The client with a small bowel obstruction asks the nurse to explain th

1.Following a Billroth II procedure, a patient develops dumping syndrome. The nurse should explain that the symptoms associated with this problem are caused by 选项： A:a. distention of the smaller stomach by too much food and fluid intake.; B:b. hyperglycemia caused by uncontrolled gastric emptying into the small intestine.; C:c. irritation of the stomach lining by reflux of bile salts because the pylorus has been removed.; D:d. movement of fluid into the small bowel from concentrated food and fluids moving rapidly intothe intestine.

2.The nurse is collecting data from a client and notes that the client is taking carbamazepine . The nurse determines that this medication has been prescribed to treat which condition?None 选项： A:Glaucoma B:Diabetes mellitus C:Parkinson's disease D:Trigeminal neuralgia

3.The nurse is providing instructions to a client being discharged from the hospital following removal of a chest tube that was inserted after thoracic surgery . Which statement made by the client indicates a need for further teaching?None 选项： A:"I would avoid heavy lifting for at least 4 to 6 weeks ." B:"If I have any difficulty breathing, I would call my doctor ." C:"If I note any signs of infection, I would contact my doctor ." D:"I would remove the chest tube site dressing as soon as I get home ."

4.The nurse is caring for a client diagnosed with schizophrenia who states, "I decided not to take my medication because I realize that it really can't help me . Only I can help me ." Which question asked by the nurse has the best therapeutic value?None 选项： A:"Why do you think this is a wise decision?" B:"I don't understand . Only you can help you?" C:"You've decided not to take your medication . Is that right?" D:"Do you recall what it was like before you started your medication?"

5.A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection . The nurse is teaching the client about the medications prescribed, including clarithromycin, esomeprazole, and amoxicillin . Which statement by the client indicates the best understanding of the medication regimen?None 选项： A:"My ulcer will heal because these medications will kill the bacteria ." B:"These medications are taken only when I have pain from my ulcer ." C:"The medications will kill the bacteria and stop the acid production ." D:"These medications will coat the ulcer and decrease the acid production in my stomach ."

6.A preoperative client expresses anxiety to a nurse about upcoming surgery. Which responseBy the nurse is most likely to stimulate further discussion between the client and the nurse? 选项： A: "I will be happy to explain the entire surgical procedure to you." B: "Let me tell you about the care you'll receive after surgery and the amount of pain you canAnticipate: C: "If is any help, everyone is nervous before surgery". D: "Can you share with me what you've been told about your surgery."

7.Nurse:We would like to insert a nasal gastric tube for you tomorrow goes from the nasal cavity to the stomach and is attached to a section appliance for sucking gastric juice after the operation. Since the digestive system is so affected by the operation and the ________（麻醉）, it will not function well enough and will need a tube to assist draining the Juice.（1分）选项： A:anesthesia B:sighing C:framework D:disable person

8.What is the function of the remaining stomach and upper small intestine during gastric bypass surgery A: To secrete digestive juices into the intestine to help digest food B: Maintain the function of small stomach pouch C: Help grind food D: Help absorb nutrients

9.The home care nurse has given instructions to a client who is beginning therapy with digoxin for atrial fibrillation . The nurse determines a need for further teaching if the client makes which statement?None 选项： A:"If I miss a dose, I would just take two the next day ." B:"I shouldn't change brands without asking the primary health care provider first ." C:"I need to call the primary health care provider if my daily pulse rate is under 60 or over 100 ." D:"The pills need to be kept in their original container so that they don't get mixed up with my other medicines ."

10.What treatment measure is used in the management of the patient with acute pancreatitis?选项： A:a. Surgery to remove the inflamed pancreas; B:b. Pancreatic enzyme supplements administered with meals; C:c. Nasogastric (NG) suction to prevent gastric contents from entering the duodenum; D:d. Endoscopic pancreatic sphincterotomy using endoscopic retrograde cholangiopancreatography(ERCP)

11.The nurse is caring for a client with suspected celiac disease undergoing diagnostic evaluation. Which laboratory tests would the nurse expect to be ordered to aid in the diagnosis of this disease?None 选项： A:IgA B:IgM C:IgG D:IgD

12.The nurse notes that a client with schizophrenia who is receiving an antipsychotic medication is moving the mouth, protruding the tongue, and grimacing while watching television . The nurse determines that the client is experiencing which medication complication?None 选项： A:Parkinsonism B:Tardive dyskinesia C:Hypertensive crisis D:Neuroleptic malignant syndrome

13.Azithromycin is prescribed for a client . The nurse provides instructions to the client about the medication and emphasizes that it is best to take the medication with which item?None 选项： A:Milk B:Antacid C:The evening meal D:Water on an empty stomach

14.During the process of Roux-en-Y Gastric Bypass surgery, __________.选项： A:Surgical staples will be used to create a small pouch to serve as the new stomach, and the rest of the stomach will be connected to the duodenum. ; B:Small intestine will be cut and one end of it will be attached to the small stomach pouch. ; C:The other end of stomach pouch with part of small intestine will make a “Y” shape. ; D:Chemicals from the pancreas can digest food from the small pouch.

15.A nurse is assessing a client with a head injury. The client has clear drainage from the nose and ears. How can the nurse determine if the drainage is cerebrospinal fluid (CSF) 选项： A:Measure B:of C:Measure D:Test E:Test

16.The nurse is caring for a client undergoing external radiation. The client has developed a dry desquamation of the skin in the treatment area, and the nurse is teaching about management of the skin reaction. Which comment made by the client suggests understanding of the instructions?None 选项： A:"I don't need to stay out of the sun or put on sunscreen." B:"I can use ice packs to relieve itching in the treatment area." C:"When bathing I will use lukewarm water on the affected area." D:"I can lubricate the irritated area with an ointment like bacitracin."

17.A client who uses nonsteroidal anti-inflammatory drugs (NSAIDs) has been taking misoprostol . The nurse determines that the misoprostol is having the intended therapeutic effect if which finding is noted?None 选项： A:Resolved diarrhea B:Relief of epigastric pain C:Decreased platelet count D:Decreased white blood cell count

18.Tamoxifen citrate is prescribed for a client with metastatic breast carcinoma . The client asks the nurse if a family member with bladder cancer can also take this medication . The nurse most appropriately responds by making which statement?None 选项： A:"This medication can be used only to treat breast cancer ." B:"Yes, your family member can take this medication for bladder cancer as well ." C:"This medication can be taken to prevent and treat clients with breast cancer ." D:"This medication can be taken by anyone with cancer as long as their health care provider approves it ."

19.A hospitalized client experiencing delusions reports to the nurse, "I know that the doctor is talking to the top person in the mob to get rid of me ." Which response would the nurse make to the client?None 选项： A:"I don't believe this is true ." B:"The doctor is not talking to the mob ." C:"Do you feel afraid that people are trying to hurt you?" D:"What makes you think the doctor wants to get rid of you?"

20.A client whose spouse of 42 years recently died shares with the nurse, "My sibling came over yesterday and started talking about how I need to move on with my life . I feel bad, but I got mad and told my sibling to mind their own business ." Which response by the nurse would be therapeutic?None 选项： A:"I know just how you feel; I lost my spouse last summer ." B:"You need to grieve, and expressing anger can be part of grieving ." C:"Although your sibling means to help, you need to do what feels right for you ." D:"Focusing on the many good years you both enjoyed together will help ."