A nurse is providing care for a patient who is postoperative day 2 following gastric surgery.
The nurse's assessment should be planned in light of the possibility of what potential complications? Select all that apply.

Chronic gastritis

Atelectasis

Pneumonia

Malignant hyperthermia

Metabolic imbalances

Answer and Explanation

Correct Answer : B,C,E

Choice A reason:

Chronic gastritis is not a common immediate postoperative complication of gastric surgery. It is more related to long-term gastric health.

Choice B reason:

Correct. Atelectasis, or partial lung collapse, is a potential complication postoperatively, especially in abdominal surgery. The nurse should assess for signs such as decreased breath sounds and reduced oxygen saturation.

Choice C reason:

Correct. Pneumonia is a potential complication due to reduced lung function and shallow breathing after surgery. The nurse should monitor for signs like fever, increased respiratory rate, and abnormal breath sounds.

Choice D reason:

Malignant hyperthermia is a rare complication related to certain types of anesthesia agents. It is not a common complication after gastric surgery

Choice E reason:

Correct. Metabolic imbalances, such as electrolyte disturbances or changes in blood glucose levels, can occur after gastric surgery. The nurse should monitor for signs like weakness, confusion, and abnormal laboratory values.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. The laxative helps eliminate the barium contrast material from the body after a barium swallow procedure.

Choice B reason:

Simply stating that it is protocol does not provide the client with a clear understanding of the rationale for the laxative.

Choice C reason:

This statement does not accurately explain the purpose of the laxative after a barium swallow.

Choice D reason:

The laxative's primary purpose in this context is to aid in the elimination of barium, not to prevent magnesium absorption.

A. Presence of a painless sore with raised edges B. Diffuse inflammation of the buccal mucosa C. Dull pain radiating to the ears and teeth D. Areas of tenderness that make chewing difficult

Correct Answer is A

Explanation

Choice A reason:

A painless sore with raised edges is a characteristic early sign of oral cancer. It may appear as a small, painless lump or sore in the mouth, often with raised edges. This finding should raise suspicion and prompt further evaluation.

Choice B reason:

Diffuse inflammation of the buccal mucosa is a non-specific finding and can be caused by various factors, including infection or irritation. While it's important to assess the oral mucosa for any abnormalities, it is not specific to oral cancer.

Choice C reason:

Dull pain radiating to the ears and teeth is not a characteristic early sign of oral cancer. Pain associated with oral cancer may occur in later stages or if there is local invasion of nerves.

Choice D reason:

Areas of tenderness that make chewing difficult may occur for various reasons, including dental issues or other oral health problems. While this can be distressing for the patient, it is not specific to oral cancer.

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A nurse is providing care for a patient who is postoperative day 2 following gastric surgery. The nurse's assessment should be planned in light of the possibility of what potential complications? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is scheduled for a barium swallow asks the nurse why a laxative is necessary following the procedure. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

The nurse's comprehensive assessment of a patient includes inspection for signs of oral cancer. What assessment finding is most characteristic of oral cancer in its early stages?

Correct Answer is A

Explanation

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A nurse is providing care for a patient who is postoperative day 2 following gastric surgery.
The nurse's assessment should be planned in light of the possibility of what potential complications? Select all that apply.