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The nurse helps a client with diverticular disease choose appropriate dinner options for a low-residue diet.

Which menu selections are most appropriate? d. Baked fish blah blah blah The nurse is caring for a female client who is 5 feet, 7 inches tall and weighs 115 pounds. The client tells the nurse that she "feels fat and needs to lose 5 pounds." Which is the nurse's best response?
D. What is your ideal weight?

The nurse is caring for a client who has undergone surgery to drain a pancreatic abscess with placement of a pancreatic drainage tube. Which nursing intervention will prevent complications from this procedure?
Irrigating the drainage tube

The nurse is caring for a client who is a vegan and has developed megaloblastic anemia. Which foods will the nurse encourage the client to include in her diet?
A. Spinach and whole grain breads

A client who has had fecal occult blood testing tells the nurse that the test was negative for colon cancer and wishes to cancel a colonoscopy scheduled for the next day. Which is the nurse's best response?
C. This does not rule out the possibility of colon cancer

The nurse is caring for a client with cholecystitis. Which assessment finding indicates to the nurse that the condition is chronic rather than acute?
C. clay colored stools and dark urine

The nurse is caring for a client who has had a total colectomy with an ileoanal reservoir. Which is the priority nursing intervention for this client?
C. Providing perianal care after stool

The nurse is caring for a client who is receiving radiation therapy for treatment of oral cancer. The client complains of a constant dry mouth. Which is the nurse's best response?
D. Rinse mouth out with saline or water

The nurse is caring for a client who has undergone an incision and drainage of an anorectal abscess. Which nursing intervention will the nurse include in the client's plan of care?
C. Full liquid diet

The nurse is caring for a client who is receiving radiation treatment for oral cancer. Which problem will the nurse anticipate for this client?
C. Impaired ability to soften & break down food

The nurse should assess for which complication in a client with Barrett's esophagus who is complaining of dysphasia?
Oropharyngeal dysphagia

A client is brought to the emergency department with an abrupt onset of vomiting, abdominal cramping, and diarrhea 2 hours after eating food at a picnic. Which of the following infectious agents does the nurse suspect as the probable cause?
Staph aureus

For the client diagnosed with hepatitis A asking how the infection may have been contracted, which response by the nurse is correct?
Contaminated shellfish

The nurse is caring for a client who has received multiple serious injuries in a motor vehicle accident. The client asks the nurse why ranitidine (Zantac) is prescribed because she does not have any abdominal pain. Which is the nurse's best response?
Prevent stomach ulcer

The nurse is preparing the client for a CT scan of the abdomen with IV contrast. Which question will the nurse ask the client prior to the examination?
Allergies to shrimp, scallops, or shell fish

The nurse is caring for a client who is brought to the emergency department following a motor vehicle crash. The nurse notes that the client has ecchymotic areas across the lower abdomen. Which is the priority action of the nurse?
Assess for guarding or rigidity

A client with a mechanical bowel obstruction reports that the abdominal pain that was previously intermittent and colicky is now more constant. Which is the priority action of the nurse?
D. Checking the bowel sounds

In assessing a client, the nurse correlates Kehr's sign with which finding?
Abdominal pain referred to the right shoulder (I think this is a typo on the quiz because its supposed to be the left shoulder)

A client with esophageal cancer and dysphagia states that it has become more difficult to swallow, and the client has experienced several choking episodes during meals. Which strategy would the nurse recommend to assist this client in obtaining adequate nutrition?
D. Encourage semisoft food and thickened liquids

The nurse is caring for a client who just had colon resection surgery with a new colostomy. Which teaching objective will the nurse include in the client's plan of care?
A. The client will understand colostomy care & lifestyle implications (this one I wasnt sure about)

In reviewing client charts, which finding by the nurse correlates with an increased risk for developing hepatorenal syndrome secondary to cirrhosis?
Taking acetaminophen

The nurse is caring for a client with chronic pancreatitis. Which statement by the client indicates that additional teaching is needed?
C. Avoid simple carbs and concentrated sweets

When performing an assessment, the nurse detects a fruity odor on the client's breath. Which will the nurse do next?
A. Check blood sugar

A client with esophageal reflux who experiences regurgitation while lying flat is at risk for which complication?
Aspiration

Which client is at highest risk for developing dehydration and hypernatremia as a result of enteral feedings?
An older adult client receiving a hypertonic enteral feeding solution and an IV of normal saline (0.9 NS) at 125 mL/hr

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