A client is offered saline gargles after esophagogastroduodenoscopy. Instructing the client to have low-residue meals is a pretest procedure for barium enema. Allowing the client to ingest a fat-free meal is used in preparation for oral cholecystography. Which of the following measures should the nurse take once the solution is administered? Permit the client to drink only clear liquidsĪfter polyethylene glycol/electrolyte solution is administered, the client should have clear liquids because this ensures watery stools, which are necessary for procedures like a barium enema. A client undergoing a diagnostic examination for gastrointestinal disorder was given polyethylene glycol/electrolyte solution as a part of the test preparation. BUN level of 34 mg/dL is elevated and indicative of kidney problems but not specific to nutritional problems. Hemoglobin levels of 11 to 17 g/dL are within normal levels. Arterial blood pH is normal between 3.45 and 4.35. Normal serum albumin levels 3.5 to 5 g/dL are not reflected in this client and would indicate a low protein level. Serum albumin level is a helpful lab value for assessing nutritional status of a client. Which of the following laboratory findings would be most indicative of a nutritional problem? Serum albumin level 2 g/dL The wound care nurse suspects a nutritional problem with a client who presents with weight loss, poor appetite, and delayed healing. Encouraging small, frequent meals will give improved nutrition to a client who does not have any difficulty in swallowing. Providing liquid supplements are used in between meals, not as meals. Using a straw leads to bloating and should be avoided. Providing oral liquids alone will not provide improved nutrition. Because he has difficulty in swallowing, the nurse should ensure that the client receives soft foods or high-calorie, high-protein, semiliquid foods to get improved nutrition. Which of the following would be appropriate to help the client achieve improved nutrition? Give high-protein, semiliquid foodsĪ major goal for a client with esophageal cancer is adequate or improved nutrition and eventually stable weight. A client with esophageal cancer has difficulty in swallowing. Aspirin-containing compounds are discontinued at least 1 week before surgery to decrease the risk of bleeding. Immunosuppressive agents such as azathioprine, 6-mercaptopurine, and cyclosporine should be discontinued 3 to 4 weeks before surgery to prevent negative effects on tissue healing. When should the client be told to discontinue the medication to prevent negative effects on tissue healing? 1 month before surgery TERMS IN THIS SET (135) A client scheduled for a total colectomy has been taking the immunosuppressive agent, azathioprine (Imuran). The ciliary body controls the thickness of the lens. The muscle fibers of the iris contract the pupil in bright light to accommodate for near vision. Parasympathetic nervous system stimulation causes the pupil to constrict. Stimulation of the sympathetic branch of the autonomic nervous system dilates the pupil and elevates the eyelid. When examining a patient's eyes, the nurse recalls that stimulation of the sympathetic branch of the autonomic nervous system: ANS: elevates the eyelid and dilates the pupil. The retina, in the inner layer of the eye, is where light waves are changed into nerve impulses. The trigeminal (CN V) and facial (CN VII) are stimulated when the outer surface of the eye is stimulated. The middle layer, the choroid, has dark pigmentation to prevent light from reflecting internally. The cornea and the sclera make up the outer layer of the eye. Which statement regarding the outer layer of the eye is true? ANS: The outer layer of the eye is very sensitive to touch. The nurse is performing an external eye examination. Movement of the extraocular muscles is stimulated by three cranial nerves: III, IV, and VI. During ocular examinations, the nurse keeps in mind that movement of the extraocular muscles is: stimulated by cranial nerves III, IV, and VI. The palpebral fissure is the elliptical open space between the eyelids, and, when closed, the lid margins approximate completely, which is a normal finding. The nurse recognizes that this assessment finding: is expected. TERMS IN THIS SET (41) When examining the eye, the nurse notices that the patient's eyelid margins approximate completely.