Question

1. Upon assessing a client with a arteriovenous fistula, the nurse be able to palpate or muscular a (n)?
a. pulsation and brunt
b. S1 and S2
c. bowel sounds
d. radial and apical pulse
2. A catheter that is inserted into the urinary bladder from the abdominal entry point above the symphysis pubis is which catheter?
a. Lock pouch catheter
b. Ileostomy catheter
c. Suprapublic catheter
d. Ureterostomy catheter
3. A client has a newly formed Ileostomy. Upon discharge, the nurse is instructing the client about foods that may block the Ileostomy. Which of the following foods are in this category? select all that apply.
a. Bread
b. Corn
c. Radish
d. Celery
e. Raisins
4. The health care provider has ordered a medication to relieve constipation. The choice of the medication is Colace (dosusate sodium) . what is the action of medication?
a. Distends the colon, stimulate peristalsis.
b. Dries the feces, decreases mobility
c. Irritates the feces
d. Draws water into the stool more readily.
5. While obtaining medical history of a new admission. The client states that he has had seepage of bowel for the past 5days. What further assessment data would you collect?
a. Check all quadrants of abdomen
b. Check nail beds for capillary refill
c. Ambuluate client to increase bowel movement.
d. Give a large volume enema.

Answer 1

1. Answer : Pulsation and bruit

Rationale : while checking the client with Aterioventricular fistula it is important to note the client pulse status over the hand and hear the abnormal sound through stethoscope.

2. Answer : C) suprapubic catheter.

Rationale : This is relevant option which is listed that pass through the abdominal wall over the joints of symphysis pubis.

3. Answer : b) corn , C) raddish , D) celery , E) Raisins

Rationale : These are the food products that causes the ileostomy block. Mostly the green vegetables are contra indicated in this condition.

4. Answer : d) draws water into the stool more readily

5. Answer : d) Give a large volume enema