Nurs 3500 Unit 5 Questions with 100 Verified

Nurs 3500 Unit 5 Questions with 100% Verified Correct Answers A nurse is caring for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The nurse should anticipate prescriptions for which of the following medications? (select all that apply)

• Antacids
• Histamine 2 receptor agonists
• Opioid analgesics
• Fiber laxatives
• Proton pump inhibitors - Correct Answer A B E

A nurse is completing an assessment of a client who has GERD. Which of the following is an expected finding?

• Absence of saliva
• Loss of tooth enamel
• Sweet taste in mouth
• Absence of eructation - Correct Answer B.

A nurse is teaching a client who has a hiatal hernia. Which of the following client statements indicates an understanding of the teaching?

• "I can take my medication with soda"
• "Peppermint tea will increase my indigestion"
• "Wearing an abdominal binder will limit my symptoms"
• "I will drink hot chocolate at bedtime to help me sleep"
• "I can lift weights as a way to exercise" - Correct Answer B.

A nurse is completing discharge for a client who is postoperative following fundoplication. Which of the following statements by the client indicates understanding of the teaching?

• "When sitting in my lounge chair after a meal, I will lower the back of it."
• "I will eat three large meals a day"
• "I will elevate the head if my bed on blocks"
• "When sleeping, I will lay on my left side" - Correct Answer C. 1 / 4

A nurse in the emergency department is completing an assessment of a client who has suspected stomach perforation due to a peptic ulcer. Which of the following findings should the nurse expect?(select all that apply)

• Rigid abdomen
• Tachycardia
• Elevated blood pressure
• Circumoral cyanosis
• Rebound tenderness - Correct Answer A B E

A nurse is teaching a client who has a new diagnoses of dumping syndrome following gastric surgery.Which of the following information should the nurse include in the teaching?

• Eat three moderate sized meals a day
• Drink at least one glass of water with each meal
• Eat a bedtime snack that contains a milk products
• Increase protein in diet - Correct Answer D.

A nurse is completing discharge teaching for a client who has an infection due to Helicobacter pylori (H. pylori). Which of the following statements made by the client indicates an understanding of the teaching?

• "I will continue my prescription for corticosteroids"
• "I will schedule a CT scan to monitor improvement"
• "I will take a combination of medications for treatment"
• "I will have my throat swabbed to recheck for this bacteria" - Correct Answer C.

A nurse is completing an assessment of a client who has a gastric ulcer. Which of the following findings should the nurse expect? (select all that apply)

• Client reports pain relieved by eating
• Client states that pain often occurs at night
• Client reports a sensation of bloating
• Client states that pain occurs 30 min to 1 hr after meal
• Client experiences pain upon palpation of the epigastric region - Correct Answer C D E 2 / 4

A nurse is teaching a client who has a duodenal ulcer and a new prescription for esomeprazole.Which of the following information should the nurse include in the teaching? (select all that apply)

• Take the medication 1 hr before a meal
• Limit NSAIDs when taking this medication
• Expect skin flushing when taking this medication
• Increase fiber intake when taking this medication
• Chew the medication thoroughly before swallowing - Correct Answer A B

A nurse is completing an admission assessment for a client who has a small bowel obstruction.Which of the following findings should the nurse report to the provider? (select all that apply)

• Emesis prior to insertion of nasogastric tube
• Urine specific gravity 1.040
• Hematocrit 60%
• Serum potassium 3.0 mEq/L
• WBC 10,000/uL - Correct Answer B C D

A nurse is planning care for a client who has a small bowel obstruction and nasogastric (NG) tube in place. Which of the following interventions should the nurse include in the plan of care? (select all that apply)

• Document the NG drainage with the client's output
• Irrigate the NG tube every 8 hours
• Assess bowel sounds
• Provide oral hygiene every 2 hrs
• Monitor NG tube placement - Correct Answer A C D E

A nurse is caring for a client who has a small bowel obstruction from adhesions. Which of the following findings are consistent with this diagnoses? (select all that apply)

• Emesis greater than 500 mL with a fecal odor
• Report of spasmodic abdominal pain
• High-pitched bowel sounds
• Abdomen flat with rebound tenderness to palpation
• Laboratory findings indicating metabolic acidosis - Correct Answer A B C 3 / 4

A nurse is assessing an older adult client in an extended care facility. The nurse should recognize which of the following findings is a manifestation of an obstruction of the large intestine due to fecal impaction?

• The client reports he had a bowel movement yesterday
• The client is having small frequent liquid stools
• The client is flatulent
• The client indicates he vomited once this morning - Correct Answer B

A nurse is completing discharge teaching with a client who has irritable bowel syndrome (IBS). Which of the following findings should the nurse include in the teaching? (select all that apply)

• Avoid foods that trigger exacerbation
• Consume 15 to 20 g of fiber daily
• Plan 3 moderate to large meals a day
• Drink at least 2 L of water a day - Correct Answer A D

A nurse is reviewing the serum laboratory data of a client who has an acute exacerbation of crohn's disease. Which of the following laboratory tests should the nurse expect to be elevated? (select all that apply)

• Hematocrit
• Erythrocyte sedimentation rate

C. WBC

• Folic acid
• Albumin - Correct Answer B C

A nurse is assessing a client who has been taking prednisone following an exacerbation of inflammatory bowel disease. The nurse should recognize which of the following findings as the priority?

• Client reports difficulty sleeping
• The clients urine is positive for glucose
• The client reports having an elevated body temperature
• Client reports gaining 4 lbs in the last 6 months - Correct Answer C.

A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following instructions should the nurse include in the teaching?

• / 4