A nurse cares for a teenage girl with a new ileostomy. The client states, I cannot go to prom with an ostomy. How should the nurse respond?
a. Sure you can. Purchase a prom dress one size larger to hide the ostomy appliance.
b. The pouch won't be as noticeable if you avoid broccoli and carbonated drinks prior to the prom.
c. Let's talk to the enterostomal therapist about options for ostomy supplies and dress styles.
d. You can remove the pouch from your ostomy appliance when you are at the prom so that it is less noticeable.
Question 2A nurse assesses a client who is hospitalized with an exacerbation of Crohn's disease. Which clinical manifestation should the nurse expect to find?
a. Positive Murphy's sign with rebound tenderness to palpitation
b. Dull, hypoactive bowel sounds in the lower abdominal quadrants
c. High-pitched, rushing bowel sounds in the right lower quadrant
d. Reports of abdominal cramping that is worse at night
Question 3After teaching a client who was hospitalized for Salmonella food poisoning, a nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?
a. I will let my husband do all of the cooking for my family.
b. I'll take the ciprofloxacin until the diarrhea has resolved.
c. I should wash my hands with antibacterial soap before each meal.
d. I must place my dishes into the dishwasher after each meal.
Question 4After teaching a client with diverticular disease, a nurse assesses the client's understanding. Which menu selection made by the client indicates the client correctly understood the teaching?
a. Roasted chicken with rice pilaf and a cup of coffee with cream
b. Spaghetti with meat sauce, a fresh fruit cup, and hot tea
c. Garden salad with a cup of bean soup and a glass of low-fat milk
d. Baked fish with steamed carrots and a glass of apple juice
Question 5A nurse cares for an older adult client who has Salmonella food poisoning. The client's vital signs are heart rate: 102 beats/min, blood pressure: 98/55 mm Hg, respiratory rate: 22 breaths/min, and oxygen saturation: 92.
Which action should the nurse complete first?
a.
Apply oxygen via nasal cannula.
b.
Administer intravenous fluids.
c.
Provide perineal care with a premedicated wipe.
d.
Teach proper food preparation to prevent contamination.
Question 6A nurse teaches a client who has viral gastroenteritis. Which dietary instruction should the nurse include in this client's teaching?
a. Drink plenty of fluids to prevent dehydration.
b. You should only drink 1 liter of fluids daily.
c. Increase your protein intake by drinking more milk.
d. Sips of cola or tea may help to relieve your nausea.
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