Postoperative following abdominal surgery

A nurse is reviewing the medication administration record for a client who is 2 days postoperative following abdominal surgery. The nurse should recognize which of the following medications places the client at risk for wound dehiscence.

Prednisone

Omeprazole Verapamil Zolmitriptan

41. A nurse is providing teaching to the parent of a newborn who has gastroesophageal reflux. Which of the following instructions should the nurse include?

“Position the newborn at a 20-degree angle after feeding.” “Dilute formula with 1 tablespoon of water.”
“Place the newborn in a side-lying position if vomiting.” “Provide a small feeding just before bedtime.”

42. A nurse Is teaching a group of clients about dietary needs to prevent osteoporosis. Which of the following dietary choices should the nurse recommend as having the highest calcium content:

one large tomato
1 cup green grapes cup broccoli
one medium banana

43. A nurse is reviewing the laboratory results of a client who has bulimia nervosa. The nurse should notify the provider of which of the following results?

WBC 5,200/mm3
Hgb 14 g/dL
Potassium 3.2 mEQ/L
Magnesium 1.6 mEq/L

44. A nurse is caring for a client who is receiving a continuous enteral tube feeding and reports cramping and abdominal distention. Which of the following actions should the nurse take?

Check for gastric residual. Apply low intermittent suction. Increase the rate of the feeding. Request a higher-fat formula.

45. A nurse is teaching about nutrition to a client who has a new diagnosis of chronic kidney disease. Which of the following recommendations should the nurse include in the teaching?

Limit protein intake Increase potassium intake. Limit calcium intake.
Increase onosonorus intake

46. A nurse is caring for a client who has dysphagia and requires a level 1 dysphagia diet. Which of the following foods should the nurse choose for this client?

Pudding
Chicken noodle soup Apple juice
Milk

47. A nurse is providing teaching about the Dietary Approaches to Stop Hypertension (DASH) diet to a client who has hypertension. Which of the following instructions should the nurse include?

“Increase intake of refined carbohydrates.”
“Consume ten percent of total calories from saturated fat.” “Limit sodium intake to 3,200 milligrams per day.” “Consume foods that are high in calcium.”

48. A nurse is providing dietary teaching to a client who has a body mass index of 28. Which of the following actions should the nurse take?

Refer the client to a weight-loss support group.
Advise the client to add 500 calories per day to the diet. Encourage the client to continue current daily caloric intake. Recommend a total fiber intake of 12 g each day.

49. A nurse is assessing a client who has received treatment for hypocalcemia. Which of the following findings indicates the treatment has been effective?

Moist mucous membranes 2+ deep tendon reflexes Fatigue
Urine output 25 mL/hr

50. A nurse is assessing a client who is postoperative and has an indwelling urinary catheter. Which of the following findings indicates that the client is experiencing dehydration?

Blood pressure 150/82 mm Hg BUN 15 mg/dL
Urine output of 20 mL/hr Urine specific gravity 1.010

51. A nurse is providing teaching about breastfeeding to a client who is postpartum. Which of the following statements by the client indicates an understanding of the teaching?

“My baby will receive the most milk within the first 10 minutes of the feeding.” “The purpose of alternating breasts during feedings is to promote comfort.” “I need to supplement feedings with water once my baby is 4 months old.” “During the first few weeks, I should nurse my baby every 4 hours.”

52. A nurse is selecting food items for a client who follows a lacto-vegetarian diet. Which of the following foods should the nurse include in the meals?

Hamburger Shrimp Cheese Eggs

53. A nurse is caring for a client who has acute kidney injury. Which of the following findings indicates that the client’s treatment has been effective?

The client does not have to strain to begin urination The client has a urine output of 35 mL/hr.
The client passes soft, brown stool.
The force of the client’s urinary stream has improved.

54. A nurse is making a discharge teaching plan for a client who is taking digoxin and furosemide. Which of the following foods should the nurse instruct the client to consume?

Bananas Cucumbers Green beans Blueberries

55. A nurse is preparing to initiate enteral feedings for a client who has inflammatory bowel disease. The nurse should recognize that which of the following formulas is appropriate for this client?

Low-protein Low-calorie Hydrolyzed High-fiber

56. A nurse is assisting in the selection of food for a client who has hypokalemia. Which of the following foods should the nurse select that contains the greatest amount of potassium?

1 oz of cheddar cheese 1 cup of brown rice One small baked potato
One medium raw tomato

57. A nurse is planning care for a client who has a new prescription for total parenteral nutrition (TP). Which of the following actions should the nurse plan to take?

Remove TPN from the refrigerator 5 min before infusing it. Discard remaining TPN solution that is still infusing after 24 hr. Change the IV tubing for TPN solution every 72 hr.
Change the dressing around the IV site weekly.

58. A nurse in a long-term care facility is implementing a nutrition plan for a client who is at risk for malnutrition. Which of the following actions should the nurse include in the plan? (Select all that apply.)

Assess for pain prior to mealtime.
Remove the bedpan from the client’s sight. Administer antiemetics following the meal. Provide mouth care before feeding.
Discourage snacks between meals.

59. A nurse is providing discharge teaching to a client who has a new diagnosis of Crohn’s disease. Which of the following statements by the client indicates an understanding of the teaching?

“I will need to take mild laxatives to help me have a bowel movement.” “Avoiding glutamine will help me recover from this disease.”
“I should limit the amount of fiber in my diet.” “I am likely to gain weight due to this disease.”
60. A nurse is providing teaching about natural food sources that contain folate to a client who plans to become pregnant. The nurse should identify that which of the following foods contains the highest amount of folate?

1 cup mashed potatoes 1 cup cooked lentils
1 cup cooked green peppers 1 cup cooked carrots

61. A nurse in the emergency department is assessing a young adult client who was administered a hypotonic IV fluid bolus for rehydration after collapsing at an athletic event. Which of the following findings indicates the client is experiencing water intoxication?

Hypernatremia Muscle weakness Exaggerated reflexes Weak pulses

62. A nurse is teaching about implementing a heart healthy diet to a client who has coronary artery disease, Which of the following foods should the nurse recommend to the clients?

Broiled salmor Baked ham
Canned potato soup Processed cheese

63. A nurse is evaluating a client’s laboratory results. The nurse should recognize that which of the following results places the client at risk for coronary heart disease?

Fasting glucose 140 mg/dL LDL 64 mg/dL

Total cholesterol 173 mg/dl HbA1c 5%

64. A nurse is reviewing the laboratory values for a client who is receiving a phosphate binder with meals for end-stage renal disease. Which of the following values should indicate to the nurse that the treatment is effective?

Hemoglobin 15 g/dL Total calcium 9.7 mg/dL
Serum potassium 4.8 mEq/L Sodium 136 mEq/L

65. A nurse is providing discharge teaching to the mother of a newborn about breastfeeding. Which of the following statements by the client indicates an understanding of the teaching?

“I will dilute juice with 50 percent water to supplement between feedings.” “‘ should use pumped breast milk within 72 hours of refrigeration.”
“I will begin and end with the same breast when I feed my baby.” ” should feed my baby on demand at least eight times each day.”

66. A nurse is teaching a group of clients about foods containing protein. Which of the following foods should the nurse include in the teaching as a complete protein?

Gelatin
Black-eyed peas Soy milk Cashews

67. A nurse is caring for a client who has dysphagia. Which of the following actions should the nurse take?

Place the client in a semi-Fowler’s position when eating. Provide food in a thin liquid consistency.
Instruct the client to keep their chin up when swallowing. Initiate calorie count of daily food intake.