A nurse reinforces discharge instructions to a postoperative patient taking warfarin sodium (Coumadin). Which statement, if made by the client, indicates the need for further teaching?

Heparin sodium by subcutaneous injection is prescribed for a client. When administering the medications, the nurse would

A 51-year-old client is admitted with a diagnosis of myocardial infarction. The client is started on streptokinase (Streptase) therapy. The nurse knows that teaching has been effective when the client’s wife states that the purpose of the medication is to

A nurse is caring for a client who is taking captopril (Capoten). Which of the following data would indicate the mechanism of action of this medication?

Refer to the scenario below.

( Encik Ali has visited a doctor. He complains to the nurse that the doctor did not prescribe him an antibiotic for his flu )

       The best nursing explanation regarding the use of antibiotics is that antibiotics are

SCENARIO: Encik Ali has visited a doctor. He complains to the nurse that the doctor did not prescribe him an antibiotic for his flu.

The following symptom is the best indicator that complications are developing from Encik Ali’s flu when he reports that he is having

SCENARIO : Encik Ali has visited a doctor. He complains to the nurse that the doctor did not prescribe him an antibiotic for his flu.

The nurse should assess Encik Ali to determine the following disorder before recommending the use of a non-prescription decongestant

SCENARIO : Encik Ali has visited a doctor. He complains to the nurse that the doctor did not prescribe him an antibiotic for his flu

The nurse informs Encik Ali that the over use of a topical nasal decongestant will most likely result in

SCENARION : Mrs. Lim, a 36-year-old, is having sinusitis in the maxillary sinuses.

1.       Mrs. Lim would most likely complain to the nurse that she has pain

SCENARION : Mrs. Lim, a 36-year-old, is having sinusitis in the maxillary sinuses.

Nasal drops are prescribed to Mrs. Lim. The nurse should teach Mrs. Lim that the correct position for accurate instillation of nasal drops is by

Danny, a five-year-old boy, is an asthmatic client who uses a nebulizer at home. His mother is instructed to empty and clean the nebulizer after each use to prevent

SCENARIO : Mr. Lingam is having pharyngitis

He has been ordered for a throat swab for culture and sensitivity. The best technique for the nurse to accurately collect the specimen is by

SCENARIO : Mr. Lingam is having pharyngitis

       Mr. Lingam is prescribed with an antibiotic. The nurse advises him to complete the antibiotic in order to prevent from the following complication

SCENARIO : A male singer with laryngitis is waiting for his appointment to see the doctor.    

  While waiting for the appointment, the nurse should advise the singer to

SCENARIO: A male singer with laryngitis is waiting for his appointment to see the doctor. 

        The singer understands the reason for a direct laryngoscopy  when he verbalizes that the test is done because hoarseness  is associated with

SCENARIO : Miss. Lin, a 23-year-old woman, notes that whenever she in a dusty room, she sneezes endlessly and her eyes become red, itchy and watery. She makes an appointment with a doctor

      Miss. Lin is prescribed with antihistamine. The nurse should inform Miss. Lin that antihistamines may cause

The doctor recommendeds Miss. Lin to undergo allergy skin testing. Miss Lin does not understand the reason for doing the test and the best explanation for Miss Lin would be

REFLECTION: Based on the outcome of the skin tests, Miss Lin begins her desensitization treatment. She comes back every week for injections of diluted antigens which she is allergic to

       The assessment finding on Miss Lin which indicates anaphylaxis development is when she

Miss Lin is at risk to develop a severe allergic reaction. The nurse should ensure the following emergency drug is available

The most important nursing assessment in managing Miss Lin when she is experiencing a severe allergic reaction is to check her

      Miss Lin is experiencing a severe allergic reaction and she in unresponsive. The priority nursing action is to

SCENARIO : Mr. Sing who has cancer of larynx is undergoing a total laryngectomy

Mr. Singh is having impaired verbal communication post-total laryngectomy. The most effective nursing action which facilitates optimum communication is to

SCENARIO: The nursing team discusses Mr. Singh’s anger and depression related to his cancer diagnosis, the change in his body image and the loss of speech following a laryngectomy

       The action that indicates Mr. Singh is beginning to resolve his grief is when he

Mr. Wong, who has a persistent upper respiratory infection, develops acute bronchitis and is given a prescription for an antitussive that contains guaifenesin and codeine

       when assessing Mr. Wong’s cough, it is most important for the nurse to document the characteristics of the cough and the

SCENARIO : Mr. Wong, who has a persistent upper respiratory infection, develops acute bronchitis and is given a prescription for an antitussive that contains guaifenesin and codeine

             Mr. Wong asks the nurse why this type of cough medicine was ordered. The best nursing response is that  guaifenesin  liquefies mucus while codeine

Mr. Wong, who has a persistent upper respiratory infection, develops acute bronchitis and is given a prescription for an antitussive that contains guaifenesin and codeine

The most appropriate instruction for the nurse to provide to Mr. Wong regarding the administration of the antitusssive cough syrup which contains guaifenesin and codeine is to

SCENARIO : Together with the liquid antitussive  cough syrup, Mr. Wong is also prescribed several oral tablets to be taken at the same time.       The nurse should advise Mr. Wong that the most appropriate technique to administer the liquid cough syrup and solid medication is by

    Mr. Wong has been ordered to take 5 ml of the liquid cough syrup. If the cough syrup contains 15 mg of codeine in 5 ml of liquid, what is the amount of codeine that Mr. Wong is ordered to take?

      Mr. Wong also receives aerosol therapy to treat his bronchitis. The best evidence that Mr. Wong understands the purpose of his aerosol therapy is when he states that it is used to

SCENARIO : Mr. Samy, who has been diagnosed with pneumonia, is admitted to the medical ward. The nurse observes that he has shaking chills and fever of 39 ⁰ C.  A chest X-ray and sputum specimen for culture and sensitivity are ordered

       Which nursing action is essential before the chest X-ray is done on Mr. Samy?

Mr. Samy, who has been diagnosed with pneumonia, is admitted to the medical ward. The nurse observes that he has shaking chills and fever of 39 ⁰ C.  A chest X-ray and sputum specimen for culture and sensitivity are ordered

      The most appropriate nursing action when planning to obtain the sputum specimen from Mr.Samy is by

SCENARIO: Mr. Samy, who has been diagnosed with pneumonia, is admitted to the medical ward. The nurse observes that he has shaking chills and fever of 39 ⁰ C.  A chest X-ray and sputum specimen for culture and sensitivity are ordered.

       Which time of the day is best for the nurse to attempt to obtain a sputum specimen from Mr. samy ?

SCENARIO: Mr. Samy, who has been diagnosed with pneumonia, is admitted to the medical ward. The nurse observes that he has shaking chills and fever of 39 ⁰ C.  A chest X-ray and sputum specimen for culture and sensitivity are ordered

      the best evidence that Mr. Samy understands the nurse’s instruction on how to handle the sputum specimen container for the culture and sensitivity test is when he says that he

SCENARIO: Mr. Samy, who has been diagnosed with pneumonia, is admitted to the medical ward. The nurse observes that he has shaking chills and fever of 39 ⁰ C.  A chest X-ray and sputum specimen for culture and sensitivity are ordered

       The assessment finding which best indicates that Mr.Samy has developed pleurisy secondary to his pneumonia is when

SCENARIO : Mr. Samy’s culture and sensitivity test result has shown that he has pneumococcal pneumonia. He then receives penicillin by intramuscular injection and asks the nurse why the physician chose penicillin to tear the pneumonia

     The best response by the nurse to answer Mr. samy’s question is that

     Mr. Samy is allergic to penicillin, which other group of antibiotics can the nurse anticipate might provoke hypersensitivity?

SCENARIO:

Madam Non is admitted to the medical ward as referred by a nursing home. She is required to be tested for tuberculosis based on the physical assessment done on her. A Mantoux intradermal skin test was ordered for her

      The nurse correctly assesses the site of the Mantoux skin test in

     Madam Non’s previous Mountoux test result was negative, but now she has a positive reaction to the test. The nurse correctly explains to her that the

After six months of drug therapy, madam Non comes back to the clinic for follow up. Her sputum is collected for acid fast bacilli and the result shows tubercle bacilli in her sputum     

Which question is the most important to ask Madam Non at this time?

       The nurse notes vigorous bubbling in the water-seal chamber of the drainage system. The most appropriate nursing action to be taken by the nurse to correct the bubbling is to

Which health teaching measure is the most important to emphasize when instructing madam Non on ways to prevent the transmission of the disease?

       When Madam non asks the nurse why she has to take two drugs, the best explanation is that when these drugs are combined

       If  Madam non complains of gastrointestinal side effects associated with rifampicin, the nurse should plan to

       An 80-year-old client suffers from dysphagia. One way to maintain normal nutritional levels is to

      The nurse explains to a client with gastro esophageal reflux that it is a condition where

Mr. Jega has undergone oesophagectomy for esophageal cancer. He complains of increased pain, fever and difficulty in breathing after fluid is started. These symptoms show that Mr. Jega

      Pernicious anaemia in a client with gastritis is caused by

1.       Mrs. Choo who is suffering from gastric cancer is receiving radiotherapy. The health education that is suitable for her concern is

      A client with gastritis should be advised to avoid

     You are  explaining the risk factors for peptic ulcers and you state that ulcers can be caused by taking drugs belonging to the group of

1.       The main nursing action for the treatment of a client with acute appendicitis is to

       According to research, one major cause of duodenal ulcers is

      The fluid used  to irrigate the nasogastric  tube of a client with peptic ulcer bleeding is

1.       When performing auscultation, which of the following findings shows that the client has intestinal obstruction?

1.       When treating a client in the emergency room for gastrointestinal bleeding, your main objective is to ensure that the client

     When the doctor performs a rectal examination on a client, the nurse’s responsibility is to ensure the client’s comfort by

    Which of the following represents the best method to control diverticulotis?

     Which of the following symptoms is the main clinical manifestation of colorectal cancer?

     Which of the following parts of the alimentary canal is the typical location for ulcerative colitis?

      The treatment for a client’s wound after haemorrhoidectomy is to

     A client with intestinal obstruction will experience abdominal distention. The best nursing action to reduce the abdominal distension to

      The following complication should be watched for in a client who has just undergone a liver biopsy

      The following steps is taken to prevent aspiration problems after nasogastric administration to a client

       Alcohol contributes to GI problems because it

     Chronic alcohol intake can result in the destruction of gastric glands leading to a decreased secretion of intrinsic factor. Decreased intrinsic factor results in

       Which of the following will protect the nurse who is caring for a client with hepatitis B?

    A patient with ulcerative colitis is admitted with severe rectal bleeding and will be NPO for an extended period of time. Which of the following is the best option for maintaining the patient’s nutritional status?

      A patient is diagnosed with acute diverticulitis. Which of the following may have placed the client at risk of developing diverticulitis?

       A client is admitted with upper GI bleeding. Which nursing action would be the first priority with this client?

      A client with acute pancreatitis and a history of alcoholism is being monitored for paralytic complications. Which of the following is a sign of a paralytic ileus?

     A nurse is preparing educational materials on colorectal cancer. What is the most important risk factor which should be included?

A nurse is teaching a client with GRD. The nurse tells the client to exclude all the following foods except

       A client has returned from special procedures following an oesophago gastroduodenoscopy (OGDS). Which of the following items of the client’s care plan must be given the highest priority?

Billroth II procedure = Definition :(If the stomach cannot be reconnected to the duodenum, a Billroth II is performed, in which an opening hole is made in the next section of the small intestine, the jejunum, and the stomach attached at that opening. The pylorus is used to grind food and slowly release it into the small intestine. )    

A nurse is caring for a client after a Billroth II procedure. Which of the following postoperative orders would the nurse question?

    The nurse is providing discharge teaching after a gastrectomy. Which of the following instructions would be given to the client to assist in preventing dumping syndrome?

     A nurse is caring for a client with a diagnosis of cirrhosis. To assess for the presence of telangiectasis, the nurse would

   A nurse is reviewing the laboratory results of a client with cirrhosis and notes that the ammonia level is elevated. Which diet will probably be prescribed for the client?

     A client with a hiatal hernia frequently experiences heartburn after eating. The nurse would include all of the following when providing the patient’s health teaching except

     The physician prescribed nystatin  oral suspension for the client with candidiasis. Which instruction should the nurse plan to give the client when administering nystatin (Mycostatin) oral suspension?

     A patient has just returned to your unit following a colostomy placement. On initial assessment, you the found the stoma is purple in colour. You would then

     Foods that are good for the ostomy patient with diarrhoe include all of the following except

      A patient suffering from Chron’s disease will  present all of the following except

       Which of the following is not a true statement about total parenteral nutrition (TPN)?

      Leucocytes are produced by the following organs except the

   It has been confirmed that Encik Hamid has leukemia. The following statements are true regarding leukemia except

      The following statement is true of aplastic anaemia

    The following formed element can help in blood clotting

    Pernicious anaemia occurs as a result of

  Tommy has diagnosed with thalassaemia. Which blood element is involved in Tommy’s illness?

1.       Among the following, which is the clearest manifestation of Hodgkin’s disease?

SCENARIO : 8-year-old Ali has been diagnosed with acute lymphoblastic leukemia. He complains of joint pain, fever and bleeding.

      Ali bleeds frequently due to

SCENARIO : 8-year-old Ali has been diagnosed with acute lymphoblastic leukemia. He complains of joint pain, fever and bleeding.

      Ali is given treatment in the isolation room. The main reason for isolating Ali from other clients is to

    A tumour that originates from nerve tissue is also know as

     Adjuvant therapies for a client suffering from cancer are

      Radiotherapy used for the treatment of cancer acts by

     Drugs used in chemotherapy are known as

      The malignant cell growth known as Reed-Sternberg cells is found in

       The purpose of bone marrow aspiration is to

               10-year-old Sony was warded because he has leukemia. Sony was treated in the isolation room. This action is appropriate for the following nursing diagnosis