Quiz 3 Prep U

A 2-month-old infant is diagnosed with hypothyroidism. When educating the parents, the nurse explains which as signs suggesting hypothyroidism? Select all that apply. "Your infant's high-pitched cry is a sign." "Your infant had a long period of jaundice from birth." "Your infant's motor activity has been decreased." "Your infant has had ongoing constipation." "Your infant was unusually long in length at birth."

"Your infant had a long period of jaundice from birth." "Your infant's motor activity has been decreased." "Your infant has had ongoing constipation."

A client is admitted with diabetic ketoacidosis (DKA). Which order from the physician should the nurse implement first? Start an infusion of regular insulin at 50 U/hr. Administer sodium bicarbonate 50 mEq IV push. Infuse 0.9% normal saline solution 1 L/hr for 2 hours. Administer regular insulin 30 U IV push.

Infuse 0.9% normal saline solution 1 L/hr for 2 hours

he instructor is teaching a group of students about irritable bowel syndrome (IBS) and antidiarrheal agents, the instructor determines that the teaching was effective when the students identify which of the following as an example of an antidiarrheal agent commonly administered for IBS? Loperamide Lubiprostone Dicyclomine Peppermint oil

Loperamide

When caring for a client with acute pancreatitis, the nurse should use which comfort measure? Administering an analgesic once per shift, as ordered, to prevent drug addiction Positioning the client on the side with the knees flexed Encouraging frequent visits from family and friends Administering frequent oral feedings

Positioning the client on the side with the knees flexed

Which liver function study is used to show the size of the liver and hepatic blood flow and obstruction? Magnetic resonance imaging Angiography Radioisotope liver scan Electroencephalography

Radioisotope liver scan

A client with liver cirrhosis develops ascites. Which medication will the nurse prepare teaching for this client? Furosemide Acetazolamide Spironolactone Ammonium chloride

Spironolactone

The nurse is completing a morning assessment of a client with cirrhosis. Which information obtained by the nurse will be of most concern? The skin on the client's abdomen has multiple spider-shaped blood vessels. The client has gained 2 kg from the previous day. The client reports nausea and anorexia. The client's hands flap back and forth when the arms are extended.

The client's hands flap back and forth when the arms are extended.

In a child with diabetes insipidus, which characteristic would most likely be present in the child's health history? delayed closure of the fontanels (fontanelles), coarse hair, and hypoglycemia in the morning gradual onset of personality changes, lethargy, and blurred vision vomiting early in the morning, headache, and decreased thirst abrupt onset of polyuria, nocturia, and polydipsia

abrupt onset of polyuria, nocturia, and polydipsia

The nurse is creating a discharge plan of care for a client with a peptic ulcer. The nurse tells the client to avoid acetaminophen. decaffeinated coffee. skim milk. octreotide.

decaffeinated coffee.

A client with cholelithiasis has a gallstone lodged in the common bile duct. When assessing this client, the nurse expects to note: yellow sclerae. light amber urine. circumoral pallor. black, tarry stools.

yellow sclerae.

The nurse is caring for a 5-year-old child recently diagnosed with type 1 diabetes. When discussing the care and management of the disorder with the child's parents, which statement(s) indicates understanding? Select all that apply. "Regular exercise will help in the regulation of my child's blood sugar levels." "If my child's blood glucose remains stable for a few months, my child can move from injections to pills." "When my child is ill and unable to eat, we will need to hold the insulin until the child is able to tolerate fluids." "The insulin dosages will be directly associated to my child's carbohydrate ingestion." "We need to rotate insulin injection sites to prevent complications."

"Regular exercise will help in the regulation of my child's blood sugar levels." "The insulin dosages will be directly associated to my child's carbohydrate ingestion." "We need to rotate insulin injection sites to prevent complications."

A nurse is assigned to care for a patient who is suspected of having type 2 diabetes. Select all the clinical manifestations that the nurse knows could be consistent with this diagnosis. Blurred or deteriorating vision Fatigue and irritability Polyuria and polydipsia Sudden weight loss and anorexia Wounds that heal slowly or respond poorly to treatment

Blurred or deteriorating vision Fatigue and irritability Polyuria and polydipsia Wounds that heal slowly or respond poorly to treatment

A nursing student is reviewing for an upcoming anatomy and physiology examination. Which of the following would the student correctly identify as a function of the liver? Select all that apply. Glucose metabolism Ammonia conversion Protein metabolism Carbohydrate metabolism Zinc storage

Glucose metabolism Ammonia conversion Protein metabolism

A nurse prepares a menu for a client with Crohn disease. What is the focus of dietary management for this disease? High carbohydrate, high protein Low calorie, high carbohydrate High calorie, high fiber Low fiber, low calorie

High carbohydrate, high protein

A client has developed drug-induced hepatitis from a drug reaction to antidepressants. What treatment does the nurse anticipate the client will receive to treat the reaction? Paracentesis Liver transplantation High-dose corticosteroids Azathioprine

High-dose corticosteroids

While conducting a physical examination of a client, which of the following skin findings would alert the nurse to the liklihood of liver problems? Select all that apply. Jaundice Petechiae Ecchymoses Cyanosis of the lips Aphthous stomatitis

Jaundice Petechiae Ecchymoses

A client comes to the ED with severe abdominal pain, nausea, and vomiting. The physician plans to rule out acute pancreatitis. The nurse would expect the diagnosis to be confirmed by an elevated result on which laboratory test? Serum calcium Serum bilirubin Serum amylase Serum potassium

Serum amylase

The nurse is caring for a child who has developed thyroid storm. What intervention(s) will the nurse initiate? Select all that apply. cooling blanket continuous cardiac monitoring increase dosage of L-thyroxine sodium decrease stimulation, such as turning off lights and television decrease caloric intake by 10% to 15%

cooling blanket continuous cardiac monitoring decrease stimulation, such as turning off lights and television

A client with acute pancreatitis has jaundice with diminished bowel sounds and a tender distended abdomen. Additionally, lab results indicate hypovolemia. What will the health care provider prescribe to treat the large amount of protein-rich fluid that has been released into the client's tissues and peritoneal cavity? Select all that apply. diuretics albumin sodium dextrose solution fentanyl

diuretics albumin

A 6-week-old infant has been diagnosed with congenital hypothyroidism. Once the level of medication has been determined, in order to maintain the proper dosing of thyroid hormone, the nurse instructs the parents to have the baby's levels tested how often during the first year? every 1 to 3 days every 1 to 3 weeks every 1 to 3 months every 3 to 6 months

every 1 to 3 months

A physician has ordered a liver biopsy for a client with cirrhosis whose condition has recently deteriorated. The nurse reviews the client's recent laboratory findings and recognizes that the client is at risk for complications due to: low platelet count. low sodium level. decreased prothrombin time. low hemoglobin.

low platelet count.

A toddler is being seen in the clinic. The parents describe a 2-day history of vomiting and diarrhea. The nurse's assessment finds the toddler is listless, has pale and slightly dry mucous membranes, and has decreased skin turgor. Based on this assessment, what intervention would the nurse implement first? oral rehydration therapy bolus IV fluids administer an antiemetic administer an antidiarrheal

oral rehydration therapy

A client reporting shortness of breath is admitted with a diagnosis of cirrhosis. A nursing assessment reveals an enlarged abdomen with striae, an umbilical hernia, and 4+ pitting edema of the feet and legs. What is the most important data for the nurse to monitor? Temperature Albumin Hemoglobin Bilirubin

Albumin

When caring for a client with advanced cirrhosis and hepatic encephalopathy, which assessment finding should the nurse report immediately? Weight loss of 2 pounds in 3 days Change in the client's handwriting and/or cognitive performance Anorexia for more than 3 days Constipation for more than 2 days

Change in the client's handwriting and/or cognitive performance

A group of students is reviewing information about the liver and associated disorders. The group demonstrates understanding of the information when they identify which of the following as a primary function of the liver? Breakdown amino acids Convert urea into ammonia Excrete bile Break down coagulation factors

Excrete bile

What information should the nurse include in the teaching plan for a client being treated for diverticulosis? Avoid unprocessed bran in the diet Avoid daily exercise; indulge only in mild activity Drink at least 8 to 10 large glasses of fluid every day Use laxatives or enemas at least once a week

Drink at least 8 to 10 large glasses of fluid every day

A client is receiving vasopressin for the urgent management of active bleeding due to esophageal varices. What most serious complication should the nurse assess the client for after the administration? Urinary output changes Electrocardiogram changes Electrolytes level changes Liver enzyme changes

Electrocardiogram changes

A client is evaluated for severe pain in the right upper abdominal quadrant, which is accompanied by nausea and vomiting. The physician diagnoses acute cholecystitis and cholelithiasis. For this client, which nursing diagnosis takes top priority? Acute pain related to biliary spasms Deficient knowledge related to prevention of disease recurrence Anxiety related to unknown outcome of hospitalization Imbalanced nutrition: Less than body requirements related to biliary inflammation

Acute pain related to biliary spasms

The mother of a newborn with a cleft lip reports she is having a hard time looking her baby. What is the best action by the nurse? Explain that surgery will make this better in the future. Encourage the mother to provide care for her infant. Encourage the child's mother to hold her infant against her shoulder to provide closeness while not looking at the defect. Tell the mother that while this is difficult it will get easier.

Encourage the mother to provide care for her infant.

A critical care nurse is caring for a client with acute pancreatitis. One potentially severe complication involves the respiratory system. Which of the following would be an appropriate intervention to prevent complications associated with the respiratory system? Maintain the client in a semi-Fowler's position. Administer enteral or parenteral nutrition. Carry out wound care as prescribed. Withhold oral feedings.

Maintain the client in a semi-Fowler's position.