[Verified Answer]: A client has a physician’s order for NPO…

A client has a physician’s order for NPO (nothing by mouth) following abdominal surgery to repair a bowel obstruction. The client has a nasogastric tube inserted to low intermittent suction. The client requires intravenous therapy to: a. Replace fluid and electrolytes b. Administer blood products c. In the provision of glucose d. Treat the client’s infection 2. The nursing instructor is teaching student nurses about venipuncture techniques and possible complications from the procedure. What can happen if the venipuncture device is left in the clients’ vein to long? a. Phlebitis can develop. b. Gangrene can set in. c. Necrosis of the skin will develop. d. Cold packs will need to be used to reduce the pain. 3. A 58-year-old woman is suffering from food poisoning after eating a local restaurant. She has had nausea, vomiting, and diarrhea for the past 12 hours. Her blood pressure is 88/50 and she is diaphoretic. She requires a. An access route to administer medications intravenously b. Replacement of fluids for those lost from vomiting and diarrhea c. An access route to replace fluids in combination with blood products d. Intravenous fluids to be administered on an outpatient basis 4. In which instance may a surgeon operate without informed consent? a. Invasive procedures b. Emergency situations c. Procedures requiring sedation d. Radiologic procedures. 5. During your preoperative teaching, you know to include exercise of the extremities. What is the purpose of teaching a patient leg exercises prior to surgery? a. Leg exercises increase the patient’s appetite postoperatively. b. Leg exercises improve circulation and prevent blood clots. c. Leg exercises help to prevent pressure sores to the sacrum. d. Leg exercise help increase the patient’s level of consciousness after surgery. 6. What is the major purpose of withholding food and fluid before surgery? a. Prevent overhydration b. Decrease urine output c. Prevent aspiration d. Decrease risk of constipation. 7. You are the surgical unit nurse who is admitting a patient after surgery from the recovery room. What is the first assessment you would make on a newly admitted patient? a. Heart rate b. Nail perfusion c. Core temperature d. Patency of the airway 8. The nurse is caring for a client during the immediate postoperative period and is assessing for signs of hypovolemic shock. What signs and symptoms indicate that the client may be in shock? a. Weak and rapid pulse rate b. Warm, dry skin c. Pooling of secretions in the lungs d. Obstructed airway 9. A patient’s lab results show a slight decrease in potassium. The physician has declined to treat with drug therapy but has suggested increasing potassium through diet. Which of the following would be a good source of potassium? a. Apples b. Asparagus c. Carrots d. Bananas 10. Your client has a diagnosis of hypervolemia. What would be an important intervention that you would initiate? a. Give medications that promote fluid retention. b. Limit sodium and water intake. c. Assess for dehydration. d. Teach client behaviors that decrease urination. 11. An important part of the nurse’s assessment of the patient with peptic ulcer disease is assessing the patient’s level of anxiety. How is this accomplished? a. Appropriate information is provided to the patient’s family. b. Patient is encouraged to express fears openly. c. Some patients aren’t anxious so this assessment isn’t necessary. d. Information is given in written form. 12. The nurse is caring for a client with chronic gastritis. The nurse monitors the client knowing that this client is at risk for which vitamin deficiency? a. Vitamin A b. Vitamin B12 c. Vitamin C d. Vitamin E 13. A patient has just been diagnosed with gastric cancer. The nurse is taking a history on this patient. What would be an important question to ask? a. What is the patient’s smoking and alcohol history? b. What is the patient’s work history? c. What is the patient’s level of fatigue? d. What is the family history of smoking and alcohol use? 14. The nurse is assessing a client with a bleeding gastric ulcer. When examining the client’s stool, which of the following characteristics would the nurse be most likely to find? a. Green color and texture b. Bright red blood in stool c. Black and tarry appearance d. Clay-like quality 15. Brock Nichols, a four-year-old preschooler, is being seen in the ED where you practice nursing. His mother reports that Brock has been vomiting for three days and is unable to “keep anything down”. What poses the greatest danger to Brock? a. Dehydration b. Anorexia c. Nausea d. Choking on increased salivation 16. Cancer of the esophagus is most often diagnosed by which of the following? a. Esophagogastroduodenoscopy (EGD) with biopsy b. X-ray c. Barium swallow d. Fluoroscopy