What is the primary advantage of a J-pouch anal anastomosis procedure?

a. No odor
b. Easier to irrigate
c. Near-normal bowel elimination
d. Less problem with diarrhea


C
Preoperative teaching includes the expectation of near-normal bowel elimination. As with any bowel elimination, odor and possibly occasional diarrhea will occur. An irrigation is not neces-sary.

Nursing

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A client is taking garlic and hawthorn supplements. The nurse would ask further questions to elicit information on a possible history of

a. atherosclerosis. b. hypertension. c. smoking. d. varicose veins.

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The nurse is presenting a workshop on preventing foodborne illness. Points to cover include proper handwashing, cooking at the proper temperature, and proper storage. Which of the following should also be covered?

A) Proper vaccinations for food service personnel B) Quickly freezing meat after purchasing C) Prevent cross-contamination between raw and cooked foods D) Avoiding raw foods

Nursing

The nurse has admitted a woman with borderline personality because of wrist-cutting. The client's sister is visiting, and the sister asks the nurse to explain why her sister sometimes self-mutilates

Which of the following responses would be appropriate for the nurse to make? A) "Sometimes the self-injurious behavior is undertaken to relieve stress." B) "Self-injurious behavior often calms and sedates people with this diagnosis." C) "Sometimes they do it to avoid the onslaught of delusional thinking." D) "Have you noticed your sister's frequent mood swings? The self-mutilation often slows the mood swings."

Nursing

The nurse is scheduling blood tests for a client suspected of having pancreatitis. Which of the following tests detects inflammation or disease of the pancreas, or obstruction of surrounding ducts?

A) Alkaline phosphatase (ALP) B) Cholesterol C) Triglyceride levels D) Serum amylase

Nursing