Nurs 30040

Front 1

To best facilitate an effective breathing pattern, the nurse would place a client with massive ascites in what position?

Back 1

high-Fowler position

Front 2

Reviewing a client’s chart, the nurse finds that the client has odynophagia. The nurse questions the client about experience with:

Back 2

knife-like pain

Front 3

The morning after admission, a client being treated for gallstones begins to vomit about every 15 minutes and is complaining of abdominal pain. The most appropriate action by the nurse would be to

Back 3

Prepare to insert a nasogastric (NG) tube

Front 4

A client who had onset of acute pancreatitis 6 days ago has a respiratory rate of 26 with fine crackles throughout lung fields, and seems a little confused and agitated. The nurse would continue to assess this client for manifestations of

Back 4

adult respiratory distress syndrome

Front 5

A nurse is providing discharge instructions for a post-cholecystectomy client. The nurse would view the goals for teaching had been effective when the client states he/she would

Back 5

notify the physician of jaundice or itching.

Front 6

A client has undergone radiation therapy to reduce the size of an esophageal tumor. The nurse should be especially vigilant in assessing for

Back 6

esophageal stenosis

Front 7

The nurse assesses asterixis while monitoring the blood pressure of a client with viral hepatitis. The nurse would interpret this finding as an indication of

Back 7

Hepatic encephalopathy

Front 8

A client experiencing hepatic encephalopathy is receiving lactulose. An irate family member asks, “Why in the world would the doctor give my husband something that gives him diarrhea when he is already so sick?” The nurse’s response would include that the purpose of the lactulose is to

Back 8

empty the bowel of protein

Front 9

The nurse recognizes that the individual at highest risk for development of gallstones is

Back 9

a 60-year old white women being treated for obesity.

Front 10

The nurse caring for a client with jaundice would assess for other findings frequently associated with this condition, such as

Back 10

excess pigmentation to the hands

Front 11

The nurse preparing to discharge a client with acute hepatitis B instructs the client to avoid

Back 11

acetaminophen and aspirin

Front 12

A nurse is assessing a client with a history of a duodenal ulcer. Which finding is consistent with the nurse’s knowledge about this condition?

Back 12

Pain may awaken the client in the middle of the night.

Front 13

A nurse is serving food trays. From the tray of a client with hepatic encephalopathy, the nurse would remove

Back 13

eggs

Front 14

The nurse has just finished inserting a nasogastric (NG) tube in a client who has difficulty swallowing. The best measure to test for placement of the tube is

Back 14

aspirating gastric contents.

Front 15

A client has returned from an open cholecystectomy. The nurse places the highest priority on which intervention?

Back 15

coughing and deep breathing

Front 16

The nurse notes on a client’s chart a report revealing unconjugated hyperbilirubinemia. The nurse explains the presence of unconjugated bilirubin indicates

Back 16

biliary obstruction is preventing blood flow through the liver.

Front 17

Ranitidine (Zantac) is prescribed for a client with a gastric ulcer. The statement that best indicates to the nurse that the client understands the action of this drug is

Back 17

'This drug reduces the acid in my stomach."

Front 18

A client is taking cortisone. The nurse schedules the medication with food because cortisone can have which effect on gastric mucosa when given on an empty stomach? Cortisone will cause

Back 18

Susceptibility of the mucosa to injury

Front 19

Activities the nurse could suggest to a client interested in preventing gallstone formation include which of the following?

Back 19

Maintain a low-fat diet

Front 20

A client needs insertion of a long tube for intestinal decompression. The tube that is inappropriate for intestinal decompression is the

Back 20

Salem-sump or Levin tube

Front 21

The nurse is working in an area experiencing an outbreak of hepatitis. The manifestations that the nurse would identify as early manifestations of the disease are

Back 21

epigastric pain and flu-like symptoms

Front 22

A client with massive ascites had a paracentesis. The site continues to leak through several layers of dressings, despite the nurse holding pressure. Which intervention should the nurse do first?

Back 22

Obtain urostomy pouch and apply it at the puncure site

Front 23

The nurse administers alternating doses of two antacids into the NG tube of a client with a duodenal ulcer. The finding that best indicates that this drug regimen has been successful is

Back 23

Increased gastric pH, mild diarrhea

Front 24

A client with acute pancreatitis has developed a Cullen’s sign. Which nursing diagnosis takes priority for this client?

Back 24

Imbalanced fluid volume

Front 25

A client has ascites and the nursing diagnosis Excess Fluid Volume. The nurse has orders to administer albumin and furosemide (Lasix). Which action by the nurse regarding this order is correct?

Back 25

Give the albumin first and then give the furosemide.

Front 26

The nurse planning the care of a client admitted with severe pancreatitis would anticipate the diet order of

Back 26

NPO with TPN

Front 27

A nurse explains to a client who recently ate in a fast-food restaurant where several people have developed hepatitis that the incubation period for this type of hepatitis is

Back 27

2.15 - 30 days

Front 28

A client with acute pancreatitis has a drop in blood pressure from 142/80 to 105/56 mm Hg at 2 hours after admission. The client has not voided and has become short of breath. The nurse would anticipate that the abnormal laboratory value consistent with these manifestations is

Back 28

hypoalbuminemia

Front 29

In caring for a client admitted to the hospital for treatment of cirrhosis, the nurse would know that priority interventions revolve around the client’s

Back 29

Risk for hemorrhage related to bleeding tendencies.

Front 30

A client returned to the nursing unit after cholecystectomy with common bile duct exploration has bile leaking from around the wound. The most appropriate nursing intervention at this time would be to

Back 30

assess the client further, asking about pain.

Front 31

When a client is admitted to the hospital for treatment of acute cholecystitis, the nurse would anticipate that the immediate medical management will be

Back 31

antibiotic therapy

Front 32

A client asks the nurse about the prescribed diet after gastric surgery. The nurse clarifies that a high-protein, high-fat, low-carbohydrate, dry diet is the best choice after gastric surgery because this diet

Back 32

is slow to leave the stomach.

Front 33

The nurse is caring for a client with chronic atrophic gastritis. When taking an admission history, the nurse would anticipate a history of

Back 33

pernicious anemia

Front 34

A client with oral Candidiasis has the nursing diagnosis Acute Pain related to altered oral mucous membrane and ulcerations. To rinse the mouth and provide comfort, the nurse should instruct the client to use:

Back 34

Saline mouth rinses.

Front 35

Metoclopramide (Reglan) is prescribed for a client with GERD. The nurse realizes that teaching about this drug has been effective when the client says “I understand metoclopramide

Back 35

decreases the time food and fluids are in my stomach

Front 36

In evaluating a client for the presence of gallbladder disease, the nurse would recognize that the client’s statement most suggestive of this problem is

Back 36

“I have a terrible pain in my stomach; it is so bad I can feel it in my shoulder.”

Front 37

The nurse should be mindful that the factor in a client’s history most likely to result in esophageal reflux is:

Back 37

heavy consumption of coffee daily

Front 38

A client with a history of cholelithiasis presents at the hospital with nausea and vomiting, abdominal pain, and jaundice. The nurse would assess the client for

Back 38

common bile duct obstruction

Front 39

The nurse planning to irrigate a nasogastric (NG) tube prepares to use

Back 39

normal saline

Front 40

To attempt to alleviate the pain of a client with acute pancreatitis, the nurse would place the client in the

Back 40

side-lying position with a pillow splinting the abdomen

Front 41

A client with acute gastritis is admitted to the emergency department for GI bleeding. The nurse would anticipate the client’s history will include

Back 41

alcohol abuse