MDC II Exam 2
A nurse is caring for a client diagnosed with metabolic alkalosis from gastric secretion through vomiting. Which of the following would the nurse include in the plan of care? - Administer antiemetics
A nurse is performing discharge teaching for a client who recently diagnosed with gastritis. Which of the following should be included in the teaching? - Limit alcohol intake
A nurse is taking for client with metabolic acidosis related to gastrointestinal loss bicarbonate from diarrhea
The nurse anticipates implementing which of the following? - Administer an antidiarrheal
80 yr/o diagnosed with gastric cancer 3 months ago – underwent chemotherapy/radiation therapy + recently has tumor surgically removed. Surgeon discovered cancer spread to other organs. Family having diff. time deciding on treatment options. Which of the following intervention are appropriate for the RN in providing the client’s care? -Request a consult for palliative care services
The provider ordered famotidine 80 mg PO daily at bedtime. Available is 20 mg.
How many tablets daily? - 4 The provider ordered clindamycin 800mg PO BID. Available is clindamycin 100mg/2mL. How many mL? - 16
42 yr/o diagnosed with gastric cancer – has wife and 3 small children. The client and wife are having difficult time dealing with dx. Which intervention is appropriate for this client? - Consult social services to provide support to client and family.
Which of the following is an example of developing secondary stomatitis?
- 64 yr/o client with hx of metastatic breast CA receiving chemotherapy presenting with stomatitis
Which of these is priority goal for the nurse taking care of client after an esophagogastroduodenoscopy?
- Prevent and monitor aspiration When assessing arterial blood gas (ABG), after labeling the pH. What is the next step for interpretation? - Determine the primary cause
A nurse is education a type1 diabetic client dx with metabolic acidosis. Which of the following statement indicate teaching has been effective on the cause of metabolic acidosis? - Metabolic acidosis can be occur due to diabetic ketoacidosis
A nurse caring for client dx with severe GERD. Which of the following medications should the
nurse expect Rx? - Pantoprazole Which of the following laboratory test does nurse need to asses to determine acid base imbalance? - Arterial Blood Gas
A nurse is caring for client who is s/p an upper endoscopic procedure. Which assessment would the nurse anticipate for the client to resume their diet? - Effective swallowing
A nurse provides discharge instructions for client with hiatal hernia. Client has hx of GERD. Which of the following should be included in client/family education? - Remain upright position 1-2 hours after eating.
56 yr/o ER with feeling of fullness and dyspepsia The client reports recent bloody emesis and long term use of IBU Which condition could the client be exhibiting based on symptoms? - Peptic ulcer disease
Which of the following are at risk of developing stomatitis? -25yr/o with herpes simplex
What is the nurses priority to include when educating client with gastric cancer about their plan of care?
- One of the most important things we need to monitor for is weigh loss. Please weigh daily.
Which statement is correct about the body’s compensation mechanism for metabolic acidosis?
- A client will breathe faster to decrease the pH
The nurse is providing education for client recently diagnosed with GERD. Which of the following foods should the client avoid?
- Caffeinated beverages
A nurse caring for client dx with oral cancer – recently underwent sx. Which of the following is a postop nursing priority?
- Airway management
Which of the following interventions would the nurse NOT include of client with stomatitis?
- Encourage the continued use of dentures to assist with chewing
The nurse is caring for a client who is concerned about developing oral cancer. Which statement requires immediate intervention?
- I don’t have dental insurance, so I can’t get dental check ups
42yr/o Hispanic client with diabetes ketoacidosis, speaks limited English, no family at bedside. -
Obtain an interpreter for the client Which of the following s/s should nurse investigate first when assessing a client diagnosed with respiratory acidosis?
- Respiratory rate of 8 breaths/minute