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Q 1/35
Score 0
The male client tells the nurse he has seen experiencing “heartburn” at night that awakens him. Which assessment question should the nurse ask?
30
“How much weight have you gained recently?”
Do you consume many milk or dairy products?”
What have you done to alleviate the heartburn?”
Have you been around anyone with a stomach virus?
Q 2/35
Score 0
The nurse is caring for a client diagnosed with GERD. Which nursing intervention should be implemented.
30
Have the client remain upright at all times and walk for 30 minutes -3 times a week.
. Place the client prone in bed and administer nonsteroidal anti-inflammatory medications
Instruct the client to maintain a right lateral side-lying position and take antacids before meals.
elevate the head of the bed 30 degrees and discuss lifestyle modification with the client
35 questions
Q.
The male client tells the nurse he has seen experiencing “heartburn” at night that awakens him. Which assessment question should the nurse ask?
1
30 sec
Q.
The nurse is caring for a client diagnosed with GERD. Which nursing intervention should be implemented.
2
30 sec
Q.
Which menu choice best indicates that the patient is implementing the nurse’s suggestion to choose high-calorie, high-protein foods?
3
30 sec
Q.
A patient has a body mass index (BMI) of 31 kg/m2, a normal C-reactive protein level, and low serum transferrin and albumin levels. The nurse will plan patient teaching to increase the patient’s intake of foods that are high in
4
30 sec
Q.
A healthy adult woman who weighs 145 lb. (66 kg) asks the clinic nurse about the minimum daily requirement for protein. How many grams of protein will the nurse recommend?
5
30 sec
Q.
The client is diagnosed with an acute exacerbation of ulcerative colitis. Which intervention should the nurse implement?
6
30 sec
Q.
A few months after bariatric surgery, a 56-yr-old male patient tells the nurse, “My skin is hanging off of me. I think I might want to surgery to remove the skinfolds.” Which response by the nurse is most appropriate?
7
30 sec
Q.
The nurse will be teaching self-management to patients after gastric bypass surgery. Which information will the nurse plan to include?
8
30 sec
Q.
Which adult will the nurse plan to teach about risks associated with obesity?
9
30 sec
Q.
A 40-yr-old obese woman reports that she wants to lose weight. Which question should the nurse ask first?
10
30 sec
Q.
). Which assessment action will help the nurse determine if an obese patient has metabolic syndrome?
11
30 sec
Q.
The nurse explaining esomeprazole (Nexium) to a patient with recurring heartburn describes that the medication
12
30 sec
Q.
Which information will the nurse include for a patient with newly diagnosed gastroesophageal reflux disease (GERD)?
13
30 sec
Q.
The nurse will anticipate preparing an older patient who is vomiting “coffee-ground” emesis for
14
30 sec
Q.
Which information will the nurse include when teaching a patient with peptic ulcer disease about the effect of ranitidine (Zantac)?
15
30 sec
Q.
A patient admitted with a peptic ulcer has a nasogastric (NG) tube in place. When the patient develops sudden, severe upper abdominal pain, diaphoresis, and a firm abdomen, which action should the nurse take?
16
30 sec
Q.
A patient vomiting blood-streaked fluid is admitted to the hospital with acute gastritis. To determine possible risk factors for gastritis, the nurse will ask the patient about
17
30 sec
Q.
A 26-yr-old patient with a family history of stomach cancer asks the nurse about ways to decrease the risk for developing stomach cancer. The nurse will teach the patient to avoid
18
30 sec
Q.
A 58-yr-old patient has just been admitted to the emergency department with nausea and vomiting. Which information requires the most rapid intervention by the nurse?
19
30 sec
Q.
A 49-yr-old man has been admitted with hypotension and dehydration after 3 days of nausea and vomiting. Which prescribed action will the nurse implement first?
20
30 sec
Q.
Which assessment should the nurse perform first for a patient who just vomited bright red blood?
21
30 sec
Q.
After change-of-shift report, which patient should the nurse assess first?
22
30 sec
Q.
The nurse will anticipate teaching a patient experiencing frequent heartburn about a
23
30 sec
Q.
Which information about dietary management should the nurse include when teaching a patient with peptic ulcer disease (PUD)?
24
30 sec
Q.
Which action will the nurse include in the plan of care for a patient who is being admitted with Clostridium difficile?
25
30 sec
Q.
A 74-yr-old male patient tells the nurse that growing old causes constipation, so he has been using a suppository for constipation every morning. Which action should the nurse take first?
26
30 sec
Q.
Which nursing action will be included in the plan of care for a 25-yr-old male patient with a new diagnosis of irritable bowel syndrome (IBS)?
27
30 sec
Q.
Which patient statement indicates that the nurse’s teaching about sulfasalazine (Azulfidine) for ulcerative colitis has been effective?
28
30 sec
Q.
Which diet choice by the patient with an acute exacerbation of inflammatory bowel disease (IBD) indicates a need for more teaching?
29
30 sec
Q.
A patient has a new diagnosis of Crohn’s disease after having frequent diarrhea and a weight loss of 10 lb. (4.5 kg) over 2 months. The nurse will plan to teach about
30
30 sec
Q.
The nurse preparing for the annual physical exam of a 50-yr-old man will plan to teach the patient about
31
30 sec
Q.
A patient is transferred from the recovery room to a surgical unit after a transverse colostomy. The nurse observes the stoma to be deep pink with edema and a small amount of sanguineous drainage. The nurse should
32
30 sec
Q.
After several days of antibiotic therapy, an older hospitalized patient develops watery diarrhea. Which action should the nurse take first
33
30 sec
Q.
A patient with Crohn’s disease who is taking infliximab (Remicade) calls the nurse in the outpatient clinic about new symptoms. Which symptom is most important to communicate to the health care provider?
34
30 sec
Q.
Which information will the nurse teach a patient with lactose intolerance?