2527057
Questão 1
Questão
The nurse is preparing a community presentation on oral cancer. Which of the following is a primary risk factor for oral cancer that the nurse should include in the presentation?
Responda
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Use of alcohol
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Frequent use of mouthwash
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Lack of vitamin B₁₂
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Lack of regular teeth cleaning by a dentist
Questão 2
Questão
The patient with gastroesophageal reflux disease (GERD) complains of a chronic cough. The nurse understands that in a patient with GERD this symptom may be indicative of which of the following conditions?
Responda
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Development of laryngeal cancer
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Irritation of the esophagus
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Esophageal scar tissue formation
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Aspiration of gastric contents
Questão 3
Questão
Which of the following factors would most likely contribute to the development of a patient's hiatal hernia?
Responda
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Having a sedentary desk job
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Being 5' 3" tall & weighing 190 lb.
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Using laxatives frequently
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Being 40 years old
Questão 4
Questão
A nurse is caring for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The nurse should anticipate prescriptions by the provider for which of the following medications? (Select all that apply.)
Responda
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Antacids
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Histamine2 receptor antagonists
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Opioid analgesics
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Fiber laxatives
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Proton pump inhibitors
Questão 5
Questão
A nurse is admitting a client who has bleeding esophageal varices. The nurse should anticipate a prescription for which of the following medications?
Responda
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Propranolol (Inderal)
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Metoclopramide (Reglan)
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Ranitidine (Zantac)
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Terlipressin (synthetic vasopressin)
Questão 6
Questão
A nurse is completing an assessment of a client who has GERD. Which of the following is an expected finding?
Responda
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Absence of saliva
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Loss of tooth enamel
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Client reports sweet taste in mouth
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Client reports absence of eructation
Questão 7
Questão
A nurse is teaching a client who has GERD. Which of the following should the client be instructed to limit in his diet? (Select all that apply.)
Responda
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Coffee
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Tomatoes
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Bananas
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Chocolate
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Pasta
Questão 8
Questão
A nurse is completing discharge teaching to a client who is postoperative following fundoplication. Which of the following statements by the client indicates understanding of the teaching?
Responda
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“When sitting in my lounge chair after a meal, I will lower the back of it.”
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“I will try to eat three large meals a day.”
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“I will elevate the head of my bed on blocks.”
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“When sleeping, I will lay on my left side.”
Questão 9
Questão
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 are expected findings? (Select all that apply.)
Responda
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Rigid abdomen
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Tachycardia
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Elevated blood pressure
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Circumoral cyanosis
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Rebound tenderness
Questão 10
Questão
A nurse is providing teaching for a client who has a new diagnosis of dumping syndrome following gastric surgery. Which of the following should be included in the teaching?
Responda
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Eat three moderate-sized meals a day.
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Drink at least one glass of water with each meal.
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Eat a bedtime snack that contains a milk product.
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Increase protein in the diet.
Questão 11
Questão
A nurse is teaching a client who has a duodenal ulcer and a new prescription for esomeprazole (Nexium). Which of the following should be included in the teaching? (Select all that apply.)
Responda
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Take the medication 1 hr before a meal.
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Limit NSAIDs when taking this medication.
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Expect skin flushing when taking this medication.
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Increase fiber intake when taking this medication.
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Chew the medication thoroughly before swallowing.
Questão 12
Questão
A nurse is completing discharge teaching for a client who has an infection due to Helicobacter pylori (H. pylori). Which of the following statements by the client indicates understanding of the teaching?
Responda
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“I will continue my prescription for corticosteroids.”
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“I will schedule a CT scan to monitor improvement.”
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“I will take a combination of medications for treatment.”
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“I will have my throat swabbed to recheck for this bacteria.”
Questão 13
Questão
A nurse is completing an assessment of a client who has a gastric ulcer. Which of the following are expected findings? (Select all that apply.)
Responda
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Client reports pain relieved by eating.
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Client states that pain often occurs at night.
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Client reports a sensation of bloating.
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Client states that pain occurs ½ to 1 hr after a meal.
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lient experiences pain upon palpation of the epigastric region.
Questão 14
Questão
A nurse is completing an admission assessment of a client who has a small bowel obstruction. Which of the following findings should the nurse report to the provider? (Select all that apply.)
Responda
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Profuse emesis prior to insertion of the nasogastric tube
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Urine specific gravity 1.040
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Hematocrit 60%
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Serum potassium 3.0 mEq/L
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WBC 10,000/uL
Questão 15
Questão
A nurse is planning care for a client who has a small bowel instruction and a nasogastric (NG) tube in place. Which of the following nursing interventions should be included in the plan of care? (Select all that apply.)
Responda
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Subtract the NG drainage from the client’s output.
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Irrigate the NG tube every 8 hr.
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Assess bowel sounds.
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Provide oral hygiene every 2 hr.
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Clamp the NG tube during ambulation.
Questão 16
Questão
A nurse is caring for a client who has a small bowel obstruction from adhesions. Which of the following findings are consistent with this diagnosis? (Select all that apply.)
Responda
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Emesis greater than 500 mL with a fecal odor
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Report of spasmodic abdominal pain
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Pain relieved with vomiting
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Abdomen flat with rebound tenderness to palpation
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Laboratory findings indicating metabolic acidosis
Questão 17
Questão
A nurse is caring for an older adult client in an extended care facility. Which of the following indicates the client has a stool impaction causing a large intestine obstruction?
Responda
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The client reports he had a bowel movement yesterday.
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The client is having small, frequent liquid stools.
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The client is flatulent.
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The client indicates he vomited once this morning.
Questão 18
Questão
A nurse is completing discharge teaching to a client who has irritable bowel syndrome (IBS). Which of the following should be included in the teaching?
Responda
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Increase dietary intake of dairy products.
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Consume 15 to 20 g of fiber daily.
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Plan three moderate to large meals per day.
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Drink at least 2 L of fluids each day.
Questão 19
Questão
A nurse is reviewing the laboratory findings of a client who has an acute exacerbation of Crohn’s disease. Which of the following laboratory findings is indicative of Crohn’s disease? (Select all that apply.)
Responda
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Increased hematocrit
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Increased erythrocyte sedimentation rate (ESR)
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Increased WBC
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Increased folic acid
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Increased serum albumin
Questão 20
Questão
A nurse is assessing a client who has been taking prednisone following an exacerbation of inflammatory bowel disease (IBD). Which of the following assessment findings is the highest priority?
Responda
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Client reports difficulty sleeping.
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Blood glucose at 0800 is 140 mg/dL.
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Client reports having a sore throat.
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Client reports gaining 4 lb in last 6 months.
Questão 21
Questão
A nurse is reinforcing teaching for a client who has a prescription for sulfasalazine (Azulfidine). Which of the following should the nurse include in the teaching?
Responda
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“Take the medication 1 or 2 hr after eating.”
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“This medication may cause yellowing of the sclera.”
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“Notify the provider if you experience a sore throat.”
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“This medication may cause your stools to turn black.”
Questão 22
Questão
A nurse in a clinic is teaching a client who has ulcerative colitis. Which of the following statements by the client indicates understanding of the teaching?
Responda
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“I will plan to limit fiber in my diet.”
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“I will eat my meals and plan fluid intake between meals.”
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“I will switch to black tea instead of drinking coffee.”
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“I will try to eat three moderate to large meals a day.”
Questão 23
Questão
A nurse is completing discharge teaching to a client who has Crohn’s disease. Which of the following should be included in the teaching?
Responda
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Decrease intake of calorie-dense foods.
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Drink canned protein supplements.
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Take calcium supplements daily.
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Take a bulk-forming laxative daily.
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