Quiz 3

A school nurse is teaching elementary aged students about good hand washing. Which of the following hepatitis categories could the nurse be trying to prevent? (select all that apply)

A & E

A nurse is completing the admission assessment of a client who has acute pancreatitis. Which of the following findings is the priority to report?

Hand spasms present when blood pressure is checked

A nurse is caring for a client who has bleeding esophageal varices and is being treated with a Sengstaken-Blakemore tube. Which of the following actions should the nurse perform?

Maintain constant observation while the balloons are inflated.

A nurse is caring for a client who is postoperative following an open cholecystectomy who has a Jackson-Pratt (JP) drain placed. Upon assessment, the nurse notes that the client's JP drain has become dislodged from the client. What should the nurse do next?

Place a sterile gauze over the insertion site.

A nurse on a medical/surgical floor is admitting a client who has hepatitis B with ascites. Which of the following actions should the nurse include in the plan of care?

Provide a high-calorie, high-carbohydrate diet

A nurse in a clinic is reviewing the lab reports of a client who has suspected cholecystitis. Which of the following is an expected finding?

WBC 13,000

A nurse is caring for a client who has cirrhosis. Which of the following medications can the nurse expect to administer to this client? (select all that apply)

all of the above

A nurse is caring for a client with pancreatitis. When diet is resumed, which of the following are included in the diet? (select all that apply)

all of the above

A nurse is providing discharge teaching to a client who is postoperative following open cholecystectomy with T-tube placement. Which of the following instructions should the nurse include in the teaching? (select all that apply)

all of the above

Which of the following should be encouraged for clients who have cholelithiasis? (select all that apply)

all of the above

A nurse admits a client to the emergency department 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?

amylase 130 U/L

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?

fatty stools

A nurse is caring for a client who has a history of alcohol use disorder and reports bruising and frequent nosebleeds. The nurse should recognize that this client in manifesting which of the following conditions?

cirrhosis

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?

dark

A nurse is providing care for a client who had a laparoscopic cholecystectomy. Which of the following is an appropriate nursing action?

encourage ambulation

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?

gallstones

A nurse is preparing a client who is scheduled to undergo a paracentesis. Into which of the following positions should the nurse assist the client for this procedure?

high fowler's

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?

keep pt NPO

The most definitive diagnostic procedure to diagnose cirrhosis includes which of the following?

liver biopsy

A nurse is planning care for a client who has end-stage cirrhosis of the liver with encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level?

reduce protein intake