Blog

The nurse contributes to the plan of care for a patient who has pancreatitis. A nursing diagnosis of Imbalanced Nutrition: Less Than Required related to pain, NPO, and nasogastric suction is developed. After 10 days of treatment, which of the following would indicate to the nurse that the treatment plan has been effective? (Select all that apply.)

The nurse is caring for a patient who has liver failure and esophageal varices. The patient is to receive vasopressin (Pitressin) for which of the following purposes?

The nurse is contributing to a patient’s plan of care for an ostomy. Why is it important for the nurse to recommend the use of a skin barrier product under the ostomy appliance?

The nurse is reinforcing teaching for a patient who has dumping syndrome. Which of the following statements by the patient would indicate a correct understanding of the teaching of what this condition is?

The nurse is reinforcing teaching for a patient with esophageal varices. Which activity should the patient be taught to avoid?

A patient with a colostomy says, “My pouch blows up like a balloon when I pass gas.” What is an appropriate response by the nurse?

The nurse is caring for a patient who had a cholecystectomy this morning. The patient is reluctant to deep breathe and cough. What nursing intervention would most effectively assist the patient to cough and breathe?

The nurse is caring for a patient who has an ileostomy and feels crampy. The nurse notes that the stoma has become edematous and pale and suspects a blockage. What action should the nurse take?

The nurse suspects appendicitis in a patient complaining of abdominal pain. Which of the following assessments would cause the nurse to notify the physician?

The nurse is caring for a patient admitted with a possible bowel obstruction. The nurse would be most concerned by which of the following symptoms?