Lippincott chapter 7 the client with biliary track disorders missed question

59. The client with a sengstaken blakemore tube had a sudden drop in SPO2 an increase in respiratory rate to 40 rest for a minute what should the nurse do in order from first to last

-affirm airway obstruction by the tube -Deflate the two by cutting with bedside scissors -Remove the tube -Apply oxygen via facemask

4. The client stores are likely gray in color. What additional information should the nurse obtained from the client select all that apply

-intolerance to fatty foods -Fever -Jaundice

21. When the nurse is providing care for a client hospitalized with acute pancreatitis, who has severe abdominal pain which nursing intervention would be most appropriate for this client select all that apply.

-please the client and his side lying position -Administer morphine sulfate for pain as needed -Water to the clients respiratory status -Of 10 daily weights

27. The nurse is assessing a client with chronic hepatitis B who is receiving lamivudine what information about the client is most important to communicate to the healthcare provider

A 3 kg weight gain over two days

36. The nurse is developing a teaching plan and the client with viral hepatitis. What information should the nurse include in the plan?

Obtained adequate bedrest

37. When planning care for a client with hepatitis A, the nurse should review laboratory reports for which laboratory value.

Prolonged prothrombin time

43. The nurses is demotion goals for a client with hepatitis A, which goes appropriate.

Revise the importance of reporting bleeding gums or bloody stools

42. The nurse is preparing a community education program about preventing hepatitis B infection. What information should be incorporated into the teaching plan?

The use of a condom is advised for sexual intercourse

44. The client had a liver biopsy one hour ago. What should the nurse do first

Auscultate, lung sounds

24. Which dietary instruction would be appropriate for the nurse to give a client who is recovering from acute pancreatitis.

Avoid crash, dieting

8. A client who had a cholecystectomy me, had a two tube for drainage, and the nurse measures the amount of bile drainage from the tea tube at the end of each shift. How should the nurse record the drainage?

Charting it separately on the output record

61. The nurse monitors the client with cirrhosis for the development of hetic encephalopathy , which would be the indication that this is developing.

Decrease mental status

57. The nurse is caring for a client with esophageal varices the nurse discuss which laboratory result findings with healthcare provider.

Elevated PT and INR

51. And client with cirrhosis begins to develop ascites. Spironolactone is prescribed to treat the site is the nurse should monitor the client closely for a bit drunk related adverse effect.

Hyper kalemia

63. The client to be discharged with the prescription for lactolos. The nurse teaches the client how to administer this medication which statement would indicate the client understood's information.

I will mix with apple juice

15. A client who had a Libra scopic has adhesive strips, or the puncture site repairing the client for discharge which client statements indicates a teaching has been successful. Select all that apply.

-I can resume my normal diet when I feel OK -I may experience some pain in my right shoulder -I can take a shower two days later

69. The nearest assessment consist of four components from highest to low as priority in which order should the nurse assess the receiving morning report

-The client was cirrhosis who became confused and disoriented during night -The client with acute pancreatitis is requesting pain -The client who is one day postoperative following a cholecystectomy and has a T tube inserted -New client with hepatitis B who has questions about discharge

53. The client with jaundice has Pruritus in areas of irritation from scratching what measures can be the nurse suggest a client used to prevent skin breakdown select all that apply.

-add baking soda to the water in the tub -Keep now short and clean -Rub the skin when it watches the knuckles instead of nails

32. A client with chronic hepatitis C is experiencing nausea, anxiety and fatigue during the health history the client states that his homosexual drinks, one or two glasses of wine with dinner is taking St. John's worth for depression and takes acetaminophen for headaches. Watch the nurse to select all that apply.

-instruct the client to ask the healthcare provider about taking any other medications as they may interact with the medication to the client is taking -Advise the client of the need for additional testing for HIV -Encourage the client obtain sufficient rest

49. The nurse is developing a care plan for a client with hectic encephalopathy. What golf at the care of this client select all that apply.

-prevent constipation -Administer lactulose to reduce blood ammonia levels -Monitor coordination while walking -Check people reaction -Provide food and fluids. Hi in carbohydrates

46. And client with cirrhosis is receiving lactulose. The nurse knows the client is more confused and has Asterixis. What should the nurse do next?

Assessed for GI bleeding

54. Which health promotion activity should the nurse suggested the client with cirrhosis add to daily routine at home

Abstain from drinking alcohol

31. The nurse is teaching an adult recreational drug user about measures to avoid acquiring hepatitis A. What information should the nurse include in the instructions select all that apply

-observe proper handwashing technique -Following safe syringe disposal procedure -Obtaining a vaccination -Using caution with eating fresh fruits and vegetables

50. The nurse is assessing a client who is in the early stages of cirrhosis of the liver which focused assessment is appropriate

Anorexia

19. On 1/ 16 at 8 o'clock the nurse is caring for a client with acute pancreatitis and reviewing progress notes as listed, which finding indicates the desired outcome of the transportation obtained at this time

Hemoglobin is 12

52. What diet should be inflammated for a client who is an early stages of cirrhosis

High calorie high carbohydrate

47. The nurses assess in the client with cirrhosis who is developed heptic encephalopathy the nursing notified the healthcare provider of a decrease in which Sim lab value that is potential precipitating factor.

Potassium

66. Client with ascites and peripheral edema is that restaurant. Skin integrity to prevent skin breakdown. What should the nurse do?

Use an alternating air pressure mattress

23. The client is receiving propantheline bromide in management of acute pancreatitis, which finding would indicate that the nurse should discuss with holding the medication with the healthcare provider.

Absent bowel sounds

1. The client has undergone a laparoscopic cholecystectomy which instruction should the nurse include in the discharge teaching.

Report biled color drainage from any incision