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A nurse is admitting a client from a provider's office.

Exhibits
Click to highlight the provider prescriptions the nurse should implement first.

Vital signs on admission and every 4 hr

NPO

Complete blood count

Basic metabolic profile

Arterial blood gases

Hemoccult stool

Stool culture and sensitivity

Urine culture and sensitivity

Sitz baths up to 3 times daily PRN

Medications:

Dextrose 5% in 0.45% sodium chloride IV at 125 mL/hr

Metoclopramide 10 mg IV every 6 hr PRN nausea/vomiting

Ciprofloxacin 400 mg IV every 12 hr

Vital signs on admission and every 4 hr

NPO

Complete blood count

Basic metabolic profile

Arterial blood gases

Hemoccult stool

Stool culture and sensitivity

Urine culture and sensitivity

Sitz baths up to 3 times daily PRN

Dextrose 5% in 0.45% sodium chloride IV at 125 mL/hr

Metoclopramide 10 mg IV every 6 hr PRN nausea/vomiting

Ciprofloxacin 400 mg IV every 12 hr

Answer and Explanation

The Correct Answer is ["A","B","J"]

Rationale

Vital signs on admission and every 4 hr → establish baseline and monitor for instability.
NPO → prevent worsening GI distress and prepare for possible procedures.
Dextrose 5% in 0.45% sodium chloride IV at 125 mL/hr → correct fluid volume deficit and dehydration.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is D

Explanation

Rationale:

A. Used to visualize the upper gastrointestinal tract (esophagus, stomach, duodenum). It does not provide information about bowel obstruction in the large intestine.

B. Allows direct visualization of the colon mucosa but is not typically used initially in suspected acute bowel obstruction due to the risk of perforation.

C. Useful for evaluating gallbladder, liver, kidneys, and sometimes bowel, but it is less sensitive for detecting large bowel obstruction.

D. A plain abdominal X-ray (KUB) is often the first-line diagnostic study for suspected large bowel obstruction. It can show dilated bowel loops, air-fluid levels, and fecal loading, which correlate with the patient’s symptoms of bloating, distention, and relief after flatulence.

A. Change the TPN tubing every 48 hr B. Allow 18 hr for the lipids to infuse when not mixed with the TPN solution. C. Use a 1.2 micron filter when infusing TPN with fat emulsions added. D. Change the TPN solution after 36 hr.

Correct Answer is C

Explanation

Rationale:

A. The tubing for TPN must be changed every 24 hr (not 48 hr) to reduce the risk of central line–associated bloodstream infection (CLABSI).

B. Lipid emulsions should not hang for more than 12 hr to prevent bacterial growth and infection.

C. A 1.2-micron filter is required for TPN that contains lipids to remove particulate matter, bacteria, and fungi, since lipid solutions cannot pass through smaller filters.

D. TPN solutions should be changed every 24 hr (not 36 hr) to reduce infection risk.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is an appropriate diagnostic study for abdominal pain described as distended, bloated, that is improved after flatulence possibly related to large bowel obstruction?

Correct Answer is D

Explanation

A nurse is planning care for a client who is to start receiving total parenteral nutrition (TPN). Which of the following interventions should the nurse include in the plan of care?

Correct Answer is C

Explanation

A nurse is teaching a client who has a hiatal hernia about dietary recommendations. Which of the following client statements indicates an understanding of the teaching? (Select all that apply.)

Which type of enema is typically used to relieve constipation by instilling and retaining fluid for a short period before expelling?

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Which imaging technique uses endoscopy combined with radiographic images to examine the bile and pancreatic ducts?

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A nurse is caring for an elderly client experiencing gastrointestinal discomfort. Exhibits Select the appropiate client instructions for the administration of enemas

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Which electrolyte imbalance is most commonly associated with refeeding syndrome?