A nurse is caring for a 45-year-old male client in the emergency department who reports severe abdominal pain.

Exhibits

Based on the information provided, which of the following provider’s prescriptions are anticipated, nonessential, or contraindicated for the client? Select one response per row.

Increase fiber intake

CT of the abdomen with contrast

Flexible sigmoidoscopy

Change IV fluids to 0.9% sodium chloride with KCl

Type and crossmatch blood

Administer IV piperacillin-tazobactam

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"C"}}

•   Increase fiber intake: This is nonessential at this time. While a high-fiber diet can help prevent future episodes of diverticulitis, it won’t help in the acute phase, especially when the client is unable to eat or drink without vomiting.
•   CT of the abdomen with contrast: This is an anticipated action. A CT scan can help confirm the diagnosis of diverticulitis and assess the severity of the condition.
•   Flexible sigmoidoscopy: This is an anticipated action. A flexible sigmoidoscopy can help visualize the diverticula and assess the extent of the inflammation.

•   Change IV fluids to 0.9% sodium chloride with KCl: This is an anticipated action. The client is likely dehydrated due to vomiting and unable to take oral fluids, so IV hydration is necessary. The client’s potassium level is at the lower end of the normal range, so adding KCl to the IV fluids can help prevent hypokalemia.
•   Type and crossmatch blood: This is an anticipated action. The client has a positive stool occult blood test and a lower than normal hemoglobin and hematocrit, suggesting that he may be experiencing bleeding. It’s important to have blood ready for a transfusion if necessary.
•   Administer IV piperacillin-tazobactam: This is contraindicated. Piperacillin-tazobactam is a penicillin-based antibiotic, and the client has a known allergy to penicillin. Another class of antibiotics should be used. Please note that these are potential actions and the healthcare provider should be informed immediately for further evaluation and management. It’s important to continue following the provider’s prescriptions and closely monitor the client’s condition.

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Correct Answer is A

Explanation

Choice A rationale
Increasing fluid and fiber intake is one of the first steps in managing constipation in elderly patients. Fiber adds bulk to the stool and makes it easier to pass, while fluids help keep the stool soft.
Choice B rationale
While avoiding gas-producing foods may help with some digestive issues, it’s not specifically helpful for managing constipation.
Choice C rationale
While a stool softener can help relieve constipation, it’s usually considered after dietary changes have been tried without success.
Choice D rationale
Physical activity can help stimulate bowel movements and is often recommended as part of constipation management. However, it’s not the first step, and its effectiveness can depend on the individual’s overall health and mobility.
Question 31.

A. “I will refrain from eating raw fruits and vegetables.”. B. “I will avoid taking iron supplements before testing.”. C. “I will avoid steak and other red meats.”. D. “I will continue my low-dose aspirin therapy regimen.”. .

Correct Answer is D

Explanation

Choice A rationale
It is recommended to refrain from eating raw fruits and vegetables before a fecal occult blood test, as they can cause a false-positive result.
Choice B rationale
Avoiding iron supplements before testing is also recommended, as they can interfere with the test results.
Choice C rationale
It is advised to avoid red meats before the test, as they can cause a false-positive result.
Choice D rationale
Continuing a low-dose aspirin therapy regimen may cause a false-positive result on a fecal occult blood test. Aspirin can cause gastrointestinal bleeding, which could be detected by the test. Bile ductBile duct Explore

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A nurse is caring for a 45-year-old male client in the emergency department who reports severe abdominal pain. Exhibits Based on the information provided, which of the following provider’s prescriptions are anticipated, nonessential, or contraindicated for the client? Select one response per row.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for an elderly patient who is experiencing constipation. What action should the nurse take?

Correct Answer is A

Explanation

A nurse is reinforcing teaching to a patient about how to perform fecal occult blood testing for colorectal cancer screening. Which statement by the patient indicates a need for further teaching?

Correct Answer is D

Explanation

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