The nurse will anticipate which diagnostic examination for a patient with black tarry stools?

a. Ultrasound
b. Barium enema
c. Endoscopy
d. Anorectal manometry


ANS: C
Black tarry stools are an indication of bleeding in the GI tract; endoscopy would allow visualization of the bleeding. No other option (ultrasound, barium enema, and anorectal manometry) would allow GI visualization.

Nursing

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What statement by a patient's mother leads the nurse to determine she understands instructions about administering an oral antibiotic for otitis media?

a. "I will continue using the medication until symptoms are relieved." b. "I will share the medicine with siblings if their symptoms are the same." c. "I will give the medication with a glass of milk." d. "I will administer prescribed doses until all the medication is used."

Nursing

The nurse is caring for a patient who has a central venous catheter (CVC). Which nursing intervention is the most important for the nurse to include in the patient's plan of care?

a. Carefully document all assessments of the catheter site. b. Use strict sterile procedure when performing dressing changes. c. Label each new dressing with the date, time, and nurse's initials. d. Ensure that the CVC is discontinued as soon as possible.

Nursing

An African-American woman has taken on the responsibility of raising her grandchild. Which intervention will best address a need commonly identified in this specific population?

a. Providing her with a list of local afterschool children's programs b. Suggesting she enroll in a local community center's senior support group c. Scheduling her for a complete physical examination d. Encouraging her to walk 1 mile 3 days a week

Nursing

The nurse is reviewing a new prescription for propranolol (Inderal) for a patient with coronary heart disease (CHD). The nurse should call the physician and question this prescription if the patient's history includes what information?

1. asthma and chronic obstructive pulmonary disease (COPD) 2. taking antioxidants 3. taking simvastatin (Zocor) 4. bleeding disorders

Nursing