Nursing Elites

1. George has a T tube in place after gallbladder surgery. Before discharge, what information or instructions should be given regarding the T tube drainage?

• A. If there is any drainage, notify the surgeon immediately.
• B. The drainage will decrease daily until the bile duct heals.
• C. First, the drainage is dark green; then it becomes dark yellow.
• D. If the drainage stops, milk the tube toward the puncture wound.

Correct answer: B

Rationale: Before discharge, inform the patient that the drainage will decrease daily until the bile duct heals.

2. A client with suspected gastric cancer undergoes an endoscopy of the stomach. Which of the following assessments made after the procedure would indicate the development of a potential complication?

• A. The client complains of a sore throat
• B. The client displays signs of sedation
• C. The client experiences a sudden increase in temperature
• D. The client demonstrates a lack of appetite

Correct answer: C

Rationale: A sudden increase in temperature after an endoscopy can indicate a potential complication, such as perforation.

3. Your patient with peritonitis is NPO and complaining of thirst. What is your priority?

• A. Increase the I.V. infusion rate.
• B. Use diversion activities.
• C. Provide frequent mouth care.
• D. Give ice chips every 15 minutes.

Correct answer: C

Rationale: Providing frequent mouth care is the priority for a patient with peritonitis who is NPO and complaining of thirst.

4. A 29 y.o. patient has an acute episode of ulcerative colitis. What diagnostic test confirms this diagnosis?

• A. Barium Swallow.
• B. Stool examination.
• C. Gastric analysis.
• D. Sigmoidoscopy.

Correct answer: D

Rationale: Sigmoidoscopy is the diagnostic test that confirms the diagnosis of an acute episode of ulcerative colitis.

5. Leigh Ann is receiving pancrelipase (Viokase) for chronic pancreatitis. Which observation best indicates the treatment is effective?

• A. There is no skin breakdown.
• B. Her appetite improves.
• C. She loses more than 10 lbs.
• D. Stools are less fatty and decreased in frequency.

Correct answer: D

Rationale: The effectiveness of pancrelipase (Viokase) for chronic pancreatitis is best indicated by stools being less fatty and decreased in frequency.

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