NUR 1211 Final Exam | Questions and Answers 2023 Graded A+

NUR 1211 Final Exam | Questions and Answers 2023 Graded A+. A nurse is providing care for a client who is postoperative day 2 following gastric surgery. The nurses assessment should be planned in light of the possibility of what potential complications? Select all that apply. Selected Answers: CorrectA. Hemorrhage CorrectB. Pneumonia CorrectD. Atelectasis Answers: CorrectA. Hemorrhage CorrectB. Pneumonia C. Chronic gastritis CorrectD. Atelectasis E. Malignant hyperthermia Response Feedback: After surgery, the nurse assesses the client for complications secondary to the surgical intervention, such as pneumonia, atelectasis, or metabolic imbalances resulting from the GI disruption. Malignant hyperthermia is an intraoperative complication. Chronic gastritis is not a surgical complication. Question 7 Correct A client has received a diagnosis of gastric cancer and is awaiting a surgical date. During the preoperative period, the client should adopt what dietary guidelines? Selected Answer: CorrectA. Eat small, frequent meals with high calorie and vitamin content. Answers: CorrectA. Eat small, frequent meals with high calorie and vitamin content. B. Try to maintain the pre-diagnosis pattern of eating. C. Eat frequent, low-fat meals with high protein content. D. Eat frequent meals with an equal balance of fat, carbohydrates, and protein. Response Feedback: The nurse encourages the client to eat small, frequent portions of nonirritating foods to decrease gastric irritation. Food supplements should be high in calories, as well as vitamins A and C and iron, to enhance tissue repair. Question 8 A community health nurse is preparing for an initial home visit to a client discharged following a total gastrectomy for treatment of gastric cancer. What would the nurse anticipate that the plan of care is most likely to include? Selected Answer: CorrectB. Administration of injections of vitamin B12 Answers: A. Enteral feeding via gastrostomy tube (G tube) CorrectB. Administration of injections of vitamin B12 C. Gastrointestinal decompression by nasogastric tube D. Periodic assessment for esophageal distension Response Feedback: Since vitamin B12 is absorbed in the stomach, the client requires vitamin B12 replacement to prevent pernicious anemia. A gastrectomy precludes the use of a G tube. Since the stomach is absent, a nasogastric tube would not be indicated. As well, this is not possible in the home setting. Since there is no stomach to act as a reservoir and fluids and nutrients are passing directly into the jejunum, distension is unlikely. Question 9 A client with a history of peptic ulcer disease has presented to the emergency department (ED) in distress. What assessment finding would lead the ED nurse to suspect that the client has a perforated ulcer? Selected Answer: CorrectD. The client has a rigid, “boardlike” abdomen that is tender. Answers: A. The client is experiencing dizziness and confusion with no apparent hemodynamic changes. B. The client is experiencing intense lower right quadrant pain. C. The client has abdominal bloating that developed rapidly. CorrectD. The client has a rigid, “boardlike” abdomen that is tender. Response Feedback: An extremely tender and rigid (boardlike) abdomen is suggestive of a perforated ulcer. None of the other listed signs and symptoms is suggestive of a perforated ulcer.