med surge study

A patient reports that a family member is diagnosed with hepatitis and asks the nurse the best way to prevent becoming infected. Which is the best information for the nurse to provide?

• Thoroughly scrub hard surfaces with a strong bleach solution

• Expose fabric or unwashable items to ultraviolet

• Immediately start and complete a prophylactic antibiotic regimen

• Perform frequent hand washing and do not share personal items

The nurse is contributing to the plan of care of a patient admitted after a massive gastric bleed. Which goals will the nurse consider during this process of planning care? (Select all that apply)

• Reassess for indications of electrolyte

• Recognize and treat hypovolemic shock

• Monitor and report signs of stress-induced ulcers

• Implement measures to prevent or treat dehydration

• Reassess for pain and medicate as needed

The nurse is providing care for a patient who reports feeling constipated, yet passes frequent small liquid stools. The nurse suspects an impaction. Which statement by the patient causes the nurse concern?

• "My stomach is so bloated that i am uncomfortable"

• "I have strained but cannot have a good bowel movement"

• "I took some medication to stop the diarrhea"

• "When i do pass feces. they are small, hard, and dry"

A patient is informed, after a colonoscopy , of diverticulosis. The patient asks the nurse about the causes and management of the condition. Which information shared by the nurse is inaccurate.

• nuts and foods with seeds and hulls are avoided to prevent infection.

• Weight control, a healthy diet, and exercise are good management interventions.

• A major management intervention is in increase in dietary fiber.

• Chronic constripation is a common precursor to the condition.

The nurse is providing care for a client who had a surgical repair of a paroesophgeal hernia. The nurse observes that the patient exhibits signs of dysphagia during the first postoperative meal. Which action does the nurse take?

• Assure patient the problem is temporary

• Offer the patient fluids

• Report the observation to the health care provider (HCP)

• Cut the food into small pieces

The nurse is collecting health information from a patient. Which patient statement will cause the nurse the most concern?

• "Lately, Ive had two or three, sticky, black stools every day"

• "My stool has been dark green and hard to pass lately"

• "My stool is soft and dark brown. I usually move my bowels twice a day"

• "usually i move my bowels every day and the stool is light brown"

The nurse works with cancer patients. What factor does the nurse identify as the cause of gastric cancer?

• Medical history if iron deficiency anemia

• The female gender

• High intake of smoked fish and meats

• Oxidants in fruit and vegetables

The nurse Instructs a patient prescribed omeprazole for peptic ulcer disease about the use of the medication.

Which patient statements indicate understanding of the

instructions? (Select all that applv.)

• "i will need to take this drug for 3 weeks for my ulcer to heal"

• "If I wish, I can open the capsule and sprinkle

• "I will report any abdominal pain, diarrhea, or bleeding that occurs"

• "i should not take antaacids while on this medication"

• "I will take the capsule before eating a meal in the morning"

The nurse notes that a patient with a history of a myocardial infarction is straining during the defecation. Which response by the nurse is best?

• "Your blood pressure gets very low when you strain like that you could faint"

• "Be careful, you might get a headache when you push so hard"

• " It is important that you not strain because it could damage to your heart"

• "chronic constipation often causes a dilated colon, it is good that you are staying empty"

"The nurse is providing care for a client postoperative for the placement of a colostomy for colon cancer. When examining the stoma, which findings causes the immediately contact the health care provider (HCP)?

• Small in size and pink in color

• Large, beefy-red in color

• Large and seeping drainage

• Dusky color, dryness noted