Question 1

A client is being discharged from the hospital tomorrow following a colon resection with a left colostomy. Thenurse knows that the client understands the discharge teaching about care of her colostomy when she says:

Options :

A : “I know that I am not supposed to irrigate my colostomy.”

B : “My stool will be soft like paste.”

C : My stoma should be red and slightly raised.

D : “The skin around my stoma may become irritated from the enzymes in my stool.”

Answer: C

Question 2

A client who has sustained a basilar skull fracture exhibits blood-tinged drainage from his nose. Afterestablishing a clear airway, administering supplemental O2, and establishing IV access, the next nursingintervention would be to:

Options :

A : Pass a nasogastric tube through the left nostril

B : Place a 4x4 gauze in the nares to impede the flow

C : Gently suction the nasal drainage to protect the airway

D : Perform a halo test and glucose level on the drainage

Answer: D

Question 3

Which of the following would have the physiological effect of decreasing intracranial pressure (ICP)?

Options :

A : Increased core body temperature

B : Decreased serum osmolality

C : Administration of hypo-osmolar fluids

D : Decreased PaCO2

Answer: D

Question 4

Which of the following would the nurse expect to find following respiratory assessment of a client with advancedemphysema?

Options :

A : Distant breath sounds

B : Increased heart sounds

C : Decreased anteroposterior chest diameter

D : Collapsed neck veins

Answer: A

Question 5

A 10-year-old has been diagnosed with acute poststreptococcal glomerulonephritis. The clinical findings were proteinuria, moderately elevated blood pressure, and periorbital edema. Which dietary plan is most appropriate for this client?

Options :

A : Low-protein diet

B : Low-sodium diet

C : Increased fluid intake

D : High-cholesterol diet

Answer: B

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