NURS 3700 Exam 3 | Questions and Answers (Complete Solutions)
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Course
NURS 3700
Institution
NURS 3700
NURS 3700 Exam 3 | Questions and Answers (Complete Solutions) The nurse is giving a patient instructions regarding the management of GERD. What statement indicates that further teaching is required? A. I should avoid drinking any red wine B. Chewing gum may help me relieve my symptoms C. I shoul...
The nurse is giving a patient instructions regarding the management of GERD. What
statement indicates that further teaching is required?
A. I should avoid drinking any red wine
B. Chewing gum may help me relieve my symptoms
C. I should eat small, frequent meals throughout the day
D. I can have warm milk at bedtime but not chocolate milk
A 54 year old patient admitted with cancer has not been able to eat because of nausea.
What strategies would the nurse implement? (Select all that apply)
A. Serve foods that are warm-to-hot in temperature
B. Offer the patient meats and foods with mild spices
C. Offer a diet that appeals to the patient's preferences
D. Administer antiemetics one hour before meals to prevent nausea
E. Offer the patient foods such as cooked cereal and soft or canned fruits.
A patient reports hematemesis and burning pain in the stomach. The nurse suspects
peptic ulcer disease and anticipates that which diagnostic test will be prescribed.
A. Colonoscopy
B. Upper GI study
C. Abdominal ultrasound
D. MRI
A patient who is scheduled for gastric bypass surgery asks for information about
dumping syndrome. How does the nurse explain dumping syndrome?
A. The inability to digest high-fat foods
B. When the passage of food into the small intestine occurs too rapidly
C. A decrease in the secretion of insulin caused by carbohydrates.
D. An increase in secretion of both bile and pancreatic enzymes.
Which assessment finding is considered a classic manifestation in lower extremity
PAD?
A. Rest pain
B. Skin ulcerations
C. Intermittent claudication
D. Paresthesia in the feet and bones
,The nurse provides care for a patient one day after the patient underwent peripheral
artery bypass surgery. Which intervention will the nurse include in the patient's care?
A. Maintain patient bed rest
B. Assist the patient with walking several times
C. Encourage the patient to sit in the chair several times
D. Place the patient in a side-lying position with the knees flexed.
A patient reports fingers and toes that change color from pallor to cyanosis to rubor
when exposed to cold temperatures. The patient states that, after the color change, the
digits are throbbing, achy, and tingly. Which condition would the nurse suspect?
A. Aortic aneurysm
B. Raynaud's phenomenon
C. Post- thrombotic syndrome
D. Superficial vein thrombus
The nurse is assessing a patient with lower extremity PAD. Which clinical manifestation
would the nurse expect to find.
A. Presence of peripheral pulses
B. Heaviness in the calf or thigh
C. Loss of hair on legs, feet, and toes
D. Presence of edema in the lower leg
A male Hispanic patient is diagnosed with PAD. The patient's health history includes
smoking and depression. Which risk factor does this patient have for PAD?
A. Gender
B. Tobacco
C. Ethnicity
D. Comorbidity
The results of a patient's recent endoscopy indicate the presence of PUD. Which
teaching point would the nurse provide to the patient?
A. You'll need to drink 2 to 3 glasses of milk daily
B. It would be beneficial for you to eliminate drinking alcohol.
C. Many people find that a minced or pureed diet eases the symptoms of PUD.
D. Medications will allow you to maintain your present diet while minimizing symptoms.
A nurse is caring for a patient diagnosed with PUD. Which complication would result in
gastric contents spilling into the patient's peritoneal cavity?
A. Perforation
B. Hemorrhage
,C. Dumping syndrome
D. Gastric outlet obstruction
The nurse is caring for a patient with PUD. On a follow up visit, the health care provider
identifies spillage of gastric contents into the space between the abdominal cavity and
the abdominal wall. Which complication may occur if the condition is untreated?
A. Pernicious anemia
B. Bile reflux gastritis
C. Bacterial peritonitis
D. Postprandial hypoglycemia
A patient reports gastric distress that occurs to to five hours after meals, with "burning"
and "cramping" pain just below the xiphoid process. Which disorder would the nurse
suspect that the patient may have?
A. Esophagitis
B. Gastric ulcer
C. Bacterial peritonitis
D. Chronic gastritis
Following a gastrectomy performed for PUD, the patient is ready for discharge. Which
instructions would the nurse include in discharge teaching?
A. Take fluids along with meals
B. Reduce protein and fats in the diet
C. Divide meals into six small feedings
D. Use concentrated sweets like honey, jam, and jelly.
A patient with PUD starts vomiting. Which type of emesis is associated with the
bleeding in the stomach?
A. Fecal
B. Bilious
C. "Coffee Ground"
D. Undigested food
A 72-year old patient was admitted with epigastric pain caused by a gastric ulcer. Which
patient assessment warrants an urgent change in the nursing plan of care?
A. Chest pain relived with eating or drinking water
B. Back pain three or four hours after eating a meal
C. Burning epigastric pain 90 minutes after breakfast
D. Rigid abdomen
, Which symptom would the nurse expect in a patient who has a gastric ulcer perforation?
A. Pyrosis
B. Rigid abdomen
C. Bright-red emesis
D. Clay-colored stools
A patient receives a prescription for 60 mg enoxaparin. Which injection site would the
nurse use to administer the medication safely?
A. Flank
B. Thigh
C. Deltoid
D. Abdomen
The health care provider prescribes warfarin for a patient VTE. Which information would
the nurse include in the patient's discharge teaching plan?
A. No routine laboratory monitoring is needed
B. Avoid contact sports and high risk activities
C. Increase daily intake of dark-green, leafy vegetables.
D. Continue to use garlic as a dietary supplement.
A patient presents with symptoms of VTE in the calf. Which study would the nurse
expect to be prescribed to investigate for VTE?
A. Duplex ultrasound
B. Contrast venography
C. Magnetic resonance venography
D. Computed tomography venography
The nurse is performing a physical assessment on a patient with CVI. Which
manifestation involving the lower extremities would the nurse expect?
A. Shiny skin
B. Absent pulses
C. Brownish color
D. Lack of sensation
Which intervention would the nurse include in the care of a patient who has CVI?
A. Application of topical antibiotics to venous ulcers
B. Administering oral or subcutaneous anticoagulants
C. Maintaining the patient's legs in a dependent position
D. Teaching the patient the correct use of compression stockings
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