A nurse is caring for a client who is postoperative and requesting something to drink. The nurse reads the client's postoperative prescriptions, which include, "Clear liquids, advance diet as tolerated." Which of the following actions should the nurse take first?

Order a lunch tray for the client.

Offer the client apple juice.

Auscultate the client's abdomen.

Elevate the client's head of bed.

Answer and Explanation

The Correct Answer is C

A. Order a lunch tray for the client. Before advancing the diet, it is important to assess the client's readiness, particularly bowel sounds.
B. Offer the client apple juice. Providing liquids is appropriate only after assessing the client's gastrointestinal function.
C. Auscultate the client's abdomen: This assessment checks for the return of bowel sounds and gastrointestinal function, indicating whether the client can tolerate clear liquids.
D. Elevate the client's head of bed. While positioning is important, the primary first step is to assess the client's gastrointestinal status

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Assist the client to low Fowler's position. The client should be in at least a semi-Fowler's position (30-45 degrees) to reduce the risk of aspiration, not low Fowler's.
B. Warm the feeding solution to body temperature. Feeding solutions should be administered at room temperature to prevent discomfort or gastrointestinal issues, not warmed to body temperature.
C. Discard any residual gastric contents. Residual gastric contents should be checked to assess tolerance to the previous feeding, but not automatically discarded. Decisions should be based on the volume and the facility's protocol.
D. Test the pH of gastric aspirate. Testing the pH of gastric aspirate helps verify proper tube placement before administering feedings.

A. The spacer increases the amount of medication delivered to the oropharynx. B. Inhale rapidly when using the spacer with the MDI. C. Cover exhalation slots of the spacer with lips when inhaling. D. The spacer increases the amount of medication delivered to the lungs.

Correct Answer is D

Explanation

A. The spacer increases the amount of medication delivered to the oropharynx. The spacer actually reduces the amount of medication deposited in the oropharynx, directing more to the lungs.
B. Inhale rapidly when using the spacer with the MDI. The correct technique is to inhale slowly and deeply to ensure the medication reaches the lungs.
C. Cover exhalation slots of the spacer with lips when inhaling. The lips should form a seal around the mouthpiece, but covering exhalation slots is not necessary.
D. The spacer increases the amount of medication delivered to the lungs. This is the primary benefit of using a spacer, making it the correct answer.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who is postoperative and requesting something to drink. The nurse reads the client's postoperative prescriptions, which include, "Clear liquids, advance diet as tolerated." Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in a long-term care facility who is receiving enteral feedings via an NG tube. Which of the following actions should the nurse take prior to administering the tube feeding?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with the parents of a child who is starting to use a spacer with a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is caring for a 4-year-old child who has dehydration. Which of the following findings should the nurse identify as the priority?

A nurse is administering a tap-water enema to a client. The client reports cramping as the nurse instills the irrigating solution. Which of the following actions should the nurse take to relieve the client's discomfort?

A nurse is collecting data from a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings should the nurse expect?

A nurse is planning care for a child who has severe diarrhea. Which of the following actions is the nurse's priority?

A nurse is reviewing the laboratory values of a client who is receiving total parenteral nutrition (TPN): glucose 72 mg/dl, chloride 100 mEq/L. sodium 138 mEq/L, and potassium 3.0 mEq/L. Which of the following actions should the nurse plan to take?

A nurse is preparing to administer a rectal suppository to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

A nurse is collecting data from a client who has a sodium level of 155 mEq/L. Which of the following manifestations should the nurse expect?

A nurse is collecting data from a client who has a sodium level of 128 mEq/L. Which of the following manifestations should the nurse expect?