Quiz 7 Flashcards
A nurse is assessing a client who has an obstruction of the common bile duct resulting from chronic cholecystitis. Which of the following findings should the nurse expect?
a. Fatty stools
b. Straw-colored urine
c. Tenderness in the left upper abdomen
d. Ecchymosis of the extremities
a. Fatty stools
A nurse is providing care for a client who had a laparoscopic cholecystectomy. Which of the following is an appropriate nursing action?
a. Place the client in a supine position postoperatively.
b. Encourage ambulation once fully awake.
c. Offer the client ice cream postoperatively.
d. Instruct the client not to lift over 4.5 kg (10 lb).
b. Encourage ambulation once fully awake.
A nurse is caring for a client who has suspected cholecystitis. The nurse should expect the client’s urine to appear which of the following colors?
a. Pale yellow
b. Greenish-brown
c. Red
d. Dark and foamy
d. Dark and foamy
A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?
a. Include foods high in starch and proteins.
b. Include foods high in fiber.
c. Avoid foods high in fat.
d. Avoid foods high in sodium.
c. Avoid foods high in fat.
A nurse is caring for a client who has acute pancreatitis. After treating the client’s pain, which of the following should the nurse address as the priority intervention?
a. Provide oral hygiene
b. Assist the client to a side-laying position
c. Auscultate the client’s lung
d. Withhold oral fluids and food
d. Withhold oral fluids and food
A nurse is providing teaching to a client who has a history of pancreatitis. Which of the following food choices should the nurse instruct the client to avoid?
a. Noodles
b. Vegetable soup
c. Baked fish
d. Cheddar cheese
d. Cheddar cheese
A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client’s history?
a. Gallstones
b. Hypolipidemia
c. COPD
d. Diabetes mellitus
a. Gallstones
A nurse is assessing clients in a health clinic for risk factors for contracting hepatitis. Which of the following clients is at risk for developing hepatitis C?
a. A client who eats raw shellfish
b. A client who has multiple tattoos
c. A client who works in a child care center
d. A client who has recently traveled to a underdeveloped country
b. A client who has multiple tattoos
A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan?
a. Administer antibiotics
b. Provide a diet high in fat
c. Restrict fluids
d. Encourage short periods of ambulation.
d. Encourage short periods of ambulation.
A nurse is planning care for a client who has viral hepatitis. Which of the following actions should the nurse include in the plan of care?
a. Provide a high carbohydrate diet
b. Administer acetaminophen for pain
c. Encourage eating three large meals daily
d. Include high protein snacks
a. Provide a high carbohydrate diet
A nurse is teaching a client who has hepatitis A. Which of the following information should the nurse include?
a. A family history increases your risk for acquiring hepatitis A.
b. Hepatitis A infects the kidneys
c. Manifestations of the virus are similar to flu-like symptoms
d. The incubation of the virus is 5 days
c. Manifestations of the virus are similar to flu-like symptoms
A nurse is teaching a class about preventive care to clients who are at risk for acquiring viral hepatitis. Which of the following information should the nurse include in the presentation?
a. Avoid covering sores with bandages
b. Avoid handwashing after eating
c. Avoid food prepared with tap water
d. Avoid eating meat
c. Avoid food prepared with tap water
A nurse is teaching a client who has hepatitis A about preventing transmission of the virus. Which of the following strategies should the nurse include in the teaching?
a. Avoid eating at fast food restaurants
b. Avoid serving raw food
c. Practice effective hand hygiene
d. Wear barrier protection during vaginal intercourse
c. Practice effective hand hygiene
A nurse is teaching self-management to a client who has hepatitis B. Which of the following instructions should the nurse include in the teaching?
a. You may donate blood 6 months after completing the medication regimen.
b. Consume a high protein diet
c. Rest frequently throughout the day
d. Take acetaminophen every 4 hours as needed for discomfort.
c. Rest frequently throughout the day
A nurse is admitting a client who has Hepatitis C. Which of the following precautions should the nurse implement?
a. Droplet
b. Contact
c. Airborne
d. Standard
d. Standard
A nurse is planning care for a client who is scheduled for extracorporeal shockwave therapy the nurse should plan to monitor the client for which of the following adverse effects of ESWT?
Bruising, swelling, pain, & numbness.
A nurse is caring for a client who has just returned from the PACU after a traditional cholecystectomy. In which of the following positions should the nurse place the client?
a. Prone
b. Semi-Fowler’s
c. Supported Sims’
d. Dorsal recumbent
b. Semi-Fowler’s
A nurse is admitting a client to the surgical unit from the PACU following a cholecystectomy. Which of the following assessments is the nurse’s priority?
a. Bowel sounds
b. Surgical dressing
c. Temperature
d. Oxygen saturation
d. Oxygen saturation
A nurse is reviewing the provider’s prescriptions for a client experiencing a paralytic ileus following an appendectomy. Which of the following actions should the nurse expect to take?
a. Administer an antacid.
b. Provide a bulk-forming agent.
c. Insert nasogastric tube.
d. Apply a truss.
c. Insert nasogastric tube.
A nurse is assessing a client who has peritonitis. Which of the following findings should the nurse expect?
a. Bloody diarrhea
b. Board-like abdomen
c. Periumbilical cyanosis
d. Increased bowel sounds
b. Board-like abdomen
A nurse is caring for a child who has suspected appendicitis. Which of the following provider prescriptions should the nurse question?
a. Maintain NPO status.
b. Monitor oral temperature every 4 hr.
c. Medicate the client for pain every 4 hr as needed.
d. Administer sodium biphosphate/sodium phosphate (Fleet Enema) today
d. Administer sodium biphosphate/sodium phosphate (Fleet Enema) today
A nurse admits a client to the ED who reports nausea and vomiting that worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see?
a. Decreased WBC
b. Increased serum amylase
c. Decreased serum lipase
d. Increased serum calcium
b. Increased serum amylase
The nurse is completing a history and physical assessment for a client who has chronic pancreatitis. Which of the following findings should the nurse identify as a likely cause of the client’s condition?
a. high-calorie diet
b. prior gastrointestinal illnesses
c. tobacco use
d. alcohol use
d. alcohol use
A nurse is assessing a client who is African-American and has jaundice. Which of the following areas is the most reliable for the nurse to inspect the client for jaundice?
a. Palms of the hands
b. Hard palate
c. Conjunctiva
d. Back of the neck
b. Hard palate
A nurse in the emergency department is assessing a client who has pancreatitis. In which of the following laboratory results should the nurse expect to see an elevation?
a. amylase
b. potassium
c. calcium
d. hematocrit
a. amylase
A nurse is administering an IM injection to a client who has hepatitis C. Before placing the syringe and needle in a puncture-resistant container, which of the following actions should the nurse take?
a. recap the needle
b. place the cap on the bedside table and slide the needle into the cap
c. wrap the needle with gauze
d. dispose of the needle uncapped
d. dispose of the needle uncapped
A nurse is teaching a client who is scheduled for extracorporeal shock wave lithotripsy (ESWL). Which of the following statements by the client indicates understanding of the teaching?
a. “I will be fully awake during the procedure”
b. “lithotripsy will reduce my chances of having stones in the future”
c. “I will report any bruising that occurs to my doctor”
d. “Straining my urine following the procedure is important”
d. “Straining my urine following the procedure is important”
Your patient is admitted for an acute pancreatitis which of the following prescriptions
should the nurse anticipate?
pantoprazole
A nurse is providing discharge teaching for a client who has chronic pancreatitis which of the following statement should the nurse make?
You should increase protein intake (helps with healing)
Next Gen: Vital signs that indicate the client is progressing (positive way)?
Look at any vitals that show improvement.
A nurse is caring for a client who is post op following a cholecystectomy & reports pain
which of the following should the nurse do?
a. Identify the clients pain level.
b. Change the client’s position.
c. Remind the client to incisional splinting.
d. Offer the client a back rub.
A nurse is caring for a postoperative appendectomy patient the surgeon initially prescribed a clear liquid diet which of the following should the nurse offer?
Broth
Grape juice
Lemon gelatin
