Sas 17
Sas 17
CoOA
1. B
The client is free from esophagitis and achalasia. Dysphagia may be the reason why a client with
esophagitis or achalasia seeks treatment. Therefore, when the client is free of esophagitis or achalasia,
he is ready for discharge. Dysphagia isn't associated with rectal tenesmus, duodenal inflammation, or
abnormal gastric structures.
2. B
Elevation of serum lipase is the most reliable indicator of pancreatitis because this enzyme is produced
solely by the pancreas.
3. D
The nurse should mention that risk factors for peptic (gastric and duodenal) ulcers include alcohol
abuse, smoking, and stress. A sedentary lifestyle and a history of hemorrhoids aren't risk factors for
peptic ulcers. Chronic renal failure, not acute renal failure, is associated with duodenal ulcers
4. D
Exercise helps prevent constipation. Fluids and dietary fiber promote normal bowel function. The client
should drink eight to ten glasses of fluid each day. Although adding bran to cereal helps prevent
constipation by increasing dietary fiber, the client should start with a small amount and gradually
increase the amount as tolerated to a maximum of 2 grams a day.
5. C
A client with diarrhea has a nursing diagnosis of Deficient fluid volume related to excessive fluid loss in
the stool. Expected outcomes include firm skin turgor, moist mucous membranes, and urine output of at
least 30 ml/hr. The client also has a nursing diagnosis of diarrhea, with expected outcomes of passage of
formed stools at regular intervals and a decrease in stool frequency and liquidity. The client is at risk for
impaired skin integrity related to irritation from diarrhea; expected outcomes for this diagnosis include
absence of erythema in perianal skin and mucous membranes and absence of perianal tenderness or
burning.
6. A
Increasing the amount of fiber you eat could increase the number of stools that you pass. Dietary
fiber increases the weight and size of your stool and softens it. A bulky stool is easier to pass,
decreasing your chance of constipation. It helps to maintain bowel health.
7. D
Suggesting to the patient's family members that someone join the patient for meals. It could
psychologically help the patient to attract and encourage to eat more.
9. D
The specific cause of dysphagia can be determined more easily when the nurse observe conditions
under which the patient experiences difficulty swallowing, it could emphasize the root caused why the
patient experiencing dysphagia.
10. A
The priority intervention of a patient with acute pancreatitis is pain control because the patient with this
condition has a severe pain that must be treated right away.