Question 1 (1 point)
The nurse is contributing to a patient’s plan of care. For whichpatient would the nursing diagnosis of Risk for Constipation bemost appropriate?
Question 1 options:
A 67-year-old taking anticoagulant therapy for a history of deepvein thrombosis |
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A 74-year-old taking antibiotics for a urinary tractinfection |
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A 59-year-old taking narcotics for chronic pain control |
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A 37-year-old taking NSAIDSs for bursitis |
Question 2 (1 point)
The nurse is reinforcing teaching provided to a patent withacute diarrhea. Which statement indicates the patient understandsthe most common cause for this health problem?
Question 2 options:
“Inflammatory bowel disease.” |
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“Excessive fiber in the diet.” |
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“Viral or bacterial infection.” |
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“Excessive fluid intake.” |
Question 3 (1 point)
The nurse is providing discharge teaching to a patient withdiarrhea. Which patient statement indicates that teaching has beeneffective?
Question 3 options:
“I should tell future health-care workers that I’ve beendiagnosed with obstipation.” |
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“I am at increased risk for a ruptured bowel, so I must remainon bedrest.” |
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“It is important that I increase fluid intake to preventdehydration.” |
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“My risk for a urinary tract infection is very high, so I shouldcall the doctor if I have a pain.” |
Question 4 (1 point)
A patient is to be started on clear liquids after bowel surgery.Which food should the nurse identify as being a clear liquid?
Question 4 options:
Oatmeal |
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Graham crackers |
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Ice cream |
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Cranberry juice |
Question 5 (1 point)
The nurse is caring for a patient with an absorption disorder.What term should the nurse use to document fat in the patient’sstool?
Question 5 options:
Oleorrhea |
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Steatorrhea |
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Lipidorrhea |
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Lactorrhea |
Question 6 (1 point)
While receiving report for the previous shift, the nurse isinformed that a nasogastric tube was placed in a patient who has abowel obstruction. For which reason should the nurse realize thetube was inserted?
Question 6 options:
To feed the patient |
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To prevent another obstruction |
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To relieve distention |
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To administer medications |
Question 7 (1 point)
On admission, a patient with gastrointestinal bleeding had vitalsigns of a blood pressure of 104/60 mm Hg, pulse 72 beats/minute,respiration 14 breaths/minute, and temperature 98.8 degrees F. Uponthe nurse’s assessment now, what finding should be reported to theRN or physician immediately?
Question 7 options:
Pulse 72 beats/minute |
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Occult blood in the stool |
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Crampy abdominal pain |
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Blood pressure 90/56 mm Hg |
Question 8 (1 point)
The nurse is collecting data from a patient with a stoma. Whatshould the nurse document for a healthy stoma?
Question 8 options:
Black and dry |
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Gray and dry |
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Blue and wet |
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Pink and moist |
Question 9 (1 point)
The nurse is teaching a patient with gastroesophageal refluxabout the influence of body position on the disease process. Whichpatient statement indicates that teaching has been effective?
Question 9 options:
“I sleep on my back without a pillow under my head.” |
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“I sleep on my stomach with my head turned to the left.” |
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“I will elevate the foot of my bed 12-16 inches.” |
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“I will elevate the head of my bed 4-6 inches.” |
Question 10 (1 point)
A patient with a duodenal peptic ulcer vomits old blood. Whatdescription should the nurse use to document the appearance of thevomitus?
Question 10 options:
Chyme streaked with a black syrupy material |
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Undigested particles of food |
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Duodenal fecal matter |
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Coffee-ground particles |
Question 11 (1 point)
The nurse is caring for a patient on a gastrointestinal unit.Which patient statement should cause the nurse the mostconcern?
Question 11 options:
“My stool has been dark green and hard to pass lately.” |
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“Usually I have a bowel movement every day and the stool islight brown.” |
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“My stool is soft and dark brown; I usually move my bowels twicea day.” |
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“Lately, I’ve had two or three loose, sticky black stools everyday.” |