A client with proctitis needs a rectal suppository. A senior nursing student assigned to this client tells you that she is afraid to insert the suppository because she has never done it before. What is the most appropriate action in supervising this student?

Correct Answer: D

Rationale: Correct Answer: D Rationale: 1. Supervising students is part of the nursing role. 2. As a tutor, your responsibility is to guide and teach students. 3. Showing the student how to insert the suppository will help build their skills and confidence. 4. Talking to the instructor ensures proper supervision and support for the student's learning. 5. Reporting or dismissing the student is not constructive and goes against the principles of education and mentorship.

Correct Answer: D

Rationale: The correct answer is D because excessive bloody drainage on the external gauze dressing could indicate hemorrhage, a serious complication post-hemorrhoidectomy. This requires immediate medical attention to prevent further complications. A: Pain at the incision site is expected postoperatively and can be managed with pain medication. B: A white blood count of 6.5 is within the normal range and not a cause for concern. C: Client's refusal of a stool softener is important for bowel movement management but is not the most immediate concern compared to excessive bloody drainage.

Correct Answer: C

Rationale: The correct answer is C: Decreasing secretions and peristaltic action. Atropine, as an anticholinergic drug, inhibits the action of acetylcholine, leading to decreased secretions and peristaltic movement in the GI tract. This results in reduced motility and secretion production. A: Increasing gastric emptying - This is incorrect because atropine actually slows down gastric emptying by reducing peristaltic action. B: Relaxing pyloric and ileocecal sphincters - This is incorrect because atropine does not directly relax these sphincters. D: Stimulating the nervous system of the GI tract - This is incorrect because atropine inhibits the parasympathetic nervous system, leading to decreased GI tract activity.

Correct Answer: B

Rationale: The correct answer is B because an increase in serum transferrin levels indicates improvement in protein-calorie malnutrition as transferrin is a protein that binds and transports iron, which is essential for various body functions. When protein intake increases, transferrin levels also increase to support iron transport. A: Decreased lymphocytes do not directly reflect improvement in protein-calorie malnutrition. C: Increased serum potassium is not specific to improvement in protein-calorie malnutrition. D: Decreased serum prealbumin levels indicate ongoing malnutrition, not improvement.

Correct Answer: A

Rationale: The correct answer is A: Avoid sugary foods and limit fluids to prevent dumping syndrome. After a Roux-en-Y gastric bypass, the patient's stomach size is reduced, making it important to avoid sugary foods that can cause rapid spikes in blood sugar and lead to dumping syndrome. Dumping syndrome occurs when food moves too quickly from the stomach to the small intestine, causing symptoms like nausea, vomiting, diarrhea, and weakness. Limiting fluids can also help prevent this by slowing down digestion. Choices B and C are incorrect as increasing food intake rapidly or maintaining a liquid diet long-term can be harmful post-surgery. Choice D is incorrect because consuming foods high in complex carbohydrates, protein, and fiber can be difficult for the patient to digest due to the altered anatomy.