Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is preparing to administer peritoneal dialysis to a client. Which of the following actions should the nurse take?
A. Hang the drainage bag below the client's abdomen.
The nurse should hang the drainage bag below the level of the client's abdomen to facilitate gravity drainage of fluid and waste products from the peritoneal cavity. The other options are incorrect because they may cause discomfort, infection, or inadequate dialysis.
B. Use clean technique to access the catheter.
None
C. Place the client in high-Fowler's position.
None
D. Chill the dialysate before administration.
None
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN adult medical surgical 2019 with NGN - Proctored Exam 3. Take the full exam now
Full Explanation
The nurse should hang the drainage bag below the level of the client's abdomen to facilitate gravity drainage of fluid and waste products from the peritoneal cavity. The other options are incorrect because they may cause discomfort, infection, or inadequate dialysis.
Similar Questions
A nurse is providing discharge teaching to a client who has chronic urinary tract infections.
The client has a prescription for ciprofloxacin 250 mg PO twice daily. Which of the following instructions should the nurse include in the teaching?
A. Take an antacid 30 min before taking the medication.
Taking an antacid can reduce the absorption of ciprofloxacin and make it less effective .
B. Monitor heart rate once daily.
Monitoring heart rate is not necessary unless the client has a history of cardiac problems or is taking other medications that affect the heart .
C. Drink 2 to 3 L of fluids daily.
Ciprofloxacin is an antibiotic used to treat different types of bacterial infections, including urinary tract infections . Drinking plenty of fluids can help flush out bacteria from the urinary tract and prevent dehydration.
D. Take a laxative to prevent constipation.
Taking a laxative can cause diarrhea, which can worsen dehydration and electrolyte imbalance .
Full Explanation
Ciprofloxacin is an antibiotic used to treat different types of bacterial infections, including urinary tract infections. Drinking plenty of fluids can help flush out bacteria from the urinary tract and prevent dehydration. Taking an antacid can reduce the absorption of ciprofloxacin and make it less effective.
Monitoring heart rate is not necessary unless the client has a history of cardiac problems or is taking other medications that affect the heart . Taking a laxative can cause diarrhea, which can worsen dehydration and electrolyte imbalance.
A nurse is preparing to discontinue long-term total parenteral nutrition (TPN) therapy for a client. The nurse should plan to discontinue the TPN gradually to reduce the risk of which of the following adverse effects?
A. Hyperglycemia
Hyperglycemia can occur during TPN administration if the glucose infusion rate is too high or if the client has insulin resistance .
B. Hypoglycemia
TPN is a form of intravenous nutrition that provides glucose, amino acids, lipids, vitamins, minerals, and electrolytes to clients who cannot eat or absorb nutrients through their gastrointestinal tract. Discontinuing TPN abruptly can cause a sudden drop in blood glucose levels, leading to hypoglycemia .
C. Diarrhea
Diarrhea can occur as a result of infection, bowel ischemia, or intolerance to enteral feeding .
D. Hypertension
Hypertension can occur due to fluid overload, electrolyte imbalance, or vascular complications .
Full Explanation
TPN is a form of intravenous nutrition that provides glucose, amino acids, lipids, vitamins, minerals, and electrolytes to clients who cannot eat or absorb nutrients through their gastrointestinal tract. Discontinuing TPN abruptly can cause a sudden drop in blood glucose levels, leading to hypoglycemia .
Hyperglycemia can occur during TPN administration if the glucose infusion rate is too high or if the client has insulin resistance . Diarrhea can occur as a result of infection, bowel ischemia, or intolerance to enteral feeding . Hypertension can occur due to fluid overload, electrolyte imbalance, or vascular complications .
A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse,
"I'm not sure I want to have a mastectomy." Which of the following statements should the nurse make?
A. "You should get a second opinion regarding the procedure."
Telling the client to get a second opinion may imply that the nurse does not trust the surgeon ordoubts the necessity of the procedure.
B. "You will be cancer-free if you have the procedure."
Telling the client that they will be cancer-free if they have the procedure may be false or misleading, as there may be residual cancer cells or recurrence after surgery.
C. "I can give you a list of other people who had the same procedure."
Giving the client a list of other people who had the same procedure may violate confidentiality and may not be helpful or relevant to the client's situation.
D. I can give you additional information about the procedure."
A mastectomy is a surgical removal of one or both breasts, usually done to treat breast cancer. The nurse should respect the client's autonomy and provide factual information about the procedure, its benefits and risks, and possible alternatives . The nurse should also assess the client's readiness to learn, address any concerns or fears, and offer emotional support .
Full Explanation
A mastectomy is a surgical removal of one or both breasts, usually done to treat breast cancer. The nurse should respect the client's autonomy and provide factual information about the procedure, its benefits and risks, and possible alternatives . The nurse should also assess the client's readiness to learn, address any concerns or fears, and offer emotional support . Telling the client to get a second opinion may imply that the nurse does not trust the surgeon or doubts the necessity of the procedure.
Telling the client that they will be cancer-free if they have the procedure may be false or misleading, as there may be residual cancer cells or recurrence after surgery. Giving the client a list of other people who had the same procedure may violate confidentiality and may not be helpful or relevant to the client's situation.