The nurse is caring for a patient after a Bilroth II (gastrojejunostomy) procedure. During review of the postoperative prescriptions, which would the nurse clarify?

Early ambulation

Leg exercises

Coughing and deep-breathing exercises

Irrigating the nasogastric (NG) tube

Answer and Explanation

The Correct Answer is D

After a Billroth II (gastrojejunostomy) procedure, the nasogastric (NG) tube should not be irrigated unless specifically ordered by the surgeon. Irrigation could disrupt the surgical anastomosis. Therefore, if the postoperative prescriptions include irrigating the NG tube, the nurse should clarify this with the surgeon

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Correct Answer is C

Explanation

Choice A rationale
Taking histamine receptor antagonist medication as prescribed can help manage the symptoms of a hiatal hernia by reducing the production of stomach acid. This statement does not require correction.
Choice B rationale
Elevating the head of the bed on 6-inch blocks can help manage the symptoms of a hiatal hernia by using gravity to keep stomach acid from flowing back into the esophagus. This statement does not require correction.
Choice C rationale
Lying down after meals can exacerbate the symptoms of a hiatal hernia by making it easier for stomach acid to flow back into the esophagus. This action should be avoided.
Choice D rationale
Consuming small, frequent, bland meals can help manage the symptoms of a hiatal hernia by reducing the amount of stomach acid produced and preventing the stomach from becoming too full. This statement does not require correction.

A. Sleeping on a large wedge-style pillow B. Consuming low-fat meats C. Eating dinner early in the evening D. Regularly drinking orange juice

Correct Answer is D

Explanation

Choice A rationale
Sleeping on a large wedge-style pillow can actually help reduce heartburn symptoms by elevating the head and preventing stomach acid from flowing back into the esophagus.
Choice B rationale
Consuming low-fat meats is generally recommended for patients with GERD as fatty foods can trigger heartburn symptoms.
Choice C rationale
Eating dinner early in the evening can help prevent heartburn as it allows the stomach to empty before lying down, reducing the risk of acid reflux.
Choice D rationale
Regularly drinking orange juice can contribute to heartburn in patients with GERD. Orange juice is acidic and can lower the pH of the stomach, triggering symptoms of heartburn.

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The nurse is caring for a patient after a Bilroth II (gastrojejunostomy) procedure. During review of the postoperative prescriptions, which would the nurse clarify?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with a chronic hiatal hernia experiences the following. Which action should the nurse advise the patient to avoid?

Correct Answer is C

Explanation

A nurse is collecting data from a patient who has gastroesophageal reflux disease (GERD) and reports experiencing heartburn every night. Which of the following actions should the nurse identify as a contributing factor to the patient’s heartburn?

Correct Answer is D

Explanation

A nurse is contributing to the care plan for a patient who has acute pancreatitis. Which of the following interventions should the nurse include?

A client has been diagnosed with acute gastroenteritis. What diet would the nurse expect to be prescribed for the client?

A nurse is planning care for a client who is scheduled for a colonoscopy. The nurse should expect the client to receive which of the following types of anesthesia?

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A patient with Crohn’s disease has recently undergone surgery to create an ileostomy. For which common complication of this type of surgery should the nurse monitor the patient in the postoperative period?

A nurse is contributing to the plan of care for a client who has a gastrostomy tube through which he is receiving continuous enteral feedings. Which of the following interventions should the nurse include in the plan?

A nurse is collecting data from a client who is 12 hr postoperative following a colectomy with colostomy placement. Which of the following findings should the nurse report to the provider?

The nurse is providing care for a patient who is one day postoperative from a Roux-en-Y surgical procedure. The nurse notices that the patient has received a lunch tray.Which of the following food items would be concerning to the nurse?