The nurse is caring for a client with stable esophageal varices. Which of the following actions is most important?

Maintain a patent airway and prevent aspiration

Monitor the effects of ant-hypertensive medications

Prepare the client for immediate portal shunting surgery

Perform fecal occult testing on all stools

Answer and Explanation

The Correct Answer is B

A. Maintain a patent airway and prevent aspiration: While maintaining a patent airway is always important, esophageal varices do not typically cause aspiration unless they rupture. This choice would be a priority in an acute bleed, not in a stable client.

B. Monitor the effects of antihypertensive medications: Beta-blockers (e.g., propranolol) are commonly prescribed to reduce portal hypertension, preventing variceal rupture. Monitoring the effects of these medications is crucial in maintaining hemodynamic stability.

C. Prepare the client for immediate portal shunting surgery: Surgical shunting is considered for refractory cases with severe, recurrent bleeding. A client with stable varices does not require immediate surgery.

D. Perform fecal occult testing on all stools: Esophageal varices cause upper GI bleeding, which manifests as hematemesis or melena, not occult blood in the stool.

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Correct Answer is A

Explanation

A. "My immune system reacts to gluten and damages the villi in my gut.": Celiac disease is an autoimmune disorder in which gluten triggers an immune response that damages the small intestinal villi, leading to malabsorption.

B. "I have an allergy to the proteins that are found in wheat.": Celiac disease is not a wheat allergy; it is an autoimmune condition triggered by gluten, a protein found in wheat, barley, and rye.

C. "I am glad that I can still eat rye bread." : Rye contains gluten and must be avoided in celiac disease.

D. "The bacteria in my gut are unable to digest gluten." : Celiac disease is not caused by bacterial inability to digest gluten but by an autoimmune response to gluten.

Correct Answer is ["25"]

Explanation

Total volume to be infused = 50 mL
Infusion rate = 2 mL/min

Time required = Total volume / Infusion rate
= 50 mL ÷ 2 mL/min
= 25 minutes

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The nurse is caring for a client with stable esophageal varices. Which of the following actions is most important?

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Naxlex Comprehensive Predictor Exams

The nurse is teaching a newly diagnosed client with celiac disease. Which of the following statements made by the client indicate understanding on the teaching?

Correct Answer is A

Explanation

The nurse is reviewing an order of infuse 12.5 grams of V Albumin to the client. The albumin is dispensed as 12.5 grams in 50 mL bottles and can be infused at 2 mL/minute. How long will it take to administer this dose of Albumin.

Correct Answer is ["25"]

Explanation

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