An illeostomy was just created in a patient with ulcerative colitis, the nurse assess the patient in the immediate postoperative period for which most frequent complication of this type of surgery? O fluid and electrolyte imbalance O folate deficiency O malabsorption of fat O intestinal obstruction
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- Question 38 Ms. LW is on hydroxychloroquine (Plaquenil) for rheumatoid arthritis. Certain tests are recommended before a patient starts this medication. Which of the following is NOT recommended before starting Hydroxychloroquine (Plaquenil)? Comprehensive Eye Exam CBC (Complete Blood Count) Liver Function profile 24-hour urineQuestion 29 During the initial postoperative assessment of a client’s stoma following an ileostomy, the nurse finds it to be deep pink with moderate edema and a small amount of bleeding. Which of the following actions should the nurse take based upon these findings? Question 29 options: Notify the surgeon with concerns of the stoma appearance Monitor the stoma every 30 minutes Clean the area and apply an ice pack for swelling Document the stoma assessmentQuestion 43 A 6-month-old infant is being treated for neuroblastoma. Because of the chemotherapy, the infant feeds poorly and vomits frequently. The nurse would use which assessment to best determine the infant’s fluid status? Question 43 options: daily weight measurements level of consciousness specific gravity of urine hemoglobin and hematocrit levels
- Question 34After the acute phase of diverticulosis has been resolved, which of the following foods should the nurse encourage a client to incorporate into the diet? Question 34 options: Bran cereal, broccoli, and navy beans Lean meat, sweet potatoes and red peppers Fish, spinach and tomato juice Cheese, whole wheat bread and orangesQuestion 27 A Nurse Practitioner is obtaining baseline physical data from a 7-year-old patient who is to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and weight, the nurse will prepare the patient for an electrocardiogram (ECG). electromyogram (EMG). electroencephalogram (EEG). electrophysiologic study (EPS).Question 43 A Nurse Practitioner has completed a medication reconciliation of a patient who has been admitted following a motor vehicle accident. Among the many drugs that the patient has received in the previous year is rituximab. The nurse would be justified in suspecting the patient may have received treatment for which of the following diseases? Non-Hodgkin's lymphoma Malignant melanoma Nonsmall cell lung cancer Renal cell carcinoma
- Question 5 A 75-year-old man with terminal small cell carcinoma of the lung presents to the emergency department with altered mental status. The patient’s wife, who cares for him at home, states that he is quite weak at baseline, requiring assistance with all activities of daily living. Over the past few days, he has become progressively more lethargic. She has been careful to adequately hydrate him, waking him every 2 hours to give him water to drink. His appetite has been poor, but he willingly ingests the water, consuming 2–3 quarts per day. He is taking morphine for pain and dyspnea. On examination, the patient is a cachectic white man in mild respiratory distress. He is lethargic but arousable. He is oriented to person only. Vital signs reveal a temperature of 38 °C, blood pressure of 110/60 mm Hg, heart rate of 88 bpm, respiratory rate of 18/min, and oxygen saturation of 96% on 3 L of oxygen. On head-neck examination, pupils are 3 mm and reactive, scleras are anicteric, and…Question 41 The RPN, working in Long-term care, reports to the RN that their patient is experiencing increasing confusion and they suspect a urinary tract infection (UTI). What should the RN's initial response be? Question 41 options: Ask the RPN to collect a urine sample Ask the RPN to encourage fluid intake and continue to monitor signs & symptoms Contact the patient's doctor to determine next steps Assess the patient for additional symptoms of UTI including fever, pain, and hematuriaQUESTION 14 Choose which of the following hospital services is considered outpatient. A. Observation status for 24 hours and discharge home. B. 2 day admission to inpatient status with discharge to SNF. C. A patient seen emergently in the ED, followed by admission to ICU. D. A patient with a 5-day length of stay in the hospital's rehabilitation unit.
- Question 79 You are caring for a client in hospital with an exacerbation of her severe COPD. The client states she is feeling very short of breath, she is agitated, and her respiratory rate is 36 breaths per minute. The client's current oxygen saturation is 84% on 2L/minute of oxygen via nasal canula. Her ordered PRN medications, Beclovent (Beclomethasone) and Ventolin (Salbutamol) are at her bedside. What should your nursing interventions include (select all that apply). Question 79 options: Increase her oxygen Administer her ventolin Take her blood pressure Lower the head of the bed Call a code blueQuestion 26 The enterostomal therapist has assessed the client with a new colostomy and documented that the peristomal skin is “indurated”. The nurse knows this to mean: Question 26 options: Bright red to dark red discolouration Ulceration formation Superficial loss of smooth epithelium Abnormal firmness with palpable marginsQuestion 44 The nurse is providing oral rehydration education to the parent of an 10 month old child with clinical dehydration. Which statement by the parent indicates a correct understanding of rehydration principles? Question 44 options: I will substitute a sports drink (e.g. gatorade) if my child refuses to drink the commercially prepared oral rehydration solution (ORS) If my child is not able to drink adequate amounts, I will prepare the oral rehydration solution (ORS) as a double-strength solution to compensate I will try to encourage my child to eat more solid foods in order to provide more calories I will give small amounts of oral rehydration solution (ORS) frequently and continue to breastfeed as well