How to Answer Client Breakfast Tray Questions (Complete Guide)
This type of question evaluates analytical and critical thinking skills.
What This Question Is About
This question relates to client breakfast tray and requires a structured academic response.
How to Approach This Question
Use appropriate theories and support your answer with clear reasoning.
Key Explanation
This topic involves client breakfast tray. A strong answer should include explanation, application, and examples.
Original Question
The client breakfast tray is served. the client calls the nurse to the room because after eating sausage served on their tray, they state the pain to their abdomen is now a 9/10. they described the pain as a burning, stabbing pain to their hypogastric area. the patient’s breath has a foul odor and they state they are nauseated. the nurse calls the HCP. New orders received include lansoprazole 15 mg one PO daily, ondansetron 4mg ODT q4H, CBC and pylori lab test. AM VS BP 100/70, P 100, R 18, T 98.4 F, O2 94%. 1. Based on the client’s condition, the client’s priority need will be to prevent_______________ 2. In addition, he will need interventions to prevent life threatening complications of bowel elimination especially _____________________ and ______________________ 3. use an X for the nursing actions listed below that are Indicated (appropriate or necessary), Contraindicated (could be harmful) or Non-Essential (makes no difference or no necessary) for the client’s care at time. only one selection can be made for each nursing action. nursing Action indicated contraindicated non-essential give AM meds as prescribed perform a test for rebound tenderness give toradol IM for phantom limb pain place NGT to decompress call lab results to HCP perform a through abdominal assessment The client breakfast tray is served. the client calls the nurse to the room because after eating sausage served on their tray, they state the pain to their abdomen is now a 9/10. they described the pain as a burning, stabbing pain to their hypogastric area. the patient’s breath has a foul odor and they state they are nauseated. the nurse calls the HCP. New orders received include lansoprazole 15 mg one PO daily, ondansetron 4mg ODT q4H, CBC and pylori lab test. AM VS BP 100/70, P 100, R 18, T 98.4 F, O2 94%. The client is given pantoprazole and ondansetron. the client has a large black tarry stool. the client states their nausea is relieved, but their pain is still unchanged. 4. use an X to indicate which actions listed in the left column would be implemented. Actions Implementation call the HCP about stool send stool for stool culture Hold ASA and clopidogrel place warm Kpad to abdomen perform FOBT on stool Order a high fiber diet 5. the nurse evaluates the effectiveness of actions. Which of the following findings indicate effectiveness? select all that apply. 1. able to tolerate a bland diet. 2. vomits once blood tinged materiel 3. H. pylori test is negative 4. Verbalizes pain to abdomen of 8/10 5. BP 90/40, P 114, R 26, O2 sat 94% 6. bowel sounds are hyperactive in all 4 quads 7. Pain stated as 2/10 to L BKA
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