A nurse is caring for a client who has acute pancreatitis.

Exhibits

Complete the following sentence.

When prioritizing client needs, the nurse should first address the

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followed by

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The management of the patient's gastrostomy is an assessment priority for the home care nurse. What statement would indicate that the patient is managing the tube correctly?

A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation?

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

A nurse is assessing a client who has cirrhosis. Which of the following is an expected finding for this client?

A patient's NG tube has become clogged after the nurse instilled a medication that was insufficiently crushed. The nurse has attempted to aspirate with a large-bore syringe, with no success. What should the nurse do next?

A nurse is assessing a patient who has just been admitted to the postsurgical unit following surgical resection for the treatment of oropharyngeal cancer. What assessment should the nurse prioritize?

A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis.

Which of the following instructions should the nurse include in the teaching plan?

The nurse is completing the intake and output record for a preschool-age client admitted for fluid volume deficit.

The client has had the following intake and output during the shift:

Intake:

• 4 oz of Pedialyte
• 1/2 of an 8-oz cup of clear orange Jell-O
• 2 graham crackers
• 200 mL of D 5-1/2 sodium chloride IV

Output:

• 345 mL of urine
• 50 mL of loose stool

The nurse documents the client's intake as milliliters. How much liquidintake did the client have in Milliliters?
Round the answer to the nearest whole number.

A patient who experienced an upper GI bleed due to gastritis has had the bleeding controlled and the patient's condition is stable. For the next several hours, the nurse caring for this patient should assess for what signs and symptoms of recurrence?

A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate?