The nurse is reviewing gastrointestinal function. Mechanical digestion in the stomach is accom-plished by which of these?
a. Mucosa
b. Smooth muscle layers
c. Striated muscle layers
d. Gastric glands
ANS: B
The stomach wall has three layers of smooth muscle that provide very efficient mechanical digestion to change food to a thick liquid called chyme.
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The nurse talks with a clinic patient by phone and discovers the patient is not taking her medication as instructed. The patient was given only verbal instructions in her teaching session. The nurse should now have the patient do which of the following?
a. Listen to the nurse as the nurse repeats the instructions by phone. b. Call every day, and the nurse will repeat the instructions until learned. c. Return to the clinic to receive other teaching methods. d. Have a family member take the instructions by phone.
A pregnant client asks the nurse if she can double her prenatal vitamin dose because she doesn't like to eat vegetables. What is the nurse's response about the danger of taking excessive vitamins?
a. Increases caloric intake b. Has toxic effects on the fetus c. Increases absorption of all vitamins d. Promotes development of pregnancy-induced hypertension (PIH)
The nurse is caring for a client with potentially life-threatening digoxin toxicity and prepares to administer:
a. lidocaine. c. naltrexone. b. digoxin immune fab. d. potassium.
During a morning assessment, a nurse notices a change in a patient's wound. Which of the following samples of documentation would indicate a possible infection?
1. "Dressing dry and intact, small amount of serosanguineous drainage." 2. "Incision line well-approximated, moderate amount of drainage noted." 3. "Incision intact, small amount of pink granulation along incision line, no drainage." 4. "Incision intact, moderate amount of purulent drainage, foul odor."