Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
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Chapter 45, Caring for Clients With Disorders of the Upper
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A client with anorexia complains of constipation. Which of the following nursing measures would be most effective in helping the client reduce constipation? | |
| A) | Provide adequate quantity of food. | |
| B) | Obtain medical and allergy history. | |
| C) | Assist client to increase dietary fiber. | |
| D) | Obtain complete food history. | |
| Ans: | C | |
| Feedback: | ||
| The nurse should assist the client to increase the dietary fiber in her food because it helps reduce constipation. Providing an adequate quantity of food is necessary in maintaining sufficient nutrition and in sustaining normal body weight. Obtaining medical, allergy, and food history would provide valuable information; however, it would not help reduce constipation. | ||
| 2. | A client who is recovering from anesthesia following oral surgery for lip cancer is experiencing difficulty breathing deeply and coughing up secretions. Which of the following measures will help ease the client’s discomfort? | |
| A) | Keeping the head of the bed elevated. | |
| B) | Positioning the client flat on the abdomen or side. | |
| C) | Providing a tracheostomy tray near the bed. | |
| D) | Turning the client’s head to the side. | |
| Ans: | A | |
| Feedback: | ||
| It is essential to position the client with the head of the bed elevated because it is easier for the client to breathe deeply and cough up secretions after recovering from the anesthetic. Positioning the client flat either on the abdomen or side with the head turned to the side will facilitate drainage from the mouth. A tracheostomy tray is kept by the bed for respiratory distress or airway obstruction. When mouth irrigation is carried out, the nurse should turn the client’s head to the side to allow the solution to run in gently and flow out. | ||
| 3. | A client is prescribed a magnesium and aluminum hydroxide antacid to treat gastroesophageal reflux disease (GERD). The nurse cautions this client to do which of the following? | |
| A) | Take it at the same time as other prescribed drugs. | |
| B) | Limit the frequency of use to two times per day. | |
| C) | Watch for possible antacid-related diarrhea. | |
| D) | Report any complaints of sore throat or fever to the physician. | |
| Ans: | C | |
| Feedback: | ||
| Antacids containing magnesium and aluminum hydroxides tend to cause diarrhea in some clients. In such cases, switching to an aluminum-only antacid or calcium-containing antacid may be helpful. Antacids may be given two to four times per day or as frequently as every 1 to 2 hours. They are not administered within 1 hour of histamine2-receptor antagonists or other oral medications because they may decrease absorption of the other drug. Sore throat and fever are adverse effects associated with histamine2-receptor antagonists, not antacids, which need to be reported. | ||
| 4. | Which of the following interventions would be most appropriate for a client with a hiatal hernia and nursing diagnosis of Acute Pain related to reflux of gastric secretions? | |
| A) | Encourage the client to eat frequent, small, well-balanced meals. | |
| B) | Inform the client to remain upright for at least 2 hours after meals. | |
| C) | Instruct the client to avoid alcohol or tobacco products. | |
| D) | Instruct the client to eat slowly and chew the food thoroughly. | |
| Ans: | B | |
| Feedback: | ||
| Because the client is showing signs of pain related to the pressure and the reflux of gastric secretions, it is essential to inform him or her to remain upright for at least 2 hours after meals because an upright position helps prevent reflux. Encouraging the client to eat frequent, small, well-balanced meals; to avoid alcohol and tobacco products; and to eat slowly and chew foods thoroughly would be appropriate for a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements. | ||
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