Question 1

The physician orders the insertion of a single lumen nasogastric tube. When gathering the equipment for the insertion, the nurse would select which of the following?
A) Salem sump tube
B) Miller-Abbott tube
C) Sengsten-Blakemore tube
D) Levin tube

Accepted Answer

The Levin tube is a single lumen nasogastric tube, which is what the physician ordered. The Salem sump tube, Miller-Abbott tube, and Sengsten-Blakemore tube are all multi-lumen tubes used for different purposes (e.g. drainage or decompression).

Question 2

After teaching a client who has had a Roux-en-Y gastric bypass, which client statement indicates the need for additional teaching?
A) "I need to chew my food slowly and thoroughly."
B) "I need to drink 8 ounces of water before eating."
C) "A total serving should amount to be less than one cup."
D) "I should pick cereals with less than 2 g of fiber per serving."

Accepted Answer

Drinking 8 ounces of water before eating can lead to dumping syndrome in patients who have had a Roux-en-Y gastric bypass. They should avoid drinking large amounts of fluid before meals.

Question 3

A client weighs 215 lbs and is 5' 8" tall. The nurse would calculate this client's body mass index (BMI) as which of the following?
A) 19.5
B) 24.8
C) 32.7
D) 44.9

Accepted Answer

To calculate BMI, we use the following formula:

BMI = weight (in kg) / height² (in meters)

First, we need to convert the client's height from inches to meters:

5'8" = 68"
68" x 2.54cm/inch = 172.72cm
172.72cm / 100 = 1.7272m

Next, we need to convert the client's weight from pounds to kilograms:

215 lbs x 0.454 = 97.7 kg

Now we can calculate the BMI:

BMI = 97.7 / (1.7272 x 1.7272) = 32.7

Therefore, the client's BMI is 32.7, which falls in the obese category. The correct answer is C.

Question 4

The nurse is reviewing the laboratory test results of a client who has been experiencing prolonged episodes of vomiting. Which of the following would the nurse most likely find?
A) Increased bicarbonate levels
B) Hypernatremia
C) Hyperchloremia
D) Increased white blood cell count

Accepted Answer

Prolonged episodes of vomiting can lead to a loss of stomach acid, which may result in metabolic alkalosis. This condition is characterized by increased bicarbonate levels in the blood.

Question 5

The nurse is explaining orlistat (Xenical), prescribed for a client who is morbidly obese. Which of the following would the nurse include about this drug?
A) "You will probably have more bowel movements."
B) "There might be a greenish discharger from the rectum."
C) "This drug might cause your blood pressure to rise."
D) "You won't need to take your multivitamin anymore."

Accepted Answer

Orlistat works by blocking the absorption of fat in the gut, which can lead to an increase in bowel movements and loose stools. It is important for the nurse to inform the client of this potential side effect. The other answer choices are not correct.

Quiz 45: Caring Forclients With Disorders of the Upper Gastrointestinal Tract

The physician orders the insertion of a single lumen nasogastric tube. When gathering the equipment for the insertion, the nurse would select which of the following?

After teaching a client who has had a Roux-en-Y gastric bypass, which client statement indicates the need for additional teaching?

A client weighs 215 lbs and is 5' 8" tall. The nurse would calculate this client's body mass index (BMI) as which of the following?

The nurse is reviewing the laboratory test results of a client who has been experiencing prolonged episodes of vomiting. Which of the following would the nurse most likely find?

The nurse is explaining orlistat (Xenical) , prescribed for a client who is morbidly obese. Which of the following would the nurse include about this drug?