-RN Certification Exam Questions with AI Explanations

QUESTION: 171

Following a gastric resection, which of the following actions would the nurse reinforce with the client in order to alleviate the distress from dumping syndrome?

Eating three large meals a day
Drinking small amounts of liquids with meals
Taking a long walk after meals
Eating a low-carbohydrate diet

Answer(s): D

Explanation:

(A) Six small meals are recommended. (B) Liquids after meals increase the time food empties from the stomach. (C) Lying down after meals is recommended to prevent gravity from producing dumping. (D) A low-carbohydrate diet will prevent a hypertonic bolus, which causes dumping.

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QUESTION: 171

Following a gastric resection, which of the following actions would the nurse reinforce with the client in order to alleviate the distress from dumping syndrome?

Eating three large meals a day
Drinking small amounts of liquids with meals
Taking a long walk after meals
Eating a low-carbohydrate diet

Answer(s): D

Explanation:

(A) Six small meals are recommended. (B) Liquids after meals increase the time food empties from the stomach. (C) Lying down after meals is recommended to prevent gravity from producing dumping. (D) A low-carbohydrate diet will prevent a hypertonic bolus, which causes dumping.

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QUESTION: 172

A postpartum client complains of rectal pressure and severe pain in her perineum; this may be indicative of:

Afterbirth pains
Constipation
Cystitis
A hematoma of the vagina or vulva

Answer(s): D

Explanation:

(A) Afterbirth pains are a common complaint in the postpartum client, but they are located in the uterus. (B) Constipation may cause rectal pressure but is not usually associated with "severe pain." (C) Cystitis may cause pain, but the location is different. (D) Hematomas are frequently associated with severe pain and pressure.
Further assessments are indicated for this client.

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QUESTION: 172

A postpartum client complains of rectal pressure and severe pain in her perineum; this may be indicative of:

Afterbirth pains
Constipation
Cystitis
A hematoma of the vagina or vulva

Answer(s): D

Explanation:

(A) Afterbirth pains are a common complaint in the postpartum client, but they are located in the uterus. (B) Constipation may cause rectal pressure but is not usually associated with "severe pain." (C) Cystitis may cause pain, but the location is different. (D) Hematomas are frequently associated with severe pain and pressure.
Further assessments are indicated for this client.

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QUESTION: 173

The nurse observes that a client has difficulty chewing and swallowing her food. A nursing response designed to reduce this problem would include:

Ordering a full liquid diet for her
Ordering five small meals for her
Ordering a mechanical soft diet for her
Ordering a puréed diet for her

Answer(s): C

Explanation:

(A) Full liquids would be difficult to swallow if the muscle control of the swallowing act is affected; this is a probable reason for her difficulties, given her medical diagnosis of multiple sclerosis. (B) Five small meals would do little if anything to decrease her swallowing difficulties, other than assure that she tires less easily. (C) A mechanical soft diet should be easier to chew and swallow, because foods would be more evenly consistent. (D) A pureed diet would cause her to regress more than might be needed; the mechanical soft diet should be tried first.

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NCLEX National Council Licensure Examination - -RN NCLEX-RN Dumps in PDF

Free NCLEX NCLEX-RN Real Questions (page: 247)

QUESTION: 171

Explanation:

QUESTION: 171

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QUESTION: 172

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QUESTION: 172

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QUESTION: 173

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