Which nursing intervention is most helpful to parents of a neonate with bilateral cleft lip?

The nurse is caring for a client recovering from gastrojejunostomy (Billroth II) surgery 36 hours ago. The client has 200 ml of bright red fluid in the nasogastric tube.  The client has no bowel sounds and is complaining of increasing abdominal pain. Vital signs include temperature 98°F; heart rate 116; respirations 28; blood pressure 100/69. Which action by the nurse is the highest priority?

Two days after a colectomy for an abdominal mass, a patient reports gas pains and abdominal distention. The nurse plans care for the patient based on the knowledge that the symptoms are occurring as a result what event?

The nurse has documented that a client has had two episodes of steatorrhea, which means that the character of the stool is:

The nurse is instructing a client on diagnostic tests used to screen for colorectal cancer. Which of the following should be included in these instructions?

The nurse is assessing a client’s oral cavity and observes the tongue to have a red, slick appearance:What action by the nurse is most appropriate?

The nurse explains that the most beneficial diet for a person with inflammatory bowel disease (IBD) is which of the following?  

A client with gastroesophageal reflux disease (GERD) should make lifestyle changes.  What instructions should the nurse include in the client’s discharge teaching?  (Select all that apply)

The nurse is teaching a client who has a history of cholelithiasis about appropriate food choices.  Which menu selection made by the client indicates that the teaching is effective?

A client is receiving tube feedings through a percutaneous endoscopic gastrostomy (PEG).  Which actions will the nurse include in the plan of care? Select all that apply