VERSION A
When changing the colostomy appliance, cut the opening in the skin
barrier no more than __ larger than the stoma. – ANSWER- 1/8 inch
The best time to change a pouching system is in the morning or 2 to 4
hours after meals. True or False – ANSWER- True
An unlicensed assistive personnel (UAP) reports to the nurse that a
client being fed experienced coughing and choking when swallowing.
The client states, “It feels like the food is stuck in my throat.” What does
the nurse suspect is happening with this client? – ANSWER- The client
is having dysphagia.
While undergoing a soapsuds enema, the client complains of mild
abdominal cramping. The nurse should: – ANSWER- lower the bag
The client has an indwelling catheter. The nurse should obtain a sterile
urine specimen by: – ANSWER- syringe to withdraw from cath port
limiting fluids has what effect on urine? – ANSWER- raises specific
gravity
The nurse is alert to the possibility that for 24 to 48 hours after the
postoperative procedure, clients may experience the following as a result
of the anesthetic used during the surgery: – ANSWER- paralytic ilyus
before fecal occult test eat – ANSWER- bread
diagnosis of Alteration in urinary elimination, retention. On assessment,
the nurse anticipates that this client will exhibit: – ANSWER- a feeling
of pressure and voiding of small amounts.
diarrhea patients should consume – ANSWER- lean meats
A colonoscopy is ordered and the patient has questions about the
examination. Before the colonoscopy, the nurse teaches the patient that:
- ANSWER- light sedation is normally used
In an assessment of a client with overflow incontinence, the nurse
expects to find that the client has: – ANSWER- constant dribbling of
urine
A nurse is monitoring a client’s fluid intake. For breakfast, the client
consumed 8 oz of milk, 10 oz of water, 4 oz of flavored gelatin, 1
scrambled egg, 1 crisp piece of bacon, and 2 biscuits with jelly. The
nurse should record the fluid intake as: – ANSWER- 660 mLs
24 hour urine needs to be restarted in the event that: – ANSWER- client
voids in the toilet
Which interventions prevent or minimize the risk factors in clients at
risk for spiration? – ANSWER- Feeding the patient small bites.
Keeping suction equipment nearby.
Positioning the client upright at 90 degrees.
Providing liquids with a thickening agent.
The client receiving a tube feeding develops diarrhea. The nurse should: - ANSWER- adjust rate of infusion
Critical care element for clients with ileostemy – ANSWER- skin care
Why would a nurse order a guaiac test – ANSWER- blood in stool
most important question for MRI – ANSWER- Any metal in body?
considerations for diagnostic procedures – ANSWER- what type of
sample?
NPO?
Contrast?
Medications?
Duration of test
consent?
what is included in the CBC – ANSWER- Hgb
Hct
Erythrocytes
RBC
Leukocytes
diff wbc
Components of BMP (basic metabolic panel) – ANSWER- BUN
Creatinine
Potassium
Sodium
Calcium
Chloride
Glucose
Components of a CMP (Comprehensive Metabolic Panel) – ANSWERLiver
Proteins
albumin
bilirubin
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