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NP2 ENDO/GI EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS
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NP2 ENDO/GI EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS
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NP2 ENDO/GI EXAM 2024/2025 WITH100% ACCURATE SOLUTIONS
A few months after bariatric surgery, a 62-year-old patient tells the
nurse, "My skin is hanging in folds. I think I need cosmetic surgery."
Which response by the nurse is most appropriate?
a.
"The skinfolds will gradually disappear once most of the weight is lost."
b.
"Perhaps you would like to talk to a counselor about your body image."
c.
"Cosmetic surgery is certainly a possibility once your weight has
stabilized."
d.
"The important thing is that your weight loss is improving your health."
- Precise Answer ✔✔c.
"Cosmetic surgery is certainly a possibility once your weight has
stabilized."
,Response Feedback: Reconstructive surgery may be used to eliminate
excess skinfolds after at least a year has passed since the surgery.
Skinfolds may not disappear over time, especially in older patients. The
response, "The important thing is that your weight loss is improving
your health" ignores the patient's concerns about appearance and implies
that the nurse knows what is important. Whereas it may be helpful for
the patient to talk to a counselor, it is more likely to be helpful to know
that cosmetic surgery is available.
Which information will the nurse plan to include in discharge teaching
for a patient after gastric bypass surgery?
a.
Choose high-fat foods for at least 30% of intake.
b.
Avoid drinking fluids with meals.
c.
Choose foods that are high in fiber to promote bowel function.
d.
Development of flabby skin can be prevented by daily exercise. - Precise
Answer ✔✔Selected Answer:
b.
Avoid drinking fluids with meals.
,Response Feedback: Intake of fluids with meals tends to cause dumping
syndrome and diarrhea. Food choices should be low in fat and fiber.
Exercise does not prevent the development of flabby skin.
During change-of-shift report, the nurse receives the following
information about a patient who is scheduled for a colonoscopy. Which
information should be communicated to the health care provider before
sending the patient for the procedure?
a.
The patient refused to drink the ordered polyethylene glycol
(GoLYTELY).
b.
The patient has a permanent pacemaker to prevent bradycardia.
c.
The patient has had an allergic reaction to shellfish and iodine in the
past.
d.
The patient is worried about discomfort during the examination. -
Precise Answer ✔✔Selected Answer:
a.
The patient refused to drink the ordered polyethylene glycol
(GoLYTELY).
, Response Feedback: If the patient has had inadequate bowel preparation,
the colon cannot be visualized and the procedure should be rescheduled.
Because contrast solution is not used during colonoscopy, the iodine
allergy is not pertinent. A pacemaker is a contraindication to magnetic
resonance imaging (MRI), but not to colonoscopy. The nurse should
instruct the patient about the sedation used during the examination to
decrease the patient's anxiety about discomfort.
Which action by unlicensed assistive personnel (UAP) when caring for a
patient who has just returned to the nursing unit after an
esophagogastroduodenoscopy (EGD) requires that the RN intervene?
a.
Swabbing the patient's mouth with cold water
b.
Checking the vital signs every 30 minutes
c.
Positioning the patient on the right side
d.
Offering the patient a glass of water - Precise Answer ✔✔Selected
Answer: d.
Offering the patient a glass of water
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