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
Weighing the patient weekly may not be sufficient in the case of cirrhosis with ascites. Fluid accumulation can occur rapidly, and more frequent weight checks may be necessary.
Choice B rationale
Positioning the patient flat in bed is not typically recommended for patients with ascites, as this can increase pressure on the diaphragm and make breathing more difficult.
Choice C rationale
Measuring the patient’s abdominal girth every 8 hours is a common nursing intervention for patients with ascites. It allows for monitoring of fluid accumulation in the abdomen.
Choice D rationale
While managing discomfort is important, acetaminophen should be used cautiously in patients with liver disease, as the liver is involved in drug metabolism.

A. Hepatitis A B. Hepatitis B C. Hepatitis C D. Hepatitis D E. Hepatitis C is not typically contracted from contaminated food. It is most commonly transmitted via infected blood or body fluids.

Correct Answer is A

Explanation

Choice A rationale
Hepatitis A is most likely contracted from contaminated food or water. Hepatitis A virus (HAV) is transmitted by the fecal-oral route via contaminated food or infected food handlers. This is different from Hepatitis B, C, and D which are most commonly transmitted via infected blood or body fluids.
Choice B rationale

Hepatitis B is not typically contracted from contaminated food. It is most commonly transmitted via infected blood or body fluids.
Choice C rationale
Hepatitis C is not typically contracted from contaminated food. It is most commonly transmitted via infected blood or body fluids.
Choice D rationale
Hepatitis D is not typically contracted from contaminated food. It is most commonly transmitted via infected blood or body fluids.

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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 nurse is assisting in the care of a patient who has cirrhosis of the liver with ascites. What action should the nurse take?

Correct Answer is C

Explanation

A client with hepatitis has contracted the infection from contaminated food. Which type of hepatitis is this client most likely experiencing?

Correct Answer is A

Explanation

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