A 60-year-old patient who is pale and weak has a hemoglobin level of 9 gm/dL. The patient states, I eat a healthful diet. Why am I not well? How should the nurse respond?
1. You might not be eating as well as you think.
2. This happens as you get older.
3. As we age, the amount of iron absorbed by our body decreases.
4. Menopause is responsible for these changes.
Question 2The nurse is conducting an abdominal assessment. Which finding should the nurse realize is most likely related to a diagnosis of acute diverticulitis?
1. lower-right-quadrant pain
2. lower-left-quadrant pain
3. upper-middle abdominal pain
4. back pain and tenderness
Question 3A patient is recovering from a sigmoidoscopy with removal of a benign polyp. What should the nurse include in this patient's discharge instructions?
1. Contact the primary healthcare provider if experiencing large amounts of flatus.
2. Avoid heavy lifting for 2 weeks after procedure.
3. Report abdominal pain, fever, or chills.
4. Beginning the evening after the procedure, eat foods high in fiber.
Question 4A patient whose diet consists of processed food from fast-food restaurants has painful lesions at the corners of the mouth. How should the nurse document this finding?
1. glossitis
2. gingivitis
3. cheilosis
4. leukoplakia
Question 5The nurse is planning care for a patient scheduled for a barium enema the next morning. What should be included in the plan of care?
1. enemas after the procedure
2. full-liquid diet for 24 hours before the procedure
3. positioning the patient on the right side during the procedure
4. nothing by mouth for 8 hours prior to the procedure
Question 6The nurse is teaching a patient scheduled for a colonoscopy. Which patient statement indicates a need for further teaching?
1. The procedure will only take about an hour.
2. It might be quite painful.
3. I will likely have medications that will make me drowsy during the test.
4. The physician might take tissue samples for further analysis.
Question 7While conducting an abdominal assessment, the nurse notes dullness on percussion when the patient turns from the supine position to the right side. How should the nurse interpret this finding?
1. The patient is exhibiting normal findings.
2. The patient is exhibiting signs consistent with ascites.
3. The patient is exhibiting signs consistent with a bowel obstruction.
4. The patient is exhibiting signs consistent with hepatomegaly.
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