A nurse is caring for an older adult client who is Chinese and is recovering from a bowel obstruction. The client is prescribed a clear-liquid diet and asks the nurse for a cup of hot ginger tea. The nurse should identify that this request is for which of the following purposes?

To promote digestion

To regulate blood pressure

To reduce inflammation

To enhance the immune system

Answer and Explanation

The Correct Answer is A

A.   Ginger is well-known for its ability to promote digestion. It can help alleviate nausea, improve gastric motility, and reduce bloating or discomfort associated with gastrointestinal issues such as a bowel obstruction. Therefore, the client's request for hot ginger tea likely aims to promote digestion, making option A a plausible choice.
B.   Ginger is not typically used to regulate blood pressure. Its primary effects are related to digestion, anti- inflammatory properties, and potential immune system support, rather than directly affecting blood pressure regulation.
C.   Ginger has anti-inflammatory properties, which can be beneficial in reducing inflammation in the body. However, in the context of the client's request for ginger tea after recovering from a bowel obstruction, the immediate purpose is more likely related to its digestive benefits rather than general anti- inflammatory effects.
D.   Ginger has some antioxidant and immune-modulating properties that may contribute to enhancing the immune system. However, its use in Chinese culture, particularly as a tea, is traditionally more associated with digestive health rather than immune enhancement.

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Correct Answer is D

Explanation

A. Hypercalcemia can lead to muscle weakness and fatigue rather than hypotonicity. High calcium levels affect neuromuscular function, potentially causing muscle weakness and decreased muscle tone rather than increased flaccidity.
B. Chvostek's sign is a clinical sign of hypocalcemia, not hypercalcemia. It is characterized by facial muscle twitching in response to tapping the facial nerve just anterior to the ear. Therefore, a positive Chvostek's sign would not be expected in hypercalcemia.
C. Hypercalcemia can cause gastrointestinal disturbances such as constipation rather than diarrhea. High calcium levels can lead to decreased smooth muscle contractility in the intestines, resulting in constipation rather than increased motility leading to diarrhea.
D. Hypercalcemia can lead to a variety of cardiovascular effects, including arrhythmias. Tachycardia can occur as a result of increased sensitivity of the heart to catecholamines and altered electrical conductivity in hypercalcemia.

A. Place the client in a high Fowler's position. B. Ambulate the client twice daily. C. Mark abdominal girth once daily. D. Irrigate the nasogastric tube with tap water.

Correct Answer is C

Explanation

A. Place the client in a high Fowler's position:High Fowler’s would increase intra-abdominal pressure and strain sutures. For peritonitis recovery, semi-Fowler’s is preferred-promotes drainage of peritoneal fluid into the pelvis, preventing spread to diaphragm and lungs.

B. Ambulate the client twice daily:Too early after peritonitis lavage. Initially, the client is very weak, at risk for sepsis/shock. Early ambulation is not a priority here.

C. Mark abdominal girth once daily:Abdominal girth measurement is important to monitor for distention, fluid accumulation, or bleeding. Marking ensures accuracy in repeated measurements. This is a key intervention in monitoring postop peritonitis.

D. Irrigate the nasogastric tube with tap water:Never irrigate with tap water (risk of electrolyte imbalance, infection). Only sterile normal saline or as prescribed is used.

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A nurse is caring for an older adult client who is Chinese and is recovering from a bowel obstruction. The client is prescribed a clear-liquid diet and asks the nurse for a cup of hot ginger tea. The nurse should identify that this request is for which of the following purposes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of an adolescent and notes a calcium level of 11.4 mEq/L. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is contributing to the plan of care for a client who is postoperative following peritoneal lavage for peritonitis. The client has a nasogastric tube to low-intermittent suction and closed- suction drains in place. Which of the following interventions should the nurse include in the plan?

Correct Answer is C

Explanation

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