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NSG 219 FINAL QUESTIONS WITH CORRECT ANSWERS.
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NSG 219 FINAL QUESTIONS WITH CORRECT ANSWERS.
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NSG 219 FINAL QUESTIONS WITHCORRECT ANSWERS
The mmnurse mmis mmcaring mmfor mma mmpatent mmwith mman mmindwelling mmurinary
mmcatheter. mmThe mmnurse mmis mmaware mmthat mmwhat mmnursing mmaction mmhelps
mmprevent mminfection mmin mma mmpatient mmwith mman mmindwelling mmurinary mmcatheter?
A. mmVigorously mmclean mmthe mmmeatus mmarea mmdaily.
B. mmApply mmpowder mmto mmthe mmperineal mmarea mmtwice mma mmday.
C. mmEmpty mmthe mmdrainage mmbag mmat mmleast mmevery mm8 mmhours.
D. mmIrrigate mmthe mmcatheter mmevery mm8 mmhours mmwith mmnormal mmsaline. mm-
mmAnswer mmC. mmEmpty mmthe mmdrainage mmbag mmat mmleast mmevery mm8 mmhours.
A mmpatient mmwith mmcancer mmof mmthe mmbladder mmhas mmjust mmreturned mmto mmthe
mmunit mmfrom mmthe mmPACU mmafter mmsurgery mmto mmcreate mman mmileal mmconduit.
mmThe mmnurse mmis mmmonitoring mmthe mmpatient's mmurine mmoutput mmhourly mmand
mmnotifies mmthe mmphysician mmwhen mmthe mmhourly mmoutput mmis mmless mmthan
mmwhat?
A mm30 mmmL/hr
B. mm50mL/hr
C. mm100mL/hr
D. mm125mL/hr mm- mmAnswer mmA mm30 mmmL/hr
After mmsleeve mmgastrectomy, mma mm42-yr-old mmmale mmpatient mmreturns mmto mmthe
mmsurgical mmnursing mmunit mmwith mma mmnasogastric mmtube mmto mmlow,
intermittent mmsuction mmand mma mmpatient-controlled mmanalgesia mm(PCA) mmmachine
mmfor mmpain mmcontrol. mmWhich mmnursing mmaction mmshould mmbe mmincluded mmin
mmthe mmpostoperative mmplan mmof mmcare?
A. mmSupport mmthe mmsurgical mmIncision mmduring mmpatient mmcoughing mmand mmturning
mmin mmbed.
B. mmRemind mmthe mmpatient mmthat mmPCA mmuse mmmay mmslow mmthe mmreturn mmof
mmbowel mmfunction.
C. mmOffer mmsips mmof mmfruit mmjuices mmat mmfrequent mmintervals.
D. mmIrrigate mmthe mmnasogastric mm(NG) mmtube mmfrequently. mm- mmAnswer mmA.
mmSupport mmthe mmsurgical mmIncision mmduring mmpatient mmcoughing mmand mmturning
mmin mmbed.
The mmnurse mmwill mmbe mmteaching mmself-management mmto mmpatients mmafter
mmgastric mmbypass mmsurgery. mmWhich mminformation mmwill mmthe mmnurse mmplan mmto
mminclude?
A. mmChoose mmfoods mmhigh mmin mmfiber mmto mmpromote mmbowel mmfunction.
B. mmDeveloping mmflabby mmskin mmcan mmbe mmprevented mmby mmexercise.
,C. mmDrink mmfluids mmbetween mmmeals mmbut mmnot mmwith mmmeals.
D. mmChoose mmhigh-fat mmfoods mmfor mmat mmleast mm30% mmof mmintake. mm- mmAnswer
mmC. mmDrink mmfluids mmbetween mmmeals mmbut mmnot mmwith mmmeals.
Which mmaction mmshould mmthe mmnurse mmin mmthe mmemergency mmdepartment
mmanticipate mmfor mma mmyoung mmadult mmpatient mmwho mmhas mmhad mmseveral mmacute
mmepisodes mmof mmbloody mmdiarrhea?
A. mmAdminister mmantidiarrheal mmmedication.
B. mmObtain mma mmstool mmspecimen mmfor mmculture.
C. mmTeach mmthe mmadverse mmeffects mmof mmacetaminophen mm(Tylenol).
D. mmProvide mmteaching mmabout mmantibiotic mmtherapy. mm- mmAnswer mmB. mmObtain
mma mmstool mmspecimen mmfor mmculture.
A mmpatient mmwho mmunderwent mma mmgastroduodenostomy mm(Billroth mmI) mm12
mmhours mmago mmreports mmincreasing mmabdominal mmpain. mmThe mmpatient mmhas mmno
mmbowel mmsounds mmand mm200 mmml mmof mmbright mmred mmnasogastric mm(NG)
mmdrainage mmin mmthe mmpast mmhour. mmWhat mmis mmthe mmhighest mmpriority mmaction
mmby mmthe mmnurse?
A. mmContact mmthe mmsurgeon.
B. mmGive mmprescribed mmmorphine.
C. mmMonitor mmdrainage.
D. mmIrrigate mmthe mmNG mmtube. mm- mmAnswer mmA. mmContact mmthe mmsurgeon.
Which mmpatient mmshould mmthe mmnurse mmassess mmfirst mmafter mmreceiving mmchange-
of-shift mmreport?
A. mmA mmpatient mmwho mmis mmcrying mmafter mmreceiving mma mmdiagnosis mmof
mmesophageal mmcancer
B. mmA mmpatient mmwith mmesophageal mmvarices mmwho mmhas mma mmrapid mmheart
mmrate
C. mmA mmpatient mmwith mma mmhistory mmof mmgastrointestinal mmbleeding mmwho mmhas
mmmelena
D. mmA mmpatient mmwith mmnausea mmwho mmhas mma mmdose mmof mmmetoclopramide
mm(Regian) mmdue mm- mmAnswer mmB. mmA mmpatient mmwith mmesophageal mmvarices
mmwho mmhas mma mmrapid mmheart mmrate
A mmpatient mmreturned mmfrom mma mmlaparoscopic mmNissen mmfundoplication mmfor
mmhiatal mmhernia mm4 mmhours mmago. mmWhich mmassessment mmfinding mmis mmmost
mmimportant mmfor mmthe mmnurse mmto mmaddress mmimmediately?
A. mmThe mmpatient mmis mmexperiencing mmintermittent mmwaves mmof mmnausea.
B. mmThe mmpatient mmhas mmno mmbreath mmsounds mmin mmthe mmleft mmanterior mmchest.
C. mmThe mmpatient mmreports mm7/10 mm(0 mmto mm10 mmscale) mmabdominal mmpain.
D. mmThe mmpatent mmhas mmhypoactive mmbowel mmsounds mmin mmall mmfour mmquadrants
mm- mmAnswer mmB. mmThe mmpatient mmhas mmno mmbreath mmsounds mmin mmthe mmleft
mmanterior mmchest.
, The mmnurse mmis mmassessing mma mmpatient mmwho mmhad mma mmtotal mmgastrectomy
mm8 mmhours mmago. mmWhat mmInformation mmis mmmost mmimportant mmto mmreport mmto
mmthe mmhealth mmcare mmprovider?
A mmAbsent mmbowel mmsounds mmin mmall mmquadrants
B. mmScant mmnasogastric mm(NG) mmtube mmdrainage
C. mmTemperature mm102.1° mmF mm(38.9° mmC)
D. mmHemoglobin mm(Hgb) mm10.8 mmg/dL mm- mmAnswer mmC. mmTemperature mm102.1°
mmF mm(38.9° mmC)
The mmnurse mmis mmperforming mma mmnutritional mmassessment mmon mma mmnewly
mmadmitted mmclient mmwith mma mmdiagnosis mmof mmrecent mmweight mmloss mmand
mmmalnutrition. mmWhich mmfinding mmis mmconsistent mmwith mma mmdiagnosis mmof
mmmalnutrition?
A. mmMoist mmskin
B. mmMuscle mmgrowth
C. mmIncrease mmin mmsubcutaneous mmfat
D. mmDecreased mmpigmentation mmof mmthe mmhair mm- mmAnswer mmD. mmDecreased
mmpigmentation mmof mmthe mmhair
The mmnurse mmis mmcaring mmfor mma mmclient mmthat mmis mm24 mmhours mmpost-operative
mmcolostomy. mmThe mmnurse mmassess mmthe mmclient mmand mmstoma mmsite mmevery mm4
mmhours. mmOf mmthe mmfollowing mmdescriptions, mmwhich mmindicates mma mmnormal
mmstoma?
A. mmStoma mmis mmpink, mmmildly mmswollen, mmscant mmamount mmof mmblood mmnoted.
B. mmStoma mmis mmred, mmswollen, mmand mmbleeding.
C. mmStoma mmis mmpink, mmwith mma mmlarge mmamount mmof mmedema, mmscant mmamount
mmof mmblood mmnoted.
D. mmStoma mmis mmdark mmred, mmno mmedema mmor mmbleeding mmnoted. mm- mmAnswer
mmA. mmStoma mmis mmpink, mmmildly mmswollen, mmscant mmamount mmof mmblood mmnoted.
The mmnurse mmis mmperforming mman mminitial mmassessment mmon mma mm55 mmyear mmold
mmclient mmwith mmreports mmof mmabdominal mmpain mmand mmchanges mmin mmbowel
mmpatterns. mmDuring mmthe mmhistory mmportion mmof mmthe mmassessment mmwhat mmis
mmmost mmimportant mmto mmthe mmnurse mmto mmask mmthe mmclient?
A. mm"When mmwas mmyour mmlast mmbowel mmmovement?"
B. mm"Have mmyou mmhad mma mmcolonoscopy mmin mmthe mmlast mm10 mmyears?'
C. mm"Have mmyou mmhad mma mminfluenza mmvaccine mmthis mmseason?"
D. mm"Have mmyou mmhad mmany mmproblems mmvoiding?" mm- mmAnswer mmB. mm"Have
mmyou mmhad mma mmcolonoscopy mmin mmthe mmlast mm10 mmyears?'
The mmnurse mmnotes mmredness, mmwarmth, mmand mma mmpurulent mmdrainage mmat mmthe
mminsertion mmsite mmof mma mmcentral mmvenous mmcatheter mmin mma mmclient mmreceiving
mmtotal mmparenteral mmnutrition mm(TP). mmThe mmnurse mmnotifies mmthe mmhealth mmcare
mmprovider mmof mmthis mmfinding mmbecause:
A. mmInfections mmof mma mmcentral mmvenous mmcatheter mmsite mmcan mmlead mmto
mmsepticemia.
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