ago.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    “I am so sorry that they didn’t get you breakfast. I’ll report it to the charge nurse.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    “I’ll get you some juice and toast. Would you like something else?”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    “You will have to wait a while; lunch will be here in a little while.”

    Quick Answer: 223

    Detailed Answer: 230

  • The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side effect is most often associated with this drug?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Urinary incontinence

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Headaches

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Confusion

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Nausea

    Quick Answer: 223

    Detailed Answer: 230

  • A client is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Document the finding.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Report the finding to the doctor.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Prepare the client for a C-section.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Continue primary care as prescribed.

    Quick Answer: 223

    Detailed Answer: 230

  • A client with a diagnosis of HPV is at risk for which of the following?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Hodgkin’s lymphoma

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Cervical cancer

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Multiple myeloma

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Ovarian cancer

    Quick Answer: 223

    Detailed Answer: 230

  • During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Syphilis

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Herpes

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Gonorrhea

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Condylomata

    Quick Answer: 223

    Detailed Answer: 230

  • A client visiting a family planning clinic is suspected of having an STI. The best diagnostic test for treponema pallidum is:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Venereal Disease Research Lab (VDRL)

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Rapid plasma reagin (RPR)

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Fluorescent treponemal antibody (FTA)

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Thayer-Martin culture (TMC)

    Quick Answer: 223

    Detailed Answer: 230

  • A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Elevated blood glucose

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Elevated platelet count

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Elevated creatinine clearance

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Elevated hepatic enzymes

    Quick Answer: 223

    Detailed Answer: 230

  • The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The nurse loosely suspends the client’s arm in an open hand while tapping the back of the client’s elbow.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The nurse instructs the client to dangle her legs as the nurse strikes the area below the patella with the blunt side of the reflex hammer.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The nurse instructs the client to place her arms loosely at her side as the nurse strikes the muscle insert just above the wrist.

    Quick Answer: 223

    Detailed Answer: 230

  • A primigravida with diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which doctor’s order should the nurse question?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Magnesium sulfate 4gm (25%) IV

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Brethine 10mcg IV

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Stadol 1mg IV push every 4 hours as needed prn for pain

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Ancef 2gm IVPB every 6 hours

    Quick Answer: 223

    Detailed Answer: 230

  • A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse’s assessment of this data is:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The infant is at low risk for congenital anomalies.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The infant is at high risk for intrauterine growth retardation.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The infant is at high risk for respiratory distress syndrome.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The infant is at high risk for birth trauma.

    Quick Answer: 223

    Detailed Answer: 231

  • Which observation in the newborn of a diabetic mother would require immediate nursing intervention?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Crying

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Wakefulness

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Jitteriness

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Yawning

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Decreased urinary output

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Hypersomnolence

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Absence of knee jerk reflex

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Decreased respiratory rate

    Quick Answer: 223

    Detailed Answer: 231

  • The client has elected to have epidural anesthesia to relieve labor pain. If the client experiences hypotension, the nurse would:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Place her in Trendelenburg position.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Decrease the rate of IV infusion.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Administer oxygen per nasal cannula.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Increase the rate of the IV infusion.

    Quick Answer: 223

    Detailed Answer: 231

  • A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Alteration in nutrition

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Alteration in bowel elimination

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Alteration in skin integrity

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Ineffective individual coping

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for a client with uremic frost. The nurse is aware that uremic frost is often seen in clients with:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Severe anemia

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Arteriosclerosis

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Liver failure

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Parathyroid disorder

    Quick Answer: 223

    Detailed Answer: 231

  • The client arrives in the emergency department after a motor vehicle accident. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. Which is the client’s most appropriate priority nursing diagnosis?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Alteration in cerebral tissue perfusion

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Fluid volume deficit

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Ineffective airway clearance

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Alteration in sensory perception

    Quick Answer: 223

    Detailed Answer: 231

  • The home health nurse is visiting an 18-year-old with osteogenesis imperfecta. Which information obtained on the visit would cause the most concern? The client:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Likes to play football

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Drinks carbonated drinks

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Has two sisters

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Is taking acetaminophen for pain

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse working the organ transplant unit is caring for a client with a white blood cell count of 450. During evening visitation, a visitor brings a basket of fruit. What action should the nurse take?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Allow the client to keep the fruit.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Place the fruit next to the bed for easy access by the client.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Offer to wash the fruit for the client.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Ask the family members to take the fruit home.

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for the client following a laryngectomy when suddenly the client becomes nonresponsive and pale, with a BP of 90/40. The initial nurse’s action should be to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Place the client in Trendelenburg position.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Increase the infusion of normal saline.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Administer atropine intravenously.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Move the emergency cart to the bedside.

    Quick Answer: 223

    Detailed Answer: 231

  • The client admitted two days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Order a chest x-ray.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Reinsert the tube.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Cover the insertion site with a Vaseline gauze.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Call the doctor.

    Quick Answer: 223

    Detailed Answer: 231

  • A client being treated with sodium warfarin (Coumadin) has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Assess for signs of abnormal bleeding.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Anticipate an increase in the Coumadin dosage.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Instruct the client regarding the drug therapy.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Increase the frequency of neurological assessments.

    Quick Answer: 223

    Detailed Answer: 231

  • Which selection would provide the most calcium for the client who is four months pregnant?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    A granola bar

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    A bran muffin

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    A cup of yogurt

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    A glass of fruit juice

    Quick Answer: 223

    Detailed Answer: 232

  • The client with preeclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates the understanding of magnesium toxicity?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The nurse performs a vaginal exam every 30 minutes.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The nurse places a padded tongue blade at the bedside.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The nurse inserts a Foley catheter.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The nurse darkens the room.

    Quick Answer: 223

    Detailed Answer: 232

  • The best size cathlon for administration of a blood transfusion to a six-year-old is:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    18 gauge

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    19 gauge

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    22 gauge

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    20 gauge

    Quick Answer: 223

    Detailed Answer: 232

  • A client is admitted to the unit two hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Hypovolemia

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Laryngeal edema

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Hypernatremia

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Hyperkalemia

    Quick Answer: 223

    Detailed Answer: 232

  • The client has recently been diagnosed with diabetes. Which of the following indicates understanding of the management of diabetes?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The client selects a balanced diet from the menu.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The client can tell the nurse the normal blood glucose level.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The client asks for brochures on the subject of diabetes.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The client demonstrates correct insulin injection technique.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is admitted following cast application for a fractured ulna. Which finding should be reported to the doctor?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Pain at the site

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Warm fingers

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Pulses rapid

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Paresthesia of the fingers

    Quick Answer: 223

    Detailed Answer: 232

  • The client with AIDS should be taught to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Avoid warm climates.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Refrain from taking herbals.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Avoid exercising.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Report any changes in skin color.

    Quick Answer: 223

    Detailed Answer: 232

  • Which action by the healthcare worker indicates a need for further teaching?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The nursing assistant ambulates the elderly client using a gait belt.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The nurse wears goggles while performing a veno-puncture.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The nurse washes his hands after changing a dressing.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The nurse wears gloves to monitor the IV infusion rate.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is having electroconvulsive therapy for treatment of severe depression. Prior to the ECT, the nurse should:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Apply a tourniquet to the client’s arm.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Administer an anticonvulsant medication.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Ask the client if he is allergic to shellfish.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Apply a blood pressure cuff to the arm.

    Quick Answer: 223

    Detailed Answer: 232

  • The five-year-old is being tested for enterobiasis (pinworms). Which symptom is associated with enterobiasis?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Rectal itching

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Nausea

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Oral ulcerations

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Scalp itching

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is teaching the mother regarding treatment for pedicalosis capitis. Which instruction should be given regarding the medication?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Treatment is not recommended for children less than 10 years of age.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Bed linens should be washed in hot water.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Medication therapy will continue for one year.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Intravenous antibiotic therapy will be ordered.

    Quick Answer: 223

    Detailed Answer: 232

  • The registered nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The client with HIV

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The client with a radium implant for cervical cancer

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The client with RSV (respiratory synctial virus)

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The client with cytomegalovirus

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The client with methicillin resistant-staphylococcus aureas (MRSA)

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The client with diabetes

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The client with pancreatitis

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The client with Addison’s disease

    Quick Answer: 223

    Detailed Answer: 232

  • The doctor accidentally cuts the bowel during surgery. As a result of this action, the client develops an infection and suffers brain damage. The doctor can be charged with:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Negligence

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Tort

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Assault

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Malpractice

    Quick Answer: 223

    Detailed Answer: 233

  • Which assignment should not be performed by the nursing assistant?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Feeding the client

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Bathing the client

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Obtaining a stool

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Administering a fleet enema

    Quick Answer: 223

    Detailed Answer: 233

  • The mother calls the clinic to report that her newborn has a rash on his forehead and face. Which action is most appropriate?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Tell the mother to wash the face with soap and apply powder.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Tell her that 30% of newborns have a rash that will go away by one month of life.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Report the rash to the doctor immediately.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Ask the mother if anyone else in the family has had a rash in the last six months.

    Quick Answer: 223

    Detailed Answer: 233

  • Which nurse should not be assigned to care for the client with a radium implant for vaginal cancer?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The LPN who is six months postpartum

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The RN who is pregnant

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The RN who is allergic to iodine

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The RN with a three-year-old at home

    Quick Answer: 223

    Detailed Answer: 233

  • Which information should be reported to the state Board of Nursing?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The facility fails to provide literature in both Spanish and English.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The narcotic count has been incorrect on the unit for the past three days.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The client fails to receive an itemized account of his bills and services received during his hospital stay.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The nursing assistant assigned to the client with hepatitis fails to feed the client and give the bath.

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Call the Board of Nursing.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    File a formal reprimand.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Terminate the nurse.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Charge the nurse with a tort.

    Quick Answer: 223

    Detailed Answer: 233

  • The home health nurse is planning for the day’s visits. Which client should be seen first?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The 78-year-old who had a gastrectomy three weeks ago and has a PEG tube

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The five-month-old discharged one week ago with pneumonia who is being treated with amoxicillin liquid suspension

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The 50-year-old with MRSA being treated with Vancomycin via a PICC line

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter

    Quick Answer: 223

    Detailed Answer: 233

  • The emergency room is flooded with clients injured in a tornado. Which clients can be assigned to share a room in the emergency department during the disaster?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    A client having auditory hallucinations and the client with ulcerative colitis

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The client who is pregnant and the client with a broken arm

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    A child who is cyanotic with severe dypsnea and a client with a frontal head injury

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The client who arrives with a large puncture wound to the abdomen and the client with chest pain

    Quick Answer: 223

    Detailed Answer: 233

  • Before administering eardrops to a toddler, the nurse should recognize that it is essential to consider which of the following?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The age of the child

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The child’s weight

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The developmental level of the child

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The IQ of the child

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is discussing meal planning with the mother of a two-year-old. Which of the following statements, if made by the mother, would require a need for further instruction?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    “It is okay to give my child white grape juice for breakfast.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    “My child can have a grilled cheese sandwich for lunch.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    “We are going on a camping trip this weekend, and I have bought hot dogs to grill for his lunch.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    “For a snack, my child can have ice cream.”

    Quick Answer: 223

    Detailed Answer: 233

  • A client with AIDS has a viral load of 200 copies per ml. The nurse should interpret this finding as:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The client is at risk for opportunistic diseases.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The client is no longer communicable.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The client’s viral load is extremely low so he is relatively free of circulating virus.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The client’s T-cell count is extremely low.

    Quick Answer: 223

    Detailed Answer: 233

  • The client has an order for sliding scale insulin at 1900 hours and Lantus insulin at the same hour. The nurse should:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Administer the two medications together.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Administer the medications in two injections.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Draw up the Lantus insulin and then the regular insulin and administer them together.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Contact the doctor because these medications should not be given to the same client.

    Quick Answer: 223

    Detailed Answer: 234

  • A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Altered nutrition

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Impaired communication

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Risk for injury/aspiration

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Altered urinary elimination

    Quick Answer: 223

    Detailed Answer: 234

  • What would the nurse expect the admitting assessment to reveal in a client with glomerulonephritis?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Hypertension

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Lassitude

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Fatigue

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Vomiting and diarrhea

    Quick Answer: 223

    Detailed Answer: 234

  • Which action is contraindicated in the client with epiglottis?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Ambulation

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Oral airway assessment using a tongue blade

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Placing a blood pressure cuff on the arm

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Checking the deep tendon reflexes.

    Quick Answer: 223

    Detailed Answer: 234

  • A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Slow pulse

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Anorexia

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Bulging eyes

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Weight gain

    Quick Answer: 223

    Detailed Answer: 234

  • Which of the following foods, if selected by the mother with a child with celiac, would indicate her understanding of the dietary instructions?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Whole-wheat toast

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Angel hair pasta

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Reuben on rye

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Rice cereal

    Quick Answer: 223

    Detailed Answer: 234

  • The first action that the nurse should take if she finds the client has an O2 saturation of 68% is:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Elevate the head.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Recheck the O2 saturation in 30 minutes.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Apply oxygen by mask.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Assess the heart rate.

    Quick Answer: 223

    Detailed Answer: 234

  • Which observation would the nurse expect to make after an amniotomy?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Dark yellow amniotic fluid

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Clear amniotic fluid

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Greenish amniotic fluid

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Red amniotic fluid

    Quick Answer: 223

    Detailed Answer: 234

  • The client taking Glyburide (Diabeta) should be cautioned to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Avoid eating sweets.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Report changes in urinary pattern.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Allow three hours for onset.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Check the glucose daily.

    Quick Answer: 223

    Detailed Answer: 234

  • The obstetric client’s fetal heart rate is 80–90 during the contractions. The first action the nurse should take is:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Reposition the monitor.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Turn the client to her left side.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Ask the client to ambulate.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Prepare the client for delivery.

    Quick Answer: 223

    Detailed Answer: 234

  • Arterial ulcers are best described as ulcers that:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Are smooth in texture

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Have irregular borders

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Are cool to touch

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Are painful to touch

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Anticipate the need for a Caesarean section.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Apply an internal fetal monitor.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Place the client in Genu Pectoral position.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Perform an ultrasound.

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals that the cervix is 4cm dilated, with intact membranes and a fetal heart tone rate of 160–170bpm. The nurse decides to apply an external fetal monitor. The rationale for this implementation is:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The cervix is closed.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The membranes are still intact.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The fetal heart tones are within normal limits.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The contractions are intense enough for insertion of an internal monitor.

    Quick Answer: 223

    Detailed Answer: 234

  • The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primagravida as she completes the early phase of labor?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Impaired gas exchange related to hyperventilation

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Alteration in placental perfusion related to maternal position

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Impaired physical mobility related to fetal-monitoring equipment

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Potential fluid volume deficit related to decreased fluid intake

    Quick Answer: 223

    Detailed Answer: 235

  • As the client reaches 6cm dilation, the nurse notes late decelerations on the fetal monitor. What is the most likely explanation of this pattern?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The baby is sleeping.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The umbilical cord is compressed.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    There is head compression.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    There is uteroplacental insufficiency.

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Notify her doctor.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Start an IV.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Reposition the client.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Readjust the monitor.

    Quick Answer: 223

    Detailed Answer: 235

  • Which of the following is a characteristic of an ominous periodic change in the fetal heart rate?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    A fetal heart rate of 120–130bpm

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    A baseline variability of 6–10bpm

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Accelerations in FHR with fetal movement

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    A recurrent rate of 90–100bpm at the end of the contractions

    Quick Answer: 223

    Detailed Answer: 235

  • The rationale for inserting a French catheter every hour for the client with epidural anesthesia is:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The bladder fills more rapidly because of the medication used for the epidural.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Her level of consciousness is such that she is in a trancelike state.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The sensation of the bladder filling is diminished or lost.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    She is embarrassed to ask for the bedpan that frequently.

    Quick Answer: 223

    Detailed Answer: 235

  • A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Estrogen levels are low

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Lutenizing hormone is high

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The endometrial lining is thin

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The progesterone level is low

    Quick Answer: 223

    Detailed Answer: 235

  • A client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Age of the client

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Frequency of intercourse

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Regularity of the menses

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Range of the client’s temperature

    Quick Answer: 223

    Detailed Answer: 235

  • A client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Intrauterine device

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Oral contraceptives

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Diaphragm

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Contraceptive sponge

    Quick Answer: 223

    Detailed Answer: 235

  • The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of a ruptured ectopic pregnancy?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Painless vaginal bleeding

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Abdominal cramping

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Throbbing pain in the upper quadrant

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Sudden, stabbing pain in the lower quadrant

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Hamburger patty, green beans, French fries, and iced tea

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Roast beef sandwich, potato chips, baked beans, and cola

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Fish sandwich, gelatin with fruit, and coffee

    Quick Answer: 223

    Detailed Answer: 236

  • The client with hyperemesis gravidarum is at risk for developing:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Respiratory alkalosis without dehydration

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Metabolic acidosis with dehydration

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Respiratory acidosis without dehydration

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Metabolic alkalosis with dehydration

    Quick Answer: 223

    Detailed Answer: 236

  • A client tells the doctor that she is about 20 weeks pregnant. The most definitive sign of pregnancy is:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Elevated human chorionic gonadatropin

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The presence of fetal heart tones

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Uterine enlargement

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Breast enlargement and tenderness

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Hypoglycemic, small for gestational age

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Hyperglycemic, large for gestational age

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Hypoglycemic, large for gestational age

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Hyperglycemic, small for gestational age

    Quick Answer: 223

    Detailed Answer: 236

  • Which of the following instructions should be included in the nurse’s teaching regarding oral contraceptives?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Weight gain should be reported to the physician.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    An alternate method of birth control is needed when taking antibiotics.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    If the client misses one or more pills, two pills should be taken per day for one week.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Changes in the menstrual flow should be reported to the physician.

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Diabetes

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    HIV

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Hypertension

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Thyroid disease

    Quick Answer: 224

    Detailed Answer: 236

  • A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse’s first action should be to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Assess the fetal heart tones.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Check for cervical dilation.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Check for firmness of the uterus.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Obtain a detailed history.

    Quick Answer: 224

    Detailed Answer: 236

  • A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Her contractions are two minutes apart.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    She has back pain and a bloody discharge.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    She experiences abdominal pain and frequent urination.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Her contractions are five minutes apart.

    Quick Answer: 224

    Detailed Answer: 236

  • The nurse is teaching a group of prenatal clients about the effects of cigarette smoke on fetal development. Which characteristic is associated with babies born to mothers who smoked during pregnancy?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Low birth weight

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Large for gestational age

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Preterm birth, but appropriate size for gestation

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Growth retardation in weight and length

    Quick Answer: 224

    Detailed Answer: 237

  • The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. To provide postpartum prophylaxis, RhoGam should be administered:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Within 72 hours of delivery

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Within one week of delivery

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Within two weeks of delivery

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Within one month of delivery

    Quick Answer: 224

    Detailed Answer: 237

  • After the physician performs an amniotomy, the nurse’s first action should be to assess the:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Degree of cervical dilation

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Fetal heart tones

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Client’s vital signs

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Client’s level of discomfort

    Quick Answer: 224

    Detailed Answer: 237

  • A client is admitted to the labor and delivery unit. The nurse performs a vaginal exam and determines that the client’s cervix is 5cm dilated with 75% effacement. Based on the nurse’s assessment, the client is in which phase of labor?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Active

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Latent

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Transition

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Early

    Quick Answer: 224

    Detailed Answer: 237

  • A newborn with narcotic abstinence syndrome is admitted to the nursery. Nursing care of the newborn should include:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Teaching the mother to provide tactile stimulation

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Wrapping the newborn snugly in a blanket

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Placing the newborn in the infant seat

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Initiating an early infant-stimulation program

    Quick Answer: 224

    Detailed Answer: 237

  • A client elects to have epidural anesthesia to relieve the discomfort of labor. Following the initiation of epidural anesthesia, the nurse should give priority to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Checking for cervical dilation

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Placing the client in a supine position

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Checking the client’s blood pressure

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Obtaining a fetal heart rate

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse is aware that the best way to prevent post-operative wound infection in the surgical client is to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Administer a prescribed antibiotic.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Wash her hands for two minutes before care.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Wear a mask when providing care.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Ask the client to cover her mouth when she coughs.

    Quick Answer: 224

    Detailed Answer: 237

  • The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Pain

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Disalignment

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Cool extremity

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Absence of pedal pulses

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse knows that a 60-year-old female client’s susceptibility to osteoporosis is most likely related to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Lack of exercise

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Hormonal disturbances

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Lack of calcium

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Genetic predisposition

    Quick Answer: 224

    Detailed Answer: 237

  • A two-year-old is admitted for repair of a fractured femur and is placed in Bryant’s traction. Which finding by the nurse indicates that the traction is working properly?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The infant no longer complains of pain.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The buttocks are 15° off the bed.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The legs are suspended in the traction.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The pins are secured within the pulley.

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement is true regarding balanced skeletal traction? Balanced skeletal traction:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Uses a Steinman pin

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Requires that both legs be secured

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Utilizes Kirschner wires

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Is used primarily to heal the fractured hips

    Quick Answer: 224

    Detailed Answer: 238

  • The client is admitted for an open reduction internal fixation of a fractured hip. Immediately following surgery, the nurse should give priority to assessing the:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Serum collection (Davol) drain

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Client’s pain

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Nutritional status

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Immobilizer

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement made by the family member caring for the client with a percutaneous gastrostomy tube indicates understanding of the nurse’s teaching?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    “I must flush the tube with water after feedings and clamp the tube.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    “I must check placement four times per day.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    “I will report to the doctor any signs of indigestion.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    “If my father is unable to swallow, I will discontinue the feeding and call the clinic.”

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is assessing the client with a total knee replacement two hours post-operative. Which information requires notification of the doctor?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Scant bleeding on the dressing

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Low-grade temperature

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Hemoglobin of 7gm

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The urinary output has been 120ml during the last hour

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is caring for the client with a five-year-old diagnosis of plumbism. Which information in the health history is most likely related to the development of plumbism?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The client has traveled out of the country in the last six months.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The client’s parents are skilled stained-glass artists.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The client lives in a house built in 1990.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The client has several brothers and sisters.

    Quick Answer: 224

    Detailed Answer: 238

  • A client with a total hip replacement requires special equipment. Which equipment would assist the client with a total hip replacement with activities of daily living?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    High-seat commode

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Recliner

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    TENS unit

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Abduction pillow

    Quick Answer: 224

    Detailed Answer: 238

  • An elderly client with an abdominal surgery is admitted to the unit following surgery. In anticipation of complications of anesthesia and narcotic administration, the nurse should:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Administer oxygen via nasal cannula.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Have narcan (naloxane) available.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Prepare to administer blood products.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Prepare to do cardioresuscitation.

    Quick Answer: 224

    Detailed Answer: 238

  • Which roommate would be most suitable for the six-year-old male with a fractured femur in Russell’s traction?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    16-year-old female with scoliosis

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    12-year-old male with a fractured femur

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    10-year-old male with sarcoma

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    6-year-old male with osteomylitis

    Quick Answer: 224

    Detailed Answer: 239

  • A client with osteoarthritis has a prescription for Celebrex (celecoxib). Which instruction should be included in the discharge teaching?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Take the medication with milk.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Report chest pain.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Remain upright after taking for 30 minutes.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Allow six weeks for optimal effects.

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Handles the cast with the fingertips

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Petals the cast

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Dries the cast with a hair dryer

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Allows 24 hours before bearing weight

    Quick Answer: 224

    Detailed Answer: 239

  • The teenager with a fiberglass cast asks the nurse if it will be okay to allow his friends to autograph his cast. Which response would be best?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    “It will be alright for your friends to autograph the cast.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    “Because the cast is made of plaster, autographing can weaken the cast.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    “If they don’t use chalk to autograph, it is okay.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    “Autographing or writing on the cast in any form will harm the cast.”

    Quick Answer: 224

    Detailed Answer: 239

  • The nurse is assigned to care for the client with a Steinman pin. During pin care, she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Assisting the LPN with opening sterile packages and peroxide

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Telling the LPN that clean gloves are allowed

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Telling the LPN that the registered nurse should perform pin care

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Asking the LPN to clean the weights and pulleys with peroxide

    Quick Answer: 224

    Detailed Answer: 239

  • A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Check the bowel sounds.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Assess the blood pressure.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Offer pain medication.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Check for swelling.

    Quick Answer: 224

    Detailed Answer: 239

  • The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Russell’s traction

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Buck’s traction

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Halo traction

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Crutchfield tong traction

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a total knee replacement has a CPM (continuous passive motion device) applied during the post-operative period. Which statement made by the nurse indicates understanding of the CPM machine?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    “Use of the CPM will permit the client to ambulate during the therapy.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    “The CPM machine controls should be positioned distal to the site.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    “If the client complains of pain during the therapy, I will turn off the machine and call the doctor.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    “Use of the CPM machine will alleviate the need for physical therapy after the client is discharged.”

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured hip is being taught correct use of the walker. The nurse is aware that the correct use of the walker is achieved if the:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Palms rest lightly on the handles

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Elbows are flexed 0°

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Client walks to the front of the walker

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Client carries the walker

    Quick Answer: 224

    Detailed Answer: 240

  • When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Attempt to replace the cord.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Place the client on her left side.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Elevate the client’s hips.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Cover the cord with a dry, sterile gauze.

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is caring for a 30-year-old male admitted with a stab wound. While in the emergency room, a chest tube is inserted. Which of the following explains the primary rationale for insertion of chest tubes?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The tube will allow for equalization of the lung expansion.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Chest tubes serve as a method of draining blood and serous fluid and assist in reinflating the lungs.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Chest tubes relieve pain associated with a collapsed lung.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Chest tubes assist with cardiac function by stabilizing lung expansion.

    Quick Answer: 224

    Detailed Answer: 240

  • A client who delivered this morning tells the nurse that she plans to breastfeed her baby. The nurse is aware that successful breastfeeding is most dependent on the:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Mother’s educational level

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Infant’s birth weight

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Size of the mother’s breast

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Mother’s desire to breastfeed

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is monitoring the progress of a client in labor. Which finding should be reported to the physician immediately?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The presence of scant bloody discharge

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Frequent urination

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The presence of green-tinged amniotic fluid

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Moderate uterine contractions

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is measuring the duration of the client’s contractions. Which statement is true regarding the measurement of the duration of contractions?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Duration is measured by timing from the beginning of one contraction to the beginning of the next contraction.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Duration is measured by timing from the end of one contraction to the beginning of the next contraction.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Duration is measured by timing from the beginning of one contraction to the end of the same contraction.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Duration is measured by timing from the peak of one contraction to the end of the same contraction.

    Quick Answer: 224

    Detailed Answer: 240

  • The physician has ordered an intravenous infusion of Pitocin for the induction of labor. When caring for the obstetric client receiving intravenous Pitocin, the nurse should monitor for:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Maternal hypoglycemia

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Fetal bradycardia

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Maternal hyperreflexia

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Fetal movement

    Quick Answer: 224

    Detailed Answer: 240

  • A client with diabetes visits the prenatal clinic at 28 weeks gestation. Which statement is true regarding insulin needs during pregnancy?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Insulin requirements moderate as the pregnancy progresses.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    A decreased need for insulin occurs during the second trimester.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Elevations in human chorionic gonadotrophin decrease the need for insulin.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Fetal development depends on adequate insulin regulation.

    Quick Answer: 224

    Detailed Answer: 240

  • A client in the prenatal clinic is assessed to have a blood pressure of 180/96. The nurse should give priority to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Providing a calm environment

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Obtaining a diet history

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Administering an analgesic

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Assessing fetal heart tones

    Quick Answer: 224

    Detailed Answer: 240

  • A primigravida, age 42, is six weeks pregnant. Based on the client’s age, her infant is at risk for:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Down syndrome

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Respiratory distress syndrome

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Turner’s syndrome

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Pathological jaundice

    Quick Answer: 224

    Detailed Answer: 241

  • A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Magnesium sulfate

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Calcium gluconate

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Dinoprostone (Prostin E.)

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Bromocrystine (Parlodel)

    Quick Answer: 224

    Detailed Answer: 241

  • A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100mL. The nurse should:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Continue the infusion of magnesium sulfate while monitoring the client’s blood pressure.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Stop the infusion of magnesium sulfate and contact the physician.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Slow the infusion rate and turn the client on her left side.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Administer calcium gluconate IV push and continue to monitor the blood pressure.

    Quick Answer: 224

    Detailed Answer: 241

  • Which statement made by the nurse describes the inheritance pattern of autosomal recessive disorders?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    An affected newborn has unaffected parents.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    An affected newborn has one affected parent.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Affected parents have a one in four chance of passing on the defective gene.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Affected parents have unaffected children who are carriers.

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Because it is a state law

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    To detect cardiovascular defects

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Because of her age

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    To detect neurological defects

    Quick Answer: 224

    Detailed Answer: 241

  • A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse’s response is based on the knowledge that:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    There is no need to take thyroid medication because the fetus’s thyroid produces a thyroid-stimulating hormone.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    It is more difficult to maintain thyroid regulation during pregnancy due to a slowing of metabolism.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Fetal growth is arrested if thyroid medication is continued during pregnancy.

    Quick Answer: 224

    Detailed Answer: 241

  • The nurse is responsible for performing a neonatal assessment on a full-term infant. At one minute, the nurse could expect to find:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    An apical pulse of 100

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    An absence of tonus

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Cyanosis of the feet and hands

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Jaundice of the skin and sclera

    Quick Answer: 224

    Detailed Answer: 241

  • A client with sickle cell anemia is admitted to the labor and delivery unit during the first phase of labor. The nurse should anticipate the client’s need for:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Supplemental oxygen

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Fluid restriction

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Blood transfusion

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Delivery by Caesarean section

    Quick Answer: 224

    Detailed Answer: 241

  • A client with diabetes has an order for ultrasonography. Preparation for an ultrasound includes:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Increasing fluid intake

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Limiting ambulation

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Administering an enema

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Withholding food for eight hours

    Quick Answer: 224

    Detailed Answer: 241

  • An infant who weighs 8 pounds at birth would be expected to weigh how many pounds at one year?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    14 pounds

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    16 pounds

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    18 pounds

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    24 pounds

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Determines the lung maturity of the fetus

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Measures the activity of the fetus

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Shows the effect of contractions on the fetal heart rate

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Measures the neurological well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 242

  • A full-term male has hypospadias. Which statement describes hypospadias?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The urethral opening is absent

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The urethra opens on the top side of the penis

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The urethral opening is enlarged

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The urethra opens on the under side of the penis

    Quick Answer: 224

    Detailed Answer: 242

  • A gravida III para II is admitted to the labor unit. Vaginal exam reveals that the client’s cervix is 8cm dilated, with complete effacement. The priority nursing diagnosis at this time is:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Alteration in coping related to pain

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Potential for injury related to precipitate delivery

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Alteration in elimination related to anesthesia

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Potential for fluid volume deficit related to NPO status

    Quick Answer: 224

    Detailed Answer: 242

  • The client with varicella will most likely have an order for which category of medication?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Antibiotics

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Antipyretics

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Antivirals

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Anticoagulants

    Quick Answer: 224

    Detailed Answer: 242

  • A client is admitted complaining of chest pain. Which of the following drug orders should the nurse question?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Nitroglycerin

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Ampicillin

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Propranolol

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Verapamil

    Quick Answer: 224

    Detailed Answer: 242

  • Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Avoid exercise because it fatigues the joints.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Take prescribed anti-inflammatory medications with meals.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Alternate hot and cold packs to affected joints.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Avoid weight-bearing activity.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Meperidine 100mg IM m 4 hours PRN pain

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Mylanta 30 ccs m 4 hours via NG

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Cimetadine 300mg PO m.i.d.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Morphine 8mg IM m 4 hours PRN pain

    Quick Answer: 224

    Detailed Answer: 242

  • The client is admitted to the chemical dependence unit with an order for continuous observation. The nurse is aware that the doctor has ordered continuous observation because:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Hallucinogenic drugs create both stimulant and depressant effects.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Hallucinogenic drugs induce a state of altered perception.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Hallucinogenic drugs produce severe respiratory depression.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Hallucinogenic drugs induce rapid physical dependence.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Depression and suicidal ideation

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Tachycardia and diarrhea

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Muscle cramping and abdominal pain

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Tachycardia and euphoric mood

    Quick Answer: 224

    Detailed Answer: 242

  • During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Right breech presentation

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Right occipital anterior presentation

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Left sacral anterior presentation

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Left occipital transverse presentation

    Quick Answer: 224

    Detailed Answer: 243

  • The primary physiological alteration in the development of asthma is:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Bronchiolar inflammation and dyspnea

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Hypersecretion of abnormally viscous mucus

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Infectious processes causing mucosal edema

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Spasm of bronchiolar smooth muscle

    Quick Answer: 224

    Detailed Answer: 243

  • A client with mania is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Serve high-calorie foods she can carry with her.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Encourage her appetite by sending out for her favorite foods.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Serve her small, attractively arranged portions.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Allow her in the unit kitchen for extra food whenever she pleases.

    Quick Answer: 224

    Detailed Answer: 243

  • To maintain Bryant’s traction, the nurse must make certain that the child’s:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Hips are resting on the bed, with the legs suspended at a right angle to the bed

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Hips are slightly elevated above the bed and the legs are suspended at a right angle to the bed

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Hips are elevated above the level of the body on a pillow and the legs are suspended parallel to the bed

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Hips and legs are flat on the bed, with the traction positioned at the foot of the bed

    Quick Answer: 224

    Detailed Answer: 243

  • Which action by the nurse indicates understanding of herpes zoster?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The nurse covers the lesions with a sterile dressing.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The nurse wears gloves when providing care.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The nurse administers a prescribed antibiotic.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The nurse administers oxygen.

    Quick Answer: 224

    Detailed Answer: 243

  • There is an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that he should contact the lab for them to collect the blood:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    15 minutes after the infusion

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    30 minutes before the fourth infusion

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    One hour after the infusion

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Two hours after the infusion

    Quick Answer: 224

    Detailed Answer: 243

  • The client using a diaphragm should be instructed to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Refrain from keeping the diaphragm in longer than four hours

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Keep the diaphragm in a cool location

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Have the diaphragm resized if she gains five pounds

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Have the diaphragm resized if she has any surgery

    Quick Answer: 224

    Detailed Answer: 243

  • The nurse is providing postpartum teaching for a mother planning to breastfeed her infant. Which of the client’s statements indicates the need for additional teaching?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    “I’m wearing a support bra.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    “I’m expressing milk from my breast.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    “I’m drinking four glasses of fluid during a 24-hour period.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    “While I’m in the shower, I’ll allow the water to run over my breasts.”

    Quick Answer: 224

    Detailed Answer: 243

  • Damage to the VII cranial nerve results in:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Facial pain

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Absence of ability to smell

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Absence of eye movement

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Tinnitus

    Quick Answer: 224

    Detailed Answer: 243

  • A client is receiving Pyridium (phenazopyridine hydrochloride) for a urinary tract infection. The client should be taught that the medication may:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Cause diarrhea

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Change the color of her urine

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Cause mental confusion

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Cause changes in taste

    Quick Answer: 224

    Detailed Answer: 244

  • Which of the following tests should be performed before beginning a prescription of Accutane?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Check the calcium level.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Perform a pregnancy test.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Monitor apical pulse.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Obtain a creatinine level.

    Quick Answer: 224

    Detailed Answer: 244

  • A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Limit the client’s activity.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Encourage a high-carbohydrate diet.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Use an incentive spirometer to improve respiratory function.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Encourage fluids.

    Quick Answer: 224

    Detailed Answer: 244

  • A client is admitted for an CAT scan. The nurse should question the client regarding:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Pregnancy

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    A titanium hip replacement

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Allergies to antibiotics

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Inability to move his feet

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse is caring for the client receiving Amphotericin B. Which of the following indicates that the client has experienced toxicity to this drug?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Changes in vision

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Nausea

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Urinary frequency

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Changes in skin color

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse should visit which of the following clients first?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The client with diabetes with a blood glucose of 95mg/dL

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The client with hypertension being maintained on Lisinopril

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The client with chest pain and a history of angina

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The client with Raynaud’s disease

    Quick Answer: 224

    Detailed Answer: 244

  • A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Once per day in the morning

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Three times per day with meals

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Once per day at bedtime

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Four times per day

    Quick Answer: 224

    Detailed Answer: 244

  • Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The lens controls stimulation of the retina.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The lens orchestrates eye movement.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The lens focuses light rays on the retina.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The lens magnifies small objects.

    Quick Answer: 224

    Detailed Answer: 244

  • A client who has glaucoma is to have miotic eyedrops instilled in both eyes. The nurse knows that the purpose of the medication is to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Anesthetize the cornea

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Dilate the pupils

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Constrict the pupils

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Paralyze the muscles of accommodation

    Quick Answer: 224

    Detailed Answer: 244

  • A client with a severe corneal ulcer has an order for Gentamicin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Allow five minutes between the two medications.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The medications may be used together.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The medications should be separated by a cycloplegic drug.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The medications should not be used in the same client.

    Quick Answer: 224

    Detailed Answer: 244

  • The client with color blindness will most likely have problems distinguishing which of the following colors?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Orange

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Violet

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Red

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    White

    Quick Answer: 224

    Detailed Answer: 244

  • The client with a pacemaker should be taught to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Report ankle edema

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Check his blood pressure daily

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Refrain from using a microwave oven

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Monitor his pulse rate

    Quick Answer: 224

    Detailed Answer: 245

  • The client with enuresis is being taught regarding bladder retraining. The nurse should advise the client to refrain from drinking after:

    Quick Answer: 224

    Detailed Answer: 245

  • Which of the following diet instructions should be given to the client with recurring urinary tract infections?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Increase intake of meats.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Avoid citrus fruits.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Perform pericare with hydrogen peroxide.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Drink a glass of cranberry juice every day.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    “I will make sure I eat breakfast within two hours of taking my insulin.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    “I will eat a snack around three o’clock each afternoon.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 224

    Detailed Answer: 245

  • A client with pneumacystis carinii pneumonia is receiving Methotrexate. The rationale for administering leucovorin calcium to a client receiving Methotrexate is to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Treat anemia

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Create a synergistic effect

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Increase the number of white blood cells

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Reverse drug toxicity

    Quick Answer: 224

    Detailed Answer: 245

  • A client tells the nurse that she is allergic to eggs, dogs, rabbits, and chicken feathers. Which order should the nurse question?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    TB skin test

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Rubella vaccine

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    ELISA test

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Chest x-ray

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed ranitidine (Zantac) for a client with erosive gastritis. The nurse should administer the medication:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    30 minutes before meals

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    With each meal

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    In a single dose at bedtime

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    60 minutes after meals

    Quick Answer: 224

    Detailed Answer: 245

  • A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Is the opening on the client’s left side

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Is the opening on the distal end on the client’s left side

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Is the opening on the client’s right side

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Is the opening on the distal right side

    Quick Answer: 224

    Detailed Answer: 245

  • While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Ask the client to void.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Assess the blood pressure for hypotension.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Administer oxytocin.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Check for vaginal bleeding.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has ordered an MRI for a client with an orthopedic ailment. An MRI should not be done if the client has:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The need for oxygen therapy

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    A history of claustrophobia

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    A permanent pacemaker

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Sensory deafness

    Quick Answer: 224

    Detailed Answer: 246

  • A six-month-old client is placed on strict bed rest following a hernia repair. Which toy is best suited to the client?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Colorful crib mobile

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Hand-held electronic games

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Cars in a plastic container

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    30-piece jigsaw puzzle

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is preparing to discharge a client with a long history of polio. The nurse should tell the client that:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Taking a hot bath will decrease stiffness and spasticity.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    A schedule of strenuous exercise will improve muscle strength.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Rest periods should be scheduled throughout the day.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Visual disturbances can be corrected with prescription glasses.

    Quick Answer: 224

    Detailed Answer: 246

  • A client on the postpartum unit has a proctoepisiotomy. The nurse should anticipate administering which medication?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Dulcolax suppository

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Docusate sodium (Colace)

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Methyergonovine maleate (Methergine)

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Bromocriptine sulfate (Parlodel)

    Quick Answer: 224

    Detailed Answer: 246

  • A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Total Parenteral Nutrition leads to negative nitrogen balance and elevated glucose levels.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Total Parenteral Nutrition cannot be managed with oral hypoglycemics.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Total Parenteral Nutrition is a high-glucose solution that often elevates the blood glucose levels.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Total Parenteral Nutrition leads to further pancreatic disease.

    Quick Answer: 224

    Detailed Answer: 246

  • An adolescent primigravida who is 10 weeks pregnant attends the antepartal clinic for a first check-up. To develop a teaching plan, the nurse should initially assess:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The client’s knowledge of the signs of preterm labor

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The client’s feelings about the pregnancy

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Whether the client was using a method of birth control

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The client’s thought about future children

    Quick Answer: 224

    Detailed Answer: 246

  • An obstetric client is admitted with dehydration. Which IV fluid would be most appropriate for the client?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    .45 normal saline

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Dextrose 1% in water

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Lactated Ringer’s

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Dextrose 5% in .45 normal saline

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered a thyroid scan to confirm the diagnosis of a goiter. Before the procedure, the nurse should:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Assess the client for allergies.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Bolus the client with IV fluid.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Tell the client he will be asleep.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Insert a urinary catheter.

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered an injection of RhoGam for a client with blood type A negative. The nurse understands that RhoGam is given to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Provide immunity against Rh isoenzymes

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Prevent the formation of Rh antibodies

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Eliminate circulating Rh antibodies

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Convert the Rh factor from negative to positive

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is caring for a client admitted to the emergency room after a fall. X-rays reveal that the client has several fractured bones in the foot. Which treatment should the nurse anticipate for the fractured foot?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Application of a short inclusive spica cast

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Stabilization with a plaster-of-Paris cast

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Surgery with Kirschner wire implantation

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    A gauze dressing only

    Quick Answer: 224

    Detailed Answer: 246

  • A client with bladder cancer is being treated with iridium seed implants. The nurse’s discharge teaching should include telling the client to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Strain his urine

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Increase his fluid intake

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Report urinary frequency

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Avoid prolonged sitting

    Quick Answer: 224

    Detailed Answer: 247

  • Following a heart transplant, a client is started on medication to prevent organ rejection. Which category of medication prevents the formation of antibodies against the new organ?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Antivirals

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Antibiotics

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Immunosuppressants

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Analgesics

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Mydriatics to facilitate removal

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Miotic medications such as Timoptic

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    A laser to smooth and reshape the lens

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Silicone oil injections into the eyeball

    Quick Answer: 224

    Detailed Answer: 247

  • A client with Alzheimer’s disease is awaiting placement in a skilled nursing facility. Which long-term plans would be most therapeutic for the client?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Placing mirrors in several locations in the home

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Placing a picture of herself in her bedroom

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Placing simple signs to indicate the location of the bedroom, bathroom, and so on

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Alternating healthcare workers to prevent boredom

    Quick Answer: 224

    Detailed Answer: 247

  • A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson-Pratt drain is to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Prevent the need for dressing changes

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Reduce edema at the incision

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Provide for wound drainage

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Keep the common bile duct open

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The nurse can expect to find the presence of:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Mongolian spots

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Scrotal rugae

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Head lag

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Polyhydramnios

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is caring for a client admitted with multiple trauma. Fractures include the pelvis, femur, and ulna. Which finding should be reported to the physician immediately?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Hematuria

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Muscle spasms

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Dizziness

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Nausea

    Quick Answer: 224

    Detailed Answer: 247

  • A client is brought to the emergency room by the police. He is combative and yells, “I have to get out of here. They are trying to kill me.” Which assessment is most likely correct in relation to this statement?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The client is experiencing an auditory hallucination.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The client is having a delusion of grandeur.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The client is experiencing paranoid delusions.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The client is intoxicated.

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing to suction the client with a tracheotomy. The nurse notes a previously used bottle of normal saline on the client’s bedside table. There is no label to indicate the date or time of initial use. The nurse should:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Lip the bottle and use a pack of sterile 4×4 for the dressing.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Obtain a new bottle and label it with the date and time of first use.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Ask the ward secretary when the solution was requested.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Label the existing bottle with the current date and time.

    Quick Answer: 224

    Detailed Answer: 247

  • An infant’s Apgar score is 9 at five minutes. The nurse is aware that the most likely cause for the deduction of one point is:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The baby is hypothermic.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    The baby is experiencing bradycardia.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The baby’s hands and feet are blue.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    The baby is lethargic.

    Quick Answer: 224

    Detailed Answer: 247

  • The primary reason for rapid continuous rewarming of the area affected by frostbite is to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Lessen the amount of cellular damage

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Prevent the formation of blisters

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Promote movement

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Prevent pain and discomfort

    Quick Answer: 224

    Detailed Answer: 248

  • A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse’s response is based on the knowledge that hemodialysis works by:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Passing water through a dialyzing membrane

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Eliminating plasma proteins from the blood

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Lowering the pH by removing nonvolatile acids

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Filtering waste through a dialyzing membrane

    Quick Answer: 224

    Detailed Answer: 248

  • During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Administer an antibiotic.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Contact the physician for an order for immune globulin.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Administer an antiviral.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Tell the client that he should remain in isolation for two weeks.

    Quick Answer: 224

    Detailed Answer: 248

  • A client hospitalized with MRSA is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    The client should be placed in a room with negative pressure.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Infection requires close contact; therefore, the door may remain open.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Transmission is highly likely, so the client should wear a mask at all times.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Infection requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown.

    Quick Answer: 224

    Detailed Answer: 248

  • A client who is admitted with an above-the-knee amputation tells the nurse that his foot hurts and itches. Which response by the nurse indicates understanding of phantom limb pain?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    “The pain will go away in a few days.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    “The pain is due to peripheral nervous system interruptions. I will get you some pain medication.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    “The pain is psychological because your foot is no longer there.”

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    “The pain and itching are due to the infection you had before the surgery.”

    Quick Answer: 224

    Detailed Answer: 248

    Quick Answer: 224

    Detailed Answer: 248

  • A client with cancer of the pancreas has undergone a Whipple procedure. The nurse is aware that during the Whipple procedure, the doctor will remove the:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Head of the pancreas

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Proximal third section of the small intestines

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Stomach and duodenum

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Esophagus and jejunum

    Quick Answer: 224

    Detailed Answer: 248

  • The physician has ordered a minimal-bacteria diet for a client with neutropenia. The client should be taught to avoid eating:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Fruits

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Salt

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Pepper

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Ketchup

    Quick Answer: 224

    Detailed Answer: 248

  • A client is discharged home with a prescription for Coumadin (sodium warfarin). The client should be instructed to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Have a Protime done monthly.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Eat more fruits and vegetables.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Drink more liquids.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Avoid crowds.

    Quick Answer: 224

    Detailed Answer: 248

  • The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Perform the Valsalva maneuver as the catheter is advanced

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Turn his head to the left side and hyperextend the neck

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Take slow, deep breaths as the catheter is removed

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Turn his head to the right while maintaining a sniffing position

    Quick Answer: 224

    Detailed Answer: 248

  • A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Allergies to pineapples and bananas

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    A history of streptococcal infections

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Prior therapy with phenytoin

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    A history of alcohol abuse

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Using oil- or cream-based soaps

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Flossing between the teeth

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    The intake of salt

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Using an electric razor

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Apply the new tie before removing the old one.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Have a helper present.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Hold the tracheotomy with the nondominant hand while removing the old tie.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Ask the doctor to suture the tracheostomy in place.

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Turning the client to the left side

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Milking the tube to ensure patency

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Slowing the intravenous infusion

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Notifying the physician

    Quick Answer: 224

    Detailed Answer: 249

  • The infant is admitted to the unit with tetralogy of Fallot. The nurse would anticipate an order for which medication?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Digoxin

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Epinephrine

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Aminophyline

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Atropine

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is educating the lady’s club in self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram, place an X on the Tail of Spence.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    Quick Answer: 224

    Detailed Answer: 249

  • The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Tire easily

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Grow normally

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Need more calories

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Be more susceptible to viral infections

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Determine lung maturity

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Measure the fetal activity

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Show the effect of contractions on fetal heart rate

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Measure the well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse is evaluating the client who was admitted eight hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Instruct the client to push.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Perform a vaginal exam.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Turn off the Pitocin infusion.

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Place the client in a semi-Fowler’s position.

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Atrial flutter

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    A sinus rhythm

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Ventricular tachycardia

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Atrial fibrillation

    Quick Answer: 224

    Detailed Answer: 250

  • A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Be injected into the deltoid muscle

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Be injected into the abdomen

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Aspirate after the injection

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Clear the air from the syringe before injections

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse has a preop order to administer Valium (diazepam) 10mg and Phenergan (promethazine) 25mg. The correct method of administering these medications is to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Administer the medications together in one syringe

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Administer the medication separately

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Administer the Valium, wait five minutes, and then inject the Phenergan

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Question the order because they cannot be given at the same time

    Quick Answer: 224

    Detailed Answer: 250

  • A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to:

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Douche after intercourse

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Void every three hours

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Obtain a urinalysis monthly

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Wipe from back to front after voiding

    Quick Answer: 224

    Detailed Answer: 250

  • Which task should be assigned to the nursing assistant?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    Placing the client in seclusion

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    Emptying the Foley catheter of the preeclamptic client

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    Feeding the client with dementia

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    Ambulating the client with a fractured hip

    Quick Answer: 224

    Detailed Answer: 250

  • The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    A.

    A tracheotomy set

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    B.

    A padded tongue blade

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    C.

    An endotracheal tube

    A nurse is caring for a client who is 12 hr postoperative from a gastrectomy

    D.

    An airway

    Quick Answer: 224

    Detailed Answer: 250

  • The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:

    What are 3 nursing interventions for a postoperative patient?

    A. Nursing interventions that are required in postoperative care include prompt pain control, assessment of the surgical site and drainage tubes, monitoring the rate and patency of IV fluids and IV access, and assessing the patient's level of sensation, circulation, and safety.

    What are 3 priority assessments of the PACU nurse?

    To PACU.
    Assess air exchange status and note patient's skin color..
    Verify patient identity. The nurse must also know the type of operative procedure performed and the name of the surgeon responsible for the operation..
    Neurologic status assessment. ... .
    Cardiovascular status assessment. ... .
    Operative site examination..

    What are the phases of post operative care?

    The recovery from major surgery can be divided into three phases: (1) an immediate, or post anesthetic, phase; (2) an intermediate phase, encompassing the hospitalization period; and (3) a convalescent phase.

    Which of the following interventions should the nurse include in the plan to reduce respiratory complications?

    Which of the following nursing interventions should the nurse perform to prevent respiratory complications? Advise the client to splint the surgical incision when coughing and deep breathing.