Quiz 7

1. Monsieur Jean-Pierre, a 54-year-old client, presents to the clinic with complaints of abdominal discomfort. The nurse is reviewing the assessment findings to confirm the possibility of a gastric ulcer. Which assessment data support the nurse's suspicion of a gastric ulcer? *

presence of blood in the client's stool for the past month

reports of a burning sensation moving like a wave

sharp pain in the upper abdomen after eating a heavy meal

complaints of epigastric pain 30 to 60 minutes after ingesting food

2. Mme. Claudine, a 67-year-old woman, has been prescribed calcium carbonate (TUMS) for acid reflux. The LPN is reviewing potential side effects while monitoring her medication response. The LPN will monitor a client taking TUMS for which adverse effect? *

constipation

gastrointestinal (GI) upset

fluid retention

diarrhea

3. M. Émile, a 74-year-old man with a history of irritable bowel syndrome, has been experiencing frequent loose stools. His physician recently started him on a new antidiarrheal medication. After a few days, M. Émile reports to the LPN that he's having trouble emptying his bladder, feels confused at times, and has noticed his mouth and skin feel very dry. He also complains of blurry vision and a mild rash on his arms. Which class of antidiarrheal medication is most likely responsible for these symptoms? *

anticholinergics

adsorbents

probiotics

opiates

4. M. Thibault, a 62-year-old male patient with a history of liver cirrhosis, is receiving lactulose four times daily. The LPN notes that the patient has regular bowel movements and no signs of constipation. The patient asks why he still needs the medication even though his bowels are regular. What is the probable reason for the lactulose? *

cleansing the bowel before a procedure

removal of helminths

reduction of high ammonia levels

daily maintenance to prevent constipation

5. Mme. Isabelle, a 54-year-old patient, is recovering from abdominal surgery and has developed an infection at the incision site. The LPN is assigned to perform a dressing change using sterile technique, as ordered by the physician. Which action should the LPN take during the dressing change? *

have the client remove the existing dressing while the nurse prepares sterile supplies

wear clean gloves for removal and application of a new dressing

wear clean gloves to remove the existing dressing, changing to sterile gloves to apply the new dressing

wear sterile gloves, gown, and goggles to remove the soiled existing dressing

6. M. Étienne, a 72-year-old man with a tracheostomy, is experiencing increased respiratory secretions. The LPN prepares to perform open endotracheal suctioning to help clear his airway. Which of the following actions by the LPN are appropriate? (Select 3 answers) *

administers 100% oxygen prior to suctioning the client

applies suction while withdrawing the catheter from the airway

instills sterile normal saline into the tracheostomy prior to suctioning

limits suctioning to 20 seconds during each suction pass

uses sterile gloves and technique throughout the procedure

7. Mme. Léa, a 59-year-old patient, requires routine blood work. The LPN prepares to draw blood from a peripheral vein for laboratory testing. Which of the following are correct nursing actions by the LPN? (Select 2 answers) *

do not leave a tourniquet on more than 1 minute while looking for a vein

draw the specimen while the skin is still wet with the alcohol prep

if pulsating red blood is noted, withdraw the needle and apply pressure for 5 minutes

use a highly visible vein on the ventral side of the client’s wrist

vigorously shake the specimen tube to mix obtained blood with anticoagulant solution

8. Monsieur Jacques, a 72-year-old patient, is scheduled for chest tube removal. The LPN is assisting the physician during the procedure. Which interventions should the LPN perform when assisting the physician with removal of a client’s chest tube? (Select 4 answers) *

ensure the client is given an analgesic 30-60 minutes before tube removal

instruct the client to breathe in, hold it, and bear down while the tube is being removed

place the client in the Trendelenburg position

prepare a sterile airtight petroleum jelly gauze dressing

provide the physician with sterile suture removal equipment

9. Monsieur René, a 70-year-old male client, is undergoing insertion of an indwelling (Foley) urinary catheter due to urinary retention. After inserting the catheter about 6 inches (15.2 cm), the nurse observes drops of urine in the tubing. What action should the nurse take next? *

further insert the catheter 1–2 in (2.5–5.1 cm)

have the client hold his breath

immediately inflate the 5 mL balloon

secure the tubing to the client's leg

10. Mme. Lemoine, a 64-year-old client, is undergoing a 24-hour urine collection that began at 6:00 AM. At 10:00 AM, the PAB reports accidentally discarding a urine specimen of 250 mL. All other urine before and after that time was added to the collection container. What action should the LPN take? *

add 250 mL to the total output after the 24-hour urine collection is complete tomorrow morning

discard urine and container, and restart the 24-hour urine collection tomorrow morning

discard urine and container, have client void, add urine to new container, and then restart test

relabel the same collection container, and change the start time from 6:00 AM to 10:00 AM

11. M. Dubois, a 72-year-old client recovering from surgery, is due for his routine medications. When the LPN hands him a pink pill, he pauses and says, "This is a pill I haven't seen before." What follow-up action should the LPN take next? *

check the physician's prescription in the medical record

explain that the health care provider has prescribed the medication

look up the medication in the pharmacology reference

teach the client about the purpose of the medication

12. Mme. Tremblay, an 80-year-old client, is receiving ear drops to help soften cerumen. The LPN is supervising a student nurse during the administration. The LPN intervenes when the student performs which action? *

instills ear drops at room temperature

instills ear drops with dropper by occluding the ear canal

places a cotton ball loosely in outermost auditory canal after the instillation

pulls pinna up and back and instills drops