Past Nclex Questions 81. 176. The nurse is preparing the postoperative nursing care plan forthe client recovering from a hemorrhoidectomy. Which intervention should the nurse implement?A. Establish a rapport with the client to decrease embarrassment of assessing site.B. Encourage the client to lie in the lithotomy position twice a day.C. Milk the tube inserted during surgery to allow the passage of flatus.D. Digitally dilate the rectal sphincter to express old blood.2. 177. The client has recently been diagnosed with irritable bowel syndrome (IBS). Which intervention should the nurse teach the client to reduce symptoms?A. Instruct the client to avoid drinking fluids with meals.B. Explain the need to decrease intake of flatus-forming foods.C. Teach the client how to perform gentle perianal care.D. Encourage the client to see a psychologist.3. 178. The client is admitted into the emergency department complaining of acute epigastric pain and reports vomiting a large amount of bright-red blood at home. Which interventions should the nurse implement? List in order of priority.A. Assess the clients vital signs.B. Insert a nasogastric tube.C. Begin iced saline lavage.D. Start an IV with an 18-gauge needle.E. Type and crossmatch for a blood transfusion.F. Ans (priority order): 1,4, 5, 2, and 34. 179.