Nursing Elites

1. The nurse is caring for the client recovering from intestinal surgery. Which assessment finding would require immediate intervention?

• A. Presence of thin pink drainage in the Jackson Pratt
• B. Guarding when the nurse touches the abdomen
• C. Tenderness around the surgical site during palpation
• D. Complaints of chills and feeling feverish

Correct answer: D

Rationale: Complaints of chills and feeling feverish may indicate infection, which requires immediate intervention. This finding suggests a systemic response to infection, which can be life-threatening if not promptly addressed. Options A, B, and C are common postoperative findings and may not necessarily require immediate intervention unless accompanied by other concerning signs or symptoms.

2. What is a good source of potassium and can be related to increased excretion?

• A. Potassium
• B. Increased excretion
• C. Broccoli
• D. None of the above

Correct answer: C

Rationale: Broccoli is a good source of potassium and can contribute to increased excretion. While potassium itself is a mineral and increased excretion can be related to dietary intake, the specific relationship mentioned in the text is about broccoli being a good source of potassium and having a potential impact on excretion.

3. The nurse has given post-procedure instructions to a client who underwent a colonoscopy. Evaluation of learning would be evident if the client makes which statement(s)?

• A. All below
• B. “My abdominal muscles may be tender because of the procedure.”
• C. “My diet should be light at first, and then I can progress to a regular diet.”
• D. “It is normal to feel gassy or bloated for a short while after the procedure.”

Correct answer: A

Rationale: Mild tenderness, a light diet initially, and gas or bloating are expected after a colonoscopy.

4. Which drugs may cause weight gain?

• A. Amphetamines
• B. Steroids
• C. Antibiotics
• D. Nonsteroidal anti-inflammatory drugs

Correct answer: B

Rationale: Steroids are known to cause weight gain as a side effect. Amphetamines, antibiotics, and nonsteroidal anti-inflammatory drugs are not typically associated with weight gain. Amphetamines are more likely to cause weight loss due to their stimulant effects, antibiotics are not commonly linked to weight gain, and nonsteroidal anti-inflammatory drugs usually do not lead to significant weight changes.

5. The client with peripheral venous disease is scheduled to go to the whirlpool for a dressing change. What is the nurse’s priority intervention?

• A. Escort the client to the physical therapy department
• B. Medicate the client 30 minutes before going to the whirlpool
• C. Obtain the sterile dressing supplies for the client
• D. Assist the client to the bathroom prior to the treatment

Correct answer: B

Rationale: The correct answer is B. Pain management is essential before the procedure to ensure the client’s comfort and cooperation during the dressing change. Escorting the client to the physical therapy department (Choice A) is not the priority at this point. Obtaining sterile dressing supplies (Choice C) is important but not the priority before addressing pain management. Assisting the client to the bathroom (Choice D) is not the priority intervention for a dressing change in the whirlpool.

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