The nurse determines that dietary instructions for a client who had a partial gastrectomy were effective when the client states, "I:

should avoid drinking beverages with my meals.”.

should eat three large meals and avoid a snack every day.”.

can have some type of bread with every meal.”.

will not lie down on my left side after eating.”. .

Answer and Explanation

The Correct Answer is A

Choice A rationale

Avoiding beverages with meals can help prevent dumping syndrome, a common complication after gastrectomy where food moves too quickly into the small intestine.

Choice B rationale

Eating three large meals a day is not recommended after gastrectomy as it increases the risk of dumping syndrome. Small, frequent meals are preferred.

Choice C rationale

Having bread with every meal may not be necessary and can contribute to dumping syndrome if consumed in large quantities.

Choice D rationale

Lying down after eating, particularly on the left side, can worsen symptoms by allowing food to move too quickly through the gastrointestinal tract. .

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 ["A","D"]

Explanation

Choice A rationale

It's widely recommended to attempt lifestyle modifications, such as diet and exercise, before initiating pharmacotherapy for obesity. This approach is due to the potential side effects and costs associated with weight loss medications, making non-pharmacological interventions a safer first option.

Choice B rationale

This statement is incorrect. Drugs used for weight loss can have significant side effects, including gastrointestinal disturbances, increased heart rate, and potential risks of abuse or dependence. It is important for healthcare providers to weigh the benefits and risks before prescribing these medications.

Choice C rationale

Weight loss drugs are typically used in conjunction with lifestyle changes and are not recommended to be used for prolonged periods if ineffective. Continuous monitoring and evaluation of the drug's effectiveness and side effects are crucial in managing obesity with pharmacotherapy.

Choice D rationale

Correct. Current drugs approved for weight loss generally work by either reducing nutrient absorption (e.g., orlistat) or suppressing appetite (e.g., phentermine). These mechanisms help individuals decrease caloric intake and promote weight loss.

Choice E rationale

This statement is inaccurate. The amount of weight loss with medication varies among individuals, and losing at least forty pounds is not a guaranteed outcome. The effectiveness of weight loss drugs depends on several factors, including adherence to the medication and accompanying lifestyle changes.

A. Excess Fluid Volume: Intravascular. B. Risk for Ineffective Tissue Perfusion: Gastrointestinal. C. Risk for infection. D. Acute pain assessment.

Correct Answer is B

Explanation

Choice A rationale

Excess fluid volume: intravascular is less relevant as it is more associated with conditions such as heart failure rather than bowel obstruction. Fluid shifts in bowel obstruction usually lead to third-spacing rather than intravascular volume excess.

Choice B rationale

Risk for ineffective tissue perfusion: gastrointestinal is correct as bowel obstruction can compromise blood flow to the intestines, leading to ischemia and necrosis. This is a critical concern that needs to be monitored and managed promptly.

Choice C rationale

Risk for infection is a valid concern but not the primary issue compared to tissue perfusion risks. Infection risk typically becomes more prominent if there are signs of bowel perforation or necrosis.

Choice D rationale

Acute pain assessment is important but is an aspect of managing the current problem rather than listing the primary problem itself. Pain management should follow once the main problem has been identified.

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

The nurse determines that dietary instructions for a client who had a partial gastrectomy were effective when the client states, "I:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is leading a community-based discussion group on pharmacotherapy used in obesity. Which statement(s) made by the participants is/are correct? (SELECT ALL THAT APPLY)

Correct Answer is ["A","D"]

Explanation

The nursing student is writing a problem list for a client just admitted with a total small bowel obstruction. Which problem should the instructor ask?

Correct Answer is B

Explanation

The nurse receives an order to administer ranitidine 300 mg IVPB over one hour. Ranitidine is available 300 mg in 100 mL NSS. The drip factor of the piggyback tubing is 15 gtts/mL. How should the nurse infuse the drug in drops/minute? .

A client takes the morning dose of 10 units of insulin aspart at 0800. At what time would the nurse assess for hypoglycemia?

A nurse is administering medications to a client receiving tube feedings through a gastrostomy tube. The correct procedure for administration is to: (SELECT ALL THAT APPLY)

The nurse is assessing an alert and independent older client for the risk of malnutrition. What item is most appropriate to assess?

The nurse is caring for several clients on the med-surg unit. Who would be most at risk for development of gallstones?

Which sign or symptom would the nurse expect to find in a client diagnosed with ulcerative colitis?

The nurse is recording data obtained from a client's admission assessment. Which notation is most consistent with the presence of a gastric ulcer? The client states that pain:

During an intake assessment, a client with antisocial personality disorder uses profanity, sexual orientation slurs, and threatens to spit at the nurse. What is the MOST appropriate statement or querry for the nurse to make about the client's behavior?