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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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Free Nursing Study Resources

Correct Answer is D

Explanation

Rationale:
A. Dietary sources of fiber should not be eliminated; in fact, fiber from food complements the effect of psyllium and supports normal bowel function.

B. Fiber-containing laxatives can have adverse effects, such as bloating, gas, or, rarely, intestinal obstruction if not taken with adequate fluid.

C. Psyllium does not significantly reduce absorption of fat-soluble vitamins; this concern is more relevant to certain other medications, like cholestyramine.

D. Psyllium absorbs water in the intestines, forming a bulky stool. To prevent fecal impaction or bowel obstruction, it is essential to take large amounts of fluid when using this type of laxative.

A. Projectile vomiting B. Abdominal distention C. Metabolic alkalosis D. Referred back pain

Correct Answer is B

Explanation

Rationale:
A. Vomiting is more common in small bowel obstruction and is usually less severe in large bowel obstruction.

B. A large bowel obstruction causes accumulation of gas and fecal material proximal to the blockage, leading to significant abdominal distention.

C. Large bowel obstruction may eventually cause metabolic acidosis due to impaired perfusion and tissue hypoxia, not alkalosis.

D. Back pain is not a typical sign of large bowel obstruction; the primary symptom is abdominal discomfort, distention, and constipation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who has chronic constipation asks the nurse about the use of psyllium (Metamucil). Which information will the nurse include in the response?

Correct Answer is D

Explanation

What is a likely finding in the nurse's assessment of a patient who has a large bowel obstruction?

Correct Answer is B

Explanation

A nurse admits a client to the emergency department who reports nausea and vomiting that worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see?

A nurse is caring for an older adult client who reports taking bisacodyl tablets daily. Which of the following responses should the nurse make?

Which of the following laboratory findings is most indicative of fluid volume excess in a client with liver cirrhosis?

A nurse in a provider's office is caring for a client. Exhibits Select the 3 findings from the client's medical record that increase their risk for peptic ulcer disease (PUD).

A nurse is providing discharge teaching to a client who will be receiving total parenteral nutrition (TPN) at home. Which of the following instructions should the nurse include? (Select all that apply.)

In reviewing the medical record for a patient admitted with acute pancreatitis, the nurse sees that the patient has a positive Cullen's sign. Indicate the area in the accompanying figure where the nurse will assess for this change.

What is the primary cause of refeeding syndrome in TPN patients?

A nurse is assessing a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings should the nurse expect?