NURS 206-exam 6

A nurse is caring for a client who is 4 hr postoperative following a laparoscopic cholecystectomy. Which of the findings should the nurse expect? A) Right shoulder pain B) Urine output 20 mL/hr C) Temperature 38.4 C (101.1 F) D) Oxygen saturation 92%

A) Right shoulder pain

A community health nurse is planning an educational program about hepatitis A. When preparing the materials the nurse should identify that which of the following groups is most at risk for developing hepatitis A? A) children B) older adults C) women who are pregnant D) middle-aged men

A) children

A nurse is caring for a client who has celiac disease. Which of the following foods should the nurse remove from the client's meal tray? A) wheat toast B) tapioca pudding C) Hard-boiled eggs D) Mashed potatoes

A) wheat toast

A nurse is caring for a client who is scheduled to undergo a liver biopsy for a suspected malignancy. Which of the following laboratory findings should be the nurse monitor prior to the procedure? A) Prothrombin time B) Serum lipase C) Bilirubin D) Calcium

A) Prothrombin time

A nurse is caring for a client who has a history of cirrhosis and is admitted with manifestations of hepatic encephalopathy. The nurse should anticipate a prescription for which of the following laboratory tests to determine the possibility of recent excessive alcohol use? A) Gamma-glutamyl transferase (GGT) B) Alkaline phosphatase (ALP) C) Serum Bilirubin D) Alanine aminotransferase (ALT)

A) Gamma-glutamyl transferase (GGT)

A nurse is preparing a community education program about hepatitis B. Which of the following statements should the nurse include in the teaching? A) "A hepatitis B immunization is recommended for those who travel, especially the military." B) "A hepatitis B immunization is given to infants and children." C) "Hepatitis B is acquired by eating foods that are contaminated during handing." D) "Hepatitis B can be prevented by using good personal hygiene habits and proper sanitation."

B) "A hepatitis B immunization is given to infants and children."

A nurse is teaching a client who has Barrett's esophagus and is scheduled to undergo an esophagagastroduodenenoscopy (EGD). Which following statements should the nurse include in the teaching? A) "This procedure is performed to measure the presence of acid in your esophagus." B) "This procedure can determine how well the lower part of your esophagus works." C) "This procedure is performed while you are under general anesthesia." D) "This procedure can determine if you have colon cancer."

B) "This procedure can determine how well the lower part of your esophagus works."

A nurse is caring for a client who is scheduled to undergo an EGD. The nurse should identify that this procedure is used to do which of the following? A) To visualize polyps in the colon B) To detect an ulceration in the stomach C) To identify an obstruction in the biliary tract D) To determine the presence of the free air in the abdomen

B) To detect an ulceration in the stomach

A nurse is assessing a client who is in the early stages of hepatitis A. Which of the following manifestations should the nurse expect? A) jaundice B) anorexia C) dark urine D) pale feces

B) anorexia

A nurse is caring for a client who has percutaneous endoscopic gastrostomy (PEG) tube and is receiving intermittent feedings. Prior to initiating the feeding which of the following actions should the nurse take first? A) flush the tube with water B) place the client in semi-fowler's position C) cleanse the skin around the tube site D) aspirate the tube for residual contents

B) place the client in semi-fowler's position

A nurse is caring for a client who has acute pancreatitis. Which of the following serum laboratory values should the nurse anticipate returning to the expected reference range within 72 hr after treatment begins? A) Aldolase B) Lipase C) Amylase D) Lactic dehydrogenase

C) Amylase

A nurse is caring for a client who has fulminant hepatic failure. Which of the following procedures should the nurse anticipate for this client? A) endoscopic sclerotherapy B) Liver lobectomy C) Liver transplant D) Transjugular intrahepatic portal-systemic shunt placement

C) Liver transplant

A nurse in the emergency department is caring for a client who has bleeding esophageal varices. The nurse anticipates a prescription for which of the following medications? A) famotidine B) Esomeprazole C) Vasopressin D) Omeprazole

C) Vasopressin

A nurse is providing dietary teaching to a client who has diverticulitis about preventing acute attacks. Which of the following foods should the nurse recommend? A) foods high in vitamin C B) foods low in fat C) foods high in fiber D) Foods low in calories

C) foods high in fiber

A nurse is assessing a client who was admitted with a bowel obstruction. The client reports severe abdominal pain. Which of the following findings should indicate to the nurse that a possible bowel perforation has occurred? A) elevated blood pressure B) bowel sounds increased in frequency and pitch C) rigid abdomen D) emesis of undigested food

C) rigid abdomen

A nurse is assessing a client who is experiencing perforation of a peptic ulcer. Which of the following manifestations should the nurse expect? A) increased blood pressure B) Decreased heart rate C) Yellowing of the skin D) Boardlike Abdomen

D) Boardlike Abdomen

A nurse is caring for a client who is 2 days postoperative following a gastric bypass. The nurse notes that bowels sounds are present. Which of the following foods should the nurse provide at that initial feeding? A) vanilla pudding B) apple juice C) diet ginger ale D) clear liquids

D) Clear liquids

A 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 caring for a client who is receiving total parenteral nutrition (TPN) therapy and has just returned to the room following physical therapy. The nurse notes that the infusion pump for the client's TPN is turned off. After restarting the infusion pump, the nurse should monitor the client for which of the following findings? A) hypertension B) excessive thirst C) fever D) diaphoresis

D) diaphoresis

A nurse is caring for a client who is dehydrated and is receiving continuous tube feeding through a pump at 75 mL/hr. When the nurse assesses the client at 0800 which of the following requires intervention by the nurse? A) a full pitcher of water is sitting on the client's bedside table within the client's reach B) the disposable feeding bag is from the previous day at 1000 and contains 200 mL of feeding C) The client is lying in the right side with a visible dependent loop in the feeding tube D) the head of the bed is elevated 20 degrees

D) the head of the bed is elevated 20 degrees