A nurse is explaining to a client who is preparing for emergency surgery due to a small bowel obstruction.

The client is anxious and doesn’t understand what the surgeon means by “adhesions” causing the blockage.

Which of the following statements is the best response from the nurse?

A nurse is reinforcing discharge teaching with a client about how to care for a newly created ileal conduit.

Which of the following instructions should the nurse include in the teaching?

A patient with acute pancreatitis is in severe pain.

Which position should the nurse suggest the patient to assume?

A nurse is caring for a patient admitted with a lower respiratory infection.

After assisting the patient to bed and applying the prescribed oxygen, which finding would help the nurse evaluate the effectiveness of the nursing care?

Following an explosion at a local chemical lab, several people have sustained burns and are now in the triage area.

Which patient should be attended to first?

A nurse is collecting data from a client who has peptic ulcer disease.

Which of the following findings is a manifestation of gastrointestinal perforation?

A nurse is caring for a client during the fluid resuscitation phase of burn management.

Which of the following is the best method for assessing the results of the fluid resuscitation?

A nurse is educating a patient with osteoporosis who has been prescribed alendronate 70 mg PO weekly (Fosamax). Which statement by the patient indicates a need for further instruction?

A nurse is planning care for a client who has a peptic ulcer and a new prescription for sucralfate 2 gm administered twice daily.

When should the nurse plan to administer the medication?

A nurse is assisting with the care of a client.

• At 1600, the nurse administered an antibiotic as prescribed.
• At 1630, the nurse noted that the client’s bilateral breath sounds were clear and present throughout.
• The client reports itching on the chest and has urticaria over the chest and trunk.
• The client states they are having difficulty swallowing and feel as if there is a lump in their throat.
• The nurse hears bilateral breath sounds with scattered wheezing throughout.

What should the nurse do next?

A nurse is caring for a client who is to maintain a fluid restriction of 1,200 mL/24 hr. How many mL of fluids can the client have over the next 20 hr if the client had a total fluid intake of 300 mL during the first 4 hr of the shift?