Adult 2 unit 4/5

Lap cholecystectomy will be able to return in

1 week

A patient be off must aspirin for a least ____ days before they can undergo nephrectomy

10

The lab results of concern with cystitis is a urine bacteria count of ______________

100,000 colonies per ml

antacids should be taken _________ before or after other medications

2 hours

You do not eat red meat for __ days prior to collecting specimen for a bowel

3

An hourly output that is monitored after a nephrectomy if it is under ____ ml/hour notify provider immediately

30

With hydronephrosis permanent damage may occur in less than _____ hours

48

the patient with a hiatal hernia should eat

6 small meals a day

The 1-day postoperative ileostomy patient is concerned about the fact that no drainage has occurred from the ileostomy. The nurse reminds the patient that: (Select all that apply.) a. The drainage does not start until approximately 24 to 48 hours after surgery. b. The first drainage will have blood in it. c. Mucus will be obvious in the early drainage. d. The first drainage is expelled with a great deal of force. e. A large amount of flatus will accompany the first drainage.

A, B, C

The nurse caring for a patient with achalasia can help the patient reduce swallowing difficulty by: (Select all that apply.) a. Identify foods that cause the problem. b. Experiment with different eating positions. c. Elevate the head of the bed at night. d. Suggest eating more rapidly. e. Offer small bites of fresh vegetables.

A, B, C

The nurse counsels that complications of the continent pouches (Kock and Indiana) may be: (Select all that apply.) a. Incontinence b. Difficult catheterization c. Pyelonephritis d. Rupture of the pouch e. Peritonitis

A, B, C

When the nurse reads the serum calcium laboratory report of 4.2 mEq/L the nurse would anticipate the patient to exhibit: (Select all that apply.) a. Irritability b. Tingling sensations in limbs c. Tetany d. Nausea e. Visual disturbances

A, B, C

The nurse includes in the teaching plan information about when and where specific digestion of food takes place: (Select all that apply.) a. Renin breaks down milk protein in the stomach. b. Lipase breaks down fats in the stomach. c. Pepsin begins to break down proteins in the stomach. d. Liver and pancreatic secretions break down fats in the small bowel. e. Ptyalin (amylase) breaks down carbohydrates in the colon.

A, B, C, D

The nurse caring for a patient with a Foley catheter will include implementations for the nursing diagnosis risk for infection, such as: (Select all that apply.) a. Keep the bag below the level of the bed. b. Provide perineal care twice a day. c. Coil tubing on the bed. d. Using standard precautions when handling urine and tubing. e. Keep the drainage system closed.

A, B, C, D, E

The home health nurse suggests dietary changes to an older woman to help prevent constipation, which include: (Select all that apply.) a. Addition of whole-grain cereal b. Cessation of laxative use c. Increase in liquid intake d. Increase in sugar intake e. Eating fresh vegetables

A, B, C, E

The nurse instructs the patient to be diligent in cleaning fecal matter from around the stoma because the fecal matter can cause: (Select all that apply.) a. Fungal infection b. Bacterial infection c. Yeast infection d. Deterioration of the stoma e. Odor

A, B, C, E

The postoperative ostomate is at risk for loss of fluid volume and electrolyte imbalance. The assessments that indicate such loss are: (Select all that apply.) a. Changing mental status b. Twitching c. Poor skin turgor d. Moist mucous membranes e. Weakness

A, B, C, E

The 92-year-old patient dehydrated from diarrhea exhibits anorexia and has lost 1 pound since yesterday. To help stimulate intake, the nurse would: (Select all that apply.) a. Moisten the patient's mouth with mouthwash. b. Put away bedpans and urinals. c. Leave the patient in privacy during mealtime. d. Check the fit of the patient's dentures. e. Offer favorite foods.

A, B, D, E

While the patient is on TPN feedings, the nurse will include in the care plan to: (Select all that apply.) a. Monitor for hyperglycemia. b. Assess temperature. c. Change subclavian dressing with clean procedure. d. Monitor for hypoglycemia. e. Assess intake and output.

A, B, D, E

The major considerations for placement of a stoma are to provide: (Select all that apply.) a. Good seal b. Stabilization from the abdominal rectus c. Ease of self-care d. Inoffensive appearance e. Proximity to the umbilicus

A, C

The nurse makes a list of drugs and herbal remedies that are harmful to the liver, which includes: (Select all that apply.) a. Comfrey (herbal remedy) b. Promethazine (Phenergan) c. Acetaminophen (Tylenol) d. Oral contraceptive (Yaz) e. Lavender (herbal remedy)

A, C

When the female patient complains of a very painful urethritis, the home health care nurse questions the patient about the use of: (Select all that apply.) a. Bubble bath b. Vitamin preparations c. Herbal remedies d. Vaginal sprays e. Exercise machines

A, D

The nurse, in planning the care for an older adult patient, takes into consideration the changes in kidney function, which are related to age. These changes are: (Select all that apply.) a. Thinning of nephron membranes b. Sclerosis of renal blood vessels c. Decreasing glomerular filtrations d. Decreasing ability to concentrate or dilute urine e. Decreasing erythropoietin

B, C, D, E

Oliguric stage you have an increase of _____

BUN

The nurse reminds the patient with liver disease that the level of ____________________ in the blood is an indicator of the how well the liver is functioning.

Bilirubin

For an _____ you watch for signs and symptoms of perforation or an expectoration of blood

EGD

________ is a substance secreted by the kidneys that stimulates the marrow to produce red blood cells

Erythropoietin

When the kidneys are not functioning, as in renal failure they stop producing __________ and the patient becomes _______

Erythropoietin, Anemic

Symptom of ____ __________ is vomiting of bright red blood, which is above the stomach and there is coffee ground emesis where the blood has come in contact with stomach contents

GI Bleed

The nurse is aware that if a ureter is blocked by a kidney stone, the urine backs up into the kidney causing _________________.

Hydronephrosis

With any type of major abdominal surgery you should monitor heart and lung sounds and monitor bowel sounds and the patient is _____ until bowel sounds return

NPO

____________ _______ _______ is a hereditary cyst formation in the nephron, kidney enlargement and effects both kidneys

Polycystic kidney disease

For assessment of ____________ look for rapid onset, chills, fever, malaise, vomiting, localized flank pain, costovertebral tenderness

Pyelonephritis

_____________ is an inflammatory disorder affecting renal pelvis and parenchyma

Pyelonephritis

Why would Pepcid or Prilosec be used for PUD?

To reduce gastric secretions

with ________ you must monitor intake and output

Uremia

The patient comes to the industrial nurse and is frantic because the stoma to the colostomy has prolapsed 1 year after surgery. The nurse's best counsel would be: a. "If there are still feces coming from the stoma, then it is not blocked. Contact your surgeon for an evaluation." b. "You must come in immediately, because the stoma may completely retract into your abdomen." c. "This is an emergency situation, because it has stenosed." d. "Don't worry about that. Coughing or sneezing might have caused the prolapse. It will come back out in a few hours."

a. "If there are still feces coming from the stoma, then it is not blocked. Contact your surgeon for an evaluation."

A patient is receiving discharge instructions. He shares with the nurse that he intends to do a lot of traveling. Instructions for travel should include which one of these points? a. "Pack plenty of extra colostomy supplies in your checked airline luggage. Some places you might visit do not always carry the supplies you will need." b. "Exercise caution with new foods, especially local fruits and vegetables, because they may cause diarrhea or gas." c. "If visiting somewhere where drinking local water is not advised, irrigating the colostomy with the local water is still okay." d. "Repeat back to me what we just talked about so that you will remember everything you have been taught."

a. "Pack plenty of extra colostomy supplies in your checked airline luggage. Some places you might visit do not always carry the supplies you will need."

A baby born without a urinary bladder has a cutaneous ureterostomy with one stoma and a cutaneous ureterostomy has been surgically created. One stoma exists. Discussion with the child's family regarding the care should include which of the following? a. "This urinary diversion is permanent, and urine will drain from it continually." b. "In the future, a second surgery will offer an exit for the urine from the other kidney." c. "This pouch needs to be changed only once a week." d. "You should notify the surgeon if the stoma becomes paler in color."

a. "This urinary diversion is permanent, and urine will drain from it continually."

The nurse who is caring for a patient with an ileostomy is aware that the continual loss of liquid stool may result in: a. Acidosis b. Alkalosis c. Erosion of stoma d. Colitis

a. Acidosis

During an admission assessment, the nurse assesses a risk factor that increases the chances of developing oral cancer; it is: a. Alcohol consumption b. Chewing gum c. Environmental pollution d. Consumption of a high-fat diet

a. Alcohol consumption

The most effective way for a nurse to help provide support to the ostomate who has ineffective regimen management is to: a. Ask a volunteer from the American Cancer Society or United Ostomy Association to visit. b. Ask a volunteer from the Reach for Recovery Society to visit. c. Send a close family member for psychiatric counseling. d. Obtain humor books pertaining to illness, such as Anatomy of an Illness, or watch several episodes of the Three Stooges on television.

a. Ask a volunteer from the American Cancer Society or United Ostomy Association to visit.

An ostomate asks the nurse what limitations must be observed in the immediate postoperative period when at home. The most informative information that the nurse can share is to: a. Avoid heavy lifting for at least 3 months. b. Limit fluid intake to no more than 1000 ml/day. c. Wear loose clothing without belts or elastic. d. Cover your appliance with plastic sheeting while showering.

a. Avoid heavy lifting for at least 3 months.

The nurse recognizes that the patient with renal failure has entered the oliguric stage when: a. Blood urea nitrogen (BUN) level rises. b. Serum calcium increases. c. Blood volume decreases. d. Urine osmolality increases.

a. Blood urea nitrogen (BUN) level rises.

Patients with chronic renal failure who are receiving dialysis are prone to injury because of: a. Bone demineralization and peripheral neuropathy b. Fatigue and drug side effects c. Impaired immune response and malnutrition d. Multiple life changes and hormone deficiencies

a. Bone demineralization and peripheral neuropathy

The nurse explains that the newest endoscopic procedure for examining the small intestine is the: a. Capsule camera b. Fiber-optic light probe c. Rigid lighted tubes d. Flat plate

a. Capsule camera

The nurse reports the observation that would indicate blocked flow of bile from the liver to the intestine, which is: a. Clay-colored stools b. Jaundice c. High blood pressure d. Tachycardia

a. Clay-colored stools

The nurse would assess the progress of ascites on a daily basis by: a. Daily weights and abdominal girth measurements. b. Intake-output and electrolyte levels. c. Blood pressure and pulse. d. Daily temperatures and oxygen levels.

a. Daily weights and abdominal girth measurements.

The initial assessment of a patient just returned from surgery for the creation of an Indiana pouch would include the: a. Drainage of urine from the Penrose drain at the operative site b. Condition and color of the stoma c. Appearance of mucus in the urine d. Copious and odorous urine drainage from the incision

a. Drainage of urine from the Penrose drain at the operative site

The nurse includes in the teaching plan for a patient with hepatitis A to avoid sharing: a. Food b. Bodies c. Needles d. Housing

a. Food

The nurse has collected several stool specimens that are to be sent to the laboratory. The nurse should: a. Immediately take the specimens to the laboratory to be tested for parasites and ova. b. Take the specimens to the laboratory to be tested for culture and sensitivity, and leave them for later pickup. c. Take the specimens to the refrigerator to be tested later for parasites and ova. d. Leave the specimens in a warm place until convenient time to deliver to the laboratory

a. Immediately take the specimens to the laboratory to be tested for parasites and ova.

The assessment of a patient who is receiving a TPN feeding indicates hyperglycemia when which one of the following occurs? a. Increase of urine output b. Sudden diarrhea c. Abdominal distention d. Tachycardia

a. Increase of urine output

The nurse who is performing frequent catheterizations for residual urine has a concern related to the potential for: a. Introduction of pathogens into the bladder b. Frequent genital exposure of the patient c. Presence of the indwelling catheter d. Causing urethral erosion

a. Introduction of pathogens into the bladder

The nurse caring for a patient with acute glomerulonephritis is aware that the inflammation of the capillary loops in the glomeruli leads to: a. Moderate-to-high blood pressure b. Low blood volume with polyuria c. Irritability and hyperactivity d. Low levels of BUN and creatinine

a. Moderate-to-high blood pressure

In planning the care for the patient with pancreatitis, the nurse assigns the highest priority to: a. Patient claims satisfaction with pain control. b. Patient states an understanding of medications needed on discharge. c. Patient's activity level tolerance shows an increase. d. Patient can maintain a normal bowel pattern.

a. Patient claims satisfaction with pain control.

Patient teaching to promote self-care for the individual with diverticulosis should include the avoidance of: a. Peanuts and raspberries b. Apples and pears c. Red meat and dairy products d. Bran and whole grains

a. Peanuts and raspberries

The nurse explains that with the continued rise in ammonia levels in the patient with cirrhosis, the diet will be modified to restrict: a. Protein b. Carbohydrates c. Fats d. Water-soluble vitamins

a. Protein

The set of findings that best indicate that the patient with intestinal obstruction has achieved normal hydration is: a. Pulse and blood pressure are within the patient's norms, mucous membranes are moist, and fluid intake and output are equal. b. Pulse rate is strong (at least 60 beats/min), bowel sounds are normal, and a respiratory rate of 22 breaths/min is recorded. c. Blood pressure is within the patient's norm, the temperature is below normal, and adequate tissue turgor is observed. d. Mucous membranes are moist, the 24-hour fluid intake is higher than the 24-hour output, and the pulse rate is elevated.

a. Pulse and blood pressure are within the patient's norms, mucous membranes are moist, and fluid intake and output are equal.

The nurse assesses a Grey Turner sign in a patient who was admitted 2 days earlier after an automobile accident. This finding indicates: a. Retroperitoneal bleeding and bruising over the flank b. Hematuria with abdominal bruising c. Distended bladder with painful urination d. Bladder spasms on palpation of abdomen

a. Retroperitoneal bleeding and bruising over the flank

To assist a colostomy patient in selecting an appropriate diet to reduce excess gas or diarrhea, the nurse would encourage the patient to choose: a. Roast beef, mashed potatoes, peeled stewed tomatoes b. Broiled pork chop, boiled potato, corn on the cob c. Broiled trout, mashed potatoes, spinach d. Barbeque pork on a white bun, coleslaw, French fries

a. Roast beef, mashed potatoes, peeled stewed tomatoes

The nurse is caring for a patient hemorrhaging from a peptic ulcer when the patient complains of a sharp sudden pain, with a rapidly deteriorating condition. Initially, the nurse should: a. Roll the patient flat, and assess the vital signs. b. Notify the charge nurse. c. Suction the mouth. d. Prepare for intravenous (IV) infusions.

a. Roll the patient flat, and assess the vital signs.

In postoperative teaching to a patient who has undergone a ureterostomy, the nurse would include information pertaining to the: a. Significance of the ureteral catheter for the first week. b. Appropriate use of karaya gum products. c. Daily schedule for changing the pouch. d. Evening schedule for changing the pouch before bedtime.

a. Significance of the ureteral catheter for the first week.

The patient who has undergone a colostomy is instructed to measure the width of the stomas for the first 6 weeks postoperatively before applying each new pouch because: a. The stoma will shrink during this time. b. A poor-fitting pouch will cause infection of the stoma. c. The paste will not adhere. d. Prolapse will result.

a. The stoma will shrink during this time.

A 47-year-old patient with a permanent colostomy reports some abdominal discomfort and rigidity 3 days after surgery. The assessment that the nurse should report and record is: a. Vital signs are: temperature, 100° F; pulse, 92 bpm; blood pressure, 160/98 mm Hg. b. Stoma is swollen and red; small amount of blood are observed at the base. c. Pouch has drained 110 ml of green-brown liquid, oozing from the pouch edges. d. Stoma is protruding.

a. Vital signs are: temperature, 100° F; pulse, 92 bpm; blood pressure, 160/98 mm Hg.

__________ _________ is Protrusion of an organ from its normal cavity thru an abnormal opening - most often occurs in abdominal cavity

abdominal hernia

pain urq, belching, and indigestion after meals are symptoms of

acute cholecystitis

the causes of _______ ________ are excessive alcohol, food poisoning, aspirin, ibuprofen, corticosteroids, NSAIDS, heavily spiced foods

acute gastritis

________ are given to neutralize stomach acid

antacids

the treatment of peptic ulcers is

antacids

Do not give _________ with Mylanta, it is given 2 hours apart from other drugs due to interference with absorption

antibiotics

you must obtain the UA and do the culture and sensitivity before starting ___________ with a patient that has a UTI

antibiotics

__________ is removal of the antrum (portion of the stomach that produces gastrin)

antrectomy

the skin color that is present with renal problems is

ashen to yellow

Always __________ before palpating

auscultate

The young woman with severe jaundice has a nursing diagnosis of "Altered body image, related to jaundice." When the patient says, "Will I always be this horrible color?" the nurse replies: a. "Yes, but your sclera will return to their previous white color." b. "No. The color will fade gradually as liver inflammation decreases." c. "Yes, but cosmetics can disguise the color." d. "No, the color will change to freckles."

b. "No. The color will fade gradually as liver inflammation decreases."

The patient inquires if this newer type of gastric analysis is going to require passage through a nasogastric tube. The nurse replies: a. "Yes, but just for the instillation of the dye." b. "No. You take a dye orally, which will be excreted in the urine in approximately 2 hours." c. "Yes. You will take the dye orally, and then several gastric withdrawals through the tube will show the dye." d. "Yes. Only one withdrawal will be made through the tube, which will be treated with dye and read in approximately 2 hours."

b. "No. You take a dye orally, which will be excreted in the urine in approximately 2 hours."

The nurse becomes alarmed when the patient on dialysis who is taking gentamicin (Garamycin) says: a. "I have a horrible headache." b. "Speak up! I can't hear you." c. "I've had diarrhea once or twice today." d. "I'm thirsty. I can't get enough water."

b. "Speak up! I can't hear you."

The patient says, "I hate this yucky paste under my appliance. I think I will just tape it on." The nurse's most informative response to this remark would be which of the following? a. "Taping will not work!" b. "Taping will not seal the wafer tight enough to prevent leakage or fill in creases." c. "Taping with waterproof tape is just as effective as the paste." d. "Taping is far more irritating to the skin than the paste would be."

b. "Taping will not seal the wafer tight enough to prevent leakage or fill in creases."

The patient who has cystitis has been told to drink at least 30 ml for each kilogram of body weight. Her weight is 154 pounds. The nurse instructs the patient to drink: a. 1500 ml/day b. 2100 ml/day c. 2700 ml/day d. 3100 ml/day

b. 2100 ml/day

A family member of a patient who has returned to the special unit after renal transplantation is alarmed by blood in the urine of the patient. The nurse's best explanation would be that the hematuria is: a. Related to the immunosuppressant drugs taken before transplantation b. A normal postoperative expectation c. Not blood but dye injected during surgery d. A small vessel that may be bleeding but will coagulate as urine flow increases

b. A normal postoperative expectation

The goal of medical treatment for patients with cirrhosis is to prevent complications and limit cell damage. A major approach is to promote rest. The reason for this is to: a. Allow time for a transplant. b. Allow the liver to regenerate. c. Prevent red cell destruction. d. Decrease the risk of trauma.

b. Allow the liver to regenerate.

In assessing the patient with jaundice, who has been diagnosed for impaired skin integrity, the nurse should: a. Sedate the patient. b. Apply mittens or socks to the hands. c. Restrain the hands. d. Distract the patient with conversation.

b. Apply mittens or socks to the hands.

The nurse caring for a patient who had a ureteral catheter in place after the removal of a kidney stone would focus care on: a. Irrigating the catheter regularly. b. Assessing for patency. c. Including ureteral output with the bladder output. d. Early ambulation.

b. Assessing for patency.

The instruction that should be given to the patient with portal hypertension to reduce the threat of hemorrhage is to: a. Eat bland foods. b. Avoid straining to have a bowel movement. c. Increase fluid intake. d. Use an electric razor to shave.

b. Avoid straining to have a bowel movement.

The patient on dialysis asks why he is receiving aluminum hydroxide gel (Amphojel), a phosphate binder, for his renal disorder. The nurse explains that Amphojel will: a. Calm the frequent upset stomach experienced by patients on dialysis. b. Bind with phosphorus to increase the serum calcium level. c. Increases the appetite. d. Correct the pH of the bowel.

b. Bind with phosphorus to increase the serum calcium level.

The patient asks if rectal suppositories can be used to assist with constipation problems with his colostomy. The nurse clarifies that suppositories: a. Can be used in double-barreled colostomies b. Cannot be used in a stoma c. Should not ever be used in a colostomy d. Will not penetrate well enough to relieve constipation

b. Cannot be used in a stoma

The nurse is preparing to give a tube feeding using a large syringe. Before infusion, the nurse should: a. Roll the patient flat. b. Check for a residual formula, and return the patient to his or her stomach. c. Place the end of the tube in water, and check for bubbles. d. Flush the tube.

b. Check for a residual formula, and return the patient to his or her stomach.

To ensure a good fit of the appliance to avoid leakage, the nurse would instruct the patient to: a. Place the pouch only when lying down. b. Check pouch placement to ensure a firm seal. c. Confirm that the pouch fits tightly to the edges of the stoma. d. Confirm that the pouch covers the entire abdomen.

b. Check pouch placement to ensure a firm seal.

The nurse caring for the immediate postoperative patient with an ileal conduit should report or intervene for: a. Lack of bowel sounds b. Distended abdomen c. Mucus present in the urine d. Small amount of blood in the drainage

b. Distended abdomen

After receiving a tube feeding, the patient becomes sweaty and has abdominal distention with diarrhea. The nurse assesses that this response is because of: a. Expected reaction to the tube feeding b. Dumping syndrome c. Gastric reflux syndrome d. Onset of gastroenteritis

b. Dumping syndrome

The nurse caring for a patient with esophageal surgery who has had stents placed in the esophagus instructs the patient how best to avoid regurgitation. The instruction should include: a. Keep the bed flat. b. Eat only small meals. c. Lie on the right side after meals. d. Drink three glasses of fluid with each meal.

b. Eat only small meals.

Before discharge after a laparoscopic procedure for cholelithiasis, the patient is advised to: a. Take water-soluble vitamins. b. Follow a low-fat diet. c. Expect light-colored stools for several days. d. Keep dressing over T-tube dry.

b. Follow a low-fat diet.

The patient with chronic renal failure who is to begin renal dialysis treatment asks for advice about which type of dialysis would be best. The patient is considering peritoneal dialysis because it is less expensive and has fewer dietary and fluid restrictions. The nurse's best advice is that peritoneal dialysis: a. Has literally no drawbacks. b. Gives more independence and more closely resembles normal kidney function. c. Is a lot more work than hemodialysis, in which the health care staff takes care of everything. d. Usually does not work very well and has many complications, such as a high blood sugar level.

b. Gives more independence and more closely resembles normal kidney function.

After abdominal surgery, the patient must cough and take deep breaths. How can the nurse best achieve this with this patient? a. Withhold analgesics until the patient performs this task. b. Help the patient splint the incision with a pillow. c. Explain that pneumonia occurs if deep breathing is not carried out every 4 hours. d. Ambulate the patient 40 feet to increase his need for oxygen.

b. Help the patient splint the incision with a pillow.

The nurse assures the patient that the Occupational Health and Safety Administration (OSHA) has a requirement that all health care providers have the vaccination for: a. Hepatitis A b. Hepatitis B c. Hepatitis C d. All strains of hepatitis.

b. Hepatitis B

Your 34-year-old patient is admitted with severe diarrhea, which has been going on for 2 weeks. The nurse would anticipate the assessments of: a. Edema of lower legs and feet b. Hypotension and fatigue c. Hypertension and hunger d. Metabolic alkalosis

b. Hypotension and fatigue

The nurse assesses a dropping bilirubin level in a patient with hepatitis to mean that the: a. Red blood cell destruction is decreasing. b. Liver function is improving. c. Kidneys are compensating for liver dysfunction. d. Kupffer cell damage is continuing.

b. Liver function is improving.

The nurse explains that an artificial opening into a body cavity is a(n): a. Gastrostomy b. Ostomy c. Colonoscopy d. Ureterostomy

b. Ostomy

As the nurse assesses the patient with renal impairment, a facial characteristic that is a sign of fluid retention is: a. Broken blood vessels around the nose b. Periorbital edema c. Rash on cheeks and neck d. Facial twitching

b. Periorbital edema

Because the colostomy patient continues to worry about odor, the nurse can allay those concerns by explaining that odor can be diminished by: a. Piercing the top of the appliance bag with a pin to allow gas to escape b. Rinsing the pouch in a vinegar solution c. Wearing tight-fitting underwear d. Improving personal hygiene

b. Rinsing the pouch in a vinegar solution

A high ammonia level contributes to hepatic encephalopathy. As this level increases, the nursing implementation that needs to be added to the nursing care plan is: a. Mouth care b. Seizure precautions c. Oxygen saturation monitoring d. Intake and output

b. Seizure precautions

The nurse is aware that many ostomates have an altered self-image, which may cause: a. Self-care deficits b. Sexual dysfunction c. Nonadherence to diet d. Irrational anger

b. Sexual dysfunction

The nurse caring for a patient with hepatitis B should initiate the precaution of: a. Reverse isolation b. Standard precautions c. Respiratory precautions d. Enteric precautions

b. Standard precautions

The nurse explains that the autoimmune disease of acute glomerulonephritis is most usually caused by: a. Frequent cystitis b. Streptococcal infection c. Childhood disease of mumps d. Recent wound infection

b. Streptococcal infection

An instruction given to a patient with irritable bowel syndrome (IBS) that will lessen discomfort is: a. Eat only whole grains. b. Take small bites, and chew well. c. Include dietary fiber in at least two meals per day. d. Drink herbal teas and low-calorie cola drinks.

b. Take small bites, and chew well

The patient asks the nurse if karaya products can be used to seal the urostomy appliance. The nurse's response is based on the knowledge that: a. Any adhesive is effective on a urostomy appliance. b. Urine breaks down karaya products. c. Karaya products can cause urinary infections. d. Formation of urine crystals in increased with the use of karaya products.

b. Urine breaks down karaya products.

After the 24-year-old woman has received immunoglobulin for prophylaxis against the exposure to hepatitis B, she should be advised to: a. Avoid exposure to the sun. b. Use a diaphragm rather that birth control pills. c. Increase fluid intake to 3 L a day. d. Examine stool for bright blood.

b. Use a diaphragm rather that birth control pills.

Before discharge, the nurse teaches a patient who has had a lithotripsy that he should: a. Check for edema of the legs and ankles. b. Watch for stone debris in the urine in 1 to 4 weeks. c. Decrease fluid intake to 1000 ml/day. d. Remain on restricted activity for a week.

b. Watch for stone debris in the urine in 1 to 4 weeks.

Common cause of Cystitis is ___________ _______________

bacterial contamination

Symptoms of liver dysfunction are ________ in the blood. It is indicative of very high levels of bile pigment.

bilirubin

In doing a routine UA you should not find _____, ____, _______, or ________

blood, wbc, protein, glucose

Lower GI/Colon Cancer there will be a change in ______ _______

bowel habits

______ _______ s/s Paralytic ileus, dull diffuse pain, constipation, vomiting after eating. Absence of flatus and stool.

bowel obstruction

When doing ______ ________ examination there should be 5-30 sounds per min listen for 1 min, if no sounds listen for 5 min each quad

bowel sound

With hydronephrosis the _____ will be increased and the ______ is decreased

bun, gfr

The patient with ascites is scheduled for a LeVeen peritoneal-venous shunt. The patient asks why this needs to be done instead of the paracentesis. The nurse replies: a. "It helps the kidneys retain needed sodium." b. "It will decrease the need for analgesics." c. "This procedure will prevent the loss of protein." d. "The risk of infection is lessened with this procedure."

c. "This procedure will prevent the loss of protein."

A patient who has had a temporary colostomy to rest his ulcerated bowel says, "I don't know how I will continue to work at my job with this thing stuck to my stomach." The nurse's best response to stimulate communication would be: a. "This is only a temporary adjustment for you, and the colostomy will be reanastomosed in less than 6 months." b. "A nurse with special training will be in to help you." c. "What is there about your job that you feel you cannot do?" d. "Many people feel as you do, but they learn to dress and act and work just like they did before the surgery."

c. "What is there about your job that you feel you cannot do?"

The nurse explains to a 10-year-old boy who wants to give his kidney to his grandfather that kidney donors must be at least how many years old? a. 14 b. 16 c. 18 d. 21

c. 18

The nurse describes a patient as morbidly obese because, with a weight of 387 pounds and a height of 2 meters, the patient's body mass index (BMI) is: a. 58.4 b. 52.8 c. 43.9 d. 31.6

c. 43.9

The nurse explains that pruritus in the patient with hepatitis is related to: a. Decreased fat intake b. Poor appetite and therefore poor protein intake c. Accumulation of bile salts under the skin d. Altered urinary output of bile

c. Accumulation of bile salts under the skin

Stool softeners are prescribed to promote normal elimination of feces. The most appropriate way to ensure effectiveness of this type of drug is: a. Mouth care b. Ambulation c. Adequate fluid intake d. High-fiber diet

c. Adequate fluid intake

Patients with pancreatic disease often have a history of: a. Liver disorders b. Drug abuse c. Alcohol abuse d. Excessive sugar intake

c. Alcohol abuse

The nurse cautions that some adhesive pouch material used to hold the appliance in place may cause: a. Melting of the pouch b. Excoriation of the stoma c. Allergic reaction d. Unpleasant odor

c. Allergic reaction

Erythropoietin is a hormone produced by the kidney. When the patient in chronic renal failure has a deficiency of erythropoietin, it will result in: a. Diminished immunologic function with fewer white blood cells b. Elevated lipid levels in the bloodstream, contributing to accelerated atherosclerosis c. Anemia as a result of the diminished number of red blood cells being produced d. Hypertension as a result of the increased, concentrated blood volume

c. Anemia as a result of the diminished number of red blood cells being produced

The nurse will evaluate whether the dietary teaching is successful when the patient on a low-sodium diet selects: a. Bologna sandwich with tomato juice b. Hot dog on a bun with pickle relish and skim milk c. Baked chicken, white rice, and apple juice d. Peanut butter and jelly sandwich with tomato soup

c. Baked chicken, white rice, and apple juice

The patient has a nephrostomy tube that has been inserted because of an obstruction in the ureter. Special precautions in the care of the nephrostomy tube include: a. Clamping every 2 hours to allow expansion of the kidney pelvis. b. Instilling no more than 50 ml of sterile water if sterile irrigations are ordered. c. Being certain the tube is connected, not kinked, or not clamped to ensure that it continually drains. d. Leaving the nephrostomy site open to air.

c. Being certain the tube is connected, not kinked, or not clamped to ensure that it continually drains.

The complication for which the nurse would monitor after a liver biopsy is: a. Headache b. Muscle cramps c. Bleeding d. Respiratory distress

c. Bleeding

The nurse caring for a patient with a 3-day postoperative bowel resection observes that the suction apparatus is not working and the patient is becoming distended. The initial implementation should be to: a. Pull tube outward 6 inches. b. Push tube further in 3 inches. c. Change the patient's position. d. Irrigate with 60 ml of normal saline.

c. Change the patient's position.

When the patient comes to the medical clinic with complaints of urgency, frequency, pain in the area of the symphysis pubis, and dark cloudy urine, the nurse suspects that this patient has: a. Urinary calculi, probably located in the ureter b. Kidney infection, most likely pyelonephritis c. Cystitis, probably from bacterial contamination d. Interstitial cystitis (although rare in a male patient)

c. Cystitis, probably from bacterial contamination

The nurse is alert to another chronic condition related to the presence of chronic pancreatitis, which is: a. Chronic obstructive pulmonary disease (COPD) b. Urinary tract infection (UTI) c. Diabetes mellitus (DM) d. Arteriosclerotic heart disease (ASD)

c. Diabetes mellitus (DM)

The nurse takes into consideration that persons with liver disease are at an increased risk for: a. Urinary infections b. Systemic infection c. Drug toxicity d. Drug allergy

c. Drug toxicity

The best nursing strategy for encouraging ostomy patient self-care would be to: a. Plan to change the pouch when family members will be present, have the patient watch, and listen to the procedure. b. Frequently tell the patient that if he or she does not learn stoma self-care, no one is going to do it for them. c. Encourage the patient to watch the stoma care procedure, gradually encouraging participation. d. Shield the patient from sight of the stoma until the patient actually asks to see it.

c. Encourage the patient to watch the stoma care procedure, gradually encouraging participation.

The home health nurse observes the patient with esophageal cancer tilt his head back while eating, which could result in: a. Narrowing of the esophagus b. Limiting the types of food that can be consumed c. Increasing the risk of aspiration d. Causing a neck injury

c. Increasing the risk of aspiration

The patient was positive for hepatitis B virus, although she had the disease 4 years ago and now is symptom-free. The nurse explains that the patient: a. Is likely to have hepatitis B again. b. Now has noninfectious hepatitis. c. Is an infectious carrier and always will be. d. Is at risk for hepatitis E.

c. Is an infectious carrier and always will be.

The nurse explains to a patient with pancreatitis that the drug Pancrease (lipase, protease, amylase), a pancreatic enzyme, should be: a. Taken before meals. b. Sprinkled on warm food. c. Mixed with juice. d. Taken 1 hour after eating.

c. Mixed with juice.

The nursing measure that takes priority in relation to the care of a patient with an gastroesophageal balloon tube is to: a. Deflate the balloon periodically. b. Advance the tube as instructed. c. Monitor respirator status. d. Withhold medications that could decrease restlessness.

c. Monitor respirator status.

The nurse explains to a preoperative patient that a J-pouch anal anastomosis procedure has the primary advantage of: a. No odor b. Easier to irrigate c. Near-normal bowel elimination d. Less problem with diarrhea

c. Near-normal bowel elimination

The sign that would be a contraindication for the need of increased fluid intake for the patient with a hepatic disorder is: a. Low blood pressure b. Increased urinary output c. Signs of edema d. Bradycardia

c. Signs of edema

The home health patient who has cystitis has been placed on the drug, phenazopyridine (Pyridium), and should be cautioned about: a. Staying out of the heat b. Nausea c. Staining of clothing d. Skin rash

c. Staining of clothing

Renal ________ is an example of postrenal failure

calculi

a patient can/cannot live without a gallblader

can

a patient can/cannot live without a liver

cannot

The _______ is a small pouch to which the appendix is attached

cecum

T-Rube allows passage of bile from common bile duct with a

cholecystectomy

Skin may become itchy (due to bile salts circulating underneath the skin (Pruritis) not only with ____________ but with liver disorder in general.

cholelithiasis

Esophageal varices most life threatening complication of ____________

cirrhosis

Oral fluids should be limited to ________ liquids or withheld if they are having nausea and vomiting

clear

If they have a catheter and you have to irrigate it, you will use a ________ _______ _________, the reason for this is to prevent infection

closed system technique

post op colonostomy you should assess the stoma for _____, ____, and _______

color size patency

what is the most important diagnostic renal function test

creatinine clearance

__________ ________ provides an accurate measurement of the GFR (glomerular filtration rate) it also measures the level of ________ function

creatinine clearance, kidney

______ ________ is applying pressure over the symphysis pubis which can promote bladder emptying

crede maneuver

Patient with _________, avoid acidic food, coffee and tea, citrus products, aged cheese, nuts, vinegar, hot peppers, alcohol and carbonated drinks

cystitis

Preventing ________ drink 8-10 glasses of fluid per day, wipe front to back, urinate before and after intercourse and avoid vaginal deodorants and bubble baths, avoid vaginal douching

cystitis

Urgency, frequency, dysuria, hematuria, nocturia, bladder spasms, incontinence, and low-grade fever are signs and symptoms of

cystitis

with a ___________ they will have gross hematuria post op

cystoscopy

A need for further teaching is indicated when a patient with an ileostomy as a remedy for ulcerative colitis says: a. "I will avoid milk products." b. "I should select food with less dietary fiber." c. "I'll miss my martini before dinner." d. "I will be glad when the surgeon closes this ileostomy."

d. "I will be glad when the surgeon closes this ileostomy."

The 60-year-old patient who has just been diagnosed with cancer of the stomach says, "I feel blank and numb." The nurse's best response would be: a. "Shock affects everyone that way." b. "I'm sure you are considering what you should do now that you have cancer." c. "Would you like me to bring you a sedative?" d. "What do you mean when you say 'blank and numb?'"

d. "What do you mean when you say 'blank and numb?'"

The 20-year-old patient with a permanent colostomy asks whether she will be able to become pregnant. The nurse's most informative response would be: a. "No. The colostomy weakened the pelvic floor to the point that it will not support a pregnancy." b. "Yes. Pregnancy may be accomplished with artificial insemination because the fallopian tubes are usually damaged by a colostomy." c. "No. The abdominal pressure exerted by a pregnancy will cause the prolapse of the stoma. d. "Yes. The colostomy will not interfere with pregnancy or delivery.

d. "Yes. The colostomy will not interfere with pregnancy or delivery.

When the 16-year-old patient with acute glomerulonephritis complains of boredom with bedrest and asks when he can become more active, the nurse states that bedrest will continue until: a. Dialysis starts b. Antibiotic protocol is completed c. Potassium levels are normal d. Blood pressure drops to normal levels

d. Blood pressure drops to normal levels

The nurse caring for a patient after urinary diversion surgery will add the postoperative assessments of: a. Level of fluid intake b. Position on the left side c. Keep the bed flat d. Bowel sounds

d. Bowel sounds

Because the urine test for ___________ is not influenced by diet, hydration, or liver function, it is a good measurement of renal function: a. BUN b. Phosphates c. Specific gravity d. Creatinine

d. Creatinine

The TPN feeding is running at 20 ml and is an hour behind schedule. The initial intervention would be: a. Increase the flow rate to 22 ml/hr (10%), and inform the charge nurse. b. Reposition the patient to the right side, and lower the head of the bed. c. Dilute the thick feeding formula with 10 ml of sterile water, and inform the charge nurse. d. Document the event, and inform the charge nurse.

d. Document the event, and inform the charge nurse.

The patient with a hiatal hernia should have a teaching plan to help reduce the complaints of heartburn, regurgitation, and eructation. This would include instruction about: a. Eating three well-balanced meals. b. Lying down 1 hour after eating. c. Sleeping without pillows. d. Eating nothing for several hours before bedtime.

d. Eating nothing for several hours before bedtime.

To prevent complications in a patient with hepatitis who has been prescribed bedrest, the nurse would plan to: a. Raise the knee gatch to prevent the patient from sliding down in bed. b. Provide undisturbed periods of 6 hours to encourage rest. c. Restrict fluids. d. Encourage turning, coughing, and deep breathing every 2 hours.

d. Encourage turning, coughing, and deep breathing every 2 hours.

The nurse is aware that if the kidney is adequately functioning, the osmolality of the urine will be: a. Equal to the osmolality of the serum b. Approximately one-half of the serum c. In a ratio of 10:1 with the serum d. Equal to the excretion of urea

d. Equal to the excretion of urea

The nurse identifies a risk factor in an older man that places him at risk for developing diverticulosis. This risk factor is: a. Eating a low-fiber diet b. Chronic diarrhea c. History of using nonsteroidal antiinflammatory drugs (NSAIDs) d. Family history of colon cancer

d. Family history of colon cancer

On assessment at an intake examination, the nurse notes a characteristic of an inguinal hernia that should be reported immediately, which is: a. Hernia of 25 years' duration that can be easily reduced to the abdomen. b. Hernia of 5 months' duration that can be reduced by an abdominal truss. c. Hernia of 2 weeks' duration with no bowel movement in 2 days. d. Hernia of 2 days' duration that cannot be reduced.

d. Hernia of 2 days' duration that cannot be reduced.

Because recurrence of renal calculi is likely, the patient must: a. Is aware of signs and symptoms of kidney stones and know where to find pain relief. b. Measures intake and output so that they will be approximately equal. c. Avoids infections and situations that would increase stress. d. Is able to describe measures to prevent recurrence of calculi.

d. Is able to describe measures to prevent recurrence of calculi.

The nurse caring for a 2-day postoperative colostomy patient should report immediately if a stoma is assessed and: a. Is beefy and red b. Has swelling c. Has a small amount of bleeding around it d. Is blue-tinged.

d. Is blue-tinged.

The nurse is collecting data from a hospital patient who has been admitted with pyelonephritis. He is acutely ill with a high fever, chills, nausea, and vomiting. He also has severe pain in the flank area. The primary goal of his treatment is to: a. Provide adequate nutrition with a stable body weight. b. Provide adequate hydration with pulse and blood pressure within patient norms. c. Give pain relief with analgesics and antispasmodics. d. Prevent further damage to his kidneys that could lead to renal failure.

d. Prevent further damage to his kidneys that could lead to renal failure.

After administering promethazine (Phenergan) for nausea, the nurse takes extra precautionary implementations because of the common side effect of antiemetic medications, which is: a. Check vital signs for erratic blood pressure. b. Add a blanket to prevent chilling. c. Provide extra water to combat thirst. d. Put up side rails to prevent falls.

d. Put up side rails to prevent falls.

When the nurse caring for a patient with an atrioventricular (AV) fistula in the forearm assesses that a trill is absent when palpating the venous side of the fistula, the nurse should: a. Inject the ordered amount of heparin into the fistula. b. Apply warm compresses, and lower the arm below the heart level. c. Send the patient to dialysis for remedy. d. Report to the charge nurse that the fistula is occluded.

d. Report to the charge nurse that the fistula is occluded.

A patient in acute pain is admitted with pancreatitis. The nurse sees a laboratory report showing an elevation that is diagnostic for acute pancreatitis, which is: a. Serum bilirubin b. Serum calcium c. Serum lipids d. Serum amylase

d. Serum amylase

The patient complains about the placement of the total parenteral nutrition (TPN) line and asks why it cannot be inserted in the arm. The nurse's response is based on the fact that placement in the: a. Arm would limit patient mobility. b. Subclavian artery allows for ease in dressing the puncture site. c. Arm prevents the use of large-bore cannulas. d. Subclavian artery allows for rapid dilution.

d. Subclavian artery allows for rapid dilution.

The goal for your patient with gastritis who has experienced nausea, vomiting, and diarrhea is to have a return of normal elimination patterns. Which of the following best reflects this goal in a measurable manner? a. The patient will have fewer stools. b. Diarrhea will be controlled and not return. c. The patient will have no more than one stool per day. d. The patient's bowel pattern will return to normal.

d. The patient's bowel pattern will return to normal.

After bowel surgery a absorption of Vit C and K are ________ due to bowel cleansing. Need Vit __ post op for healing and Vit ___ for clotting

decreased, C, K

Make sure the patient is not ____________ with N/V

dehydrating

Elevated BUN is suggested of __________

dehydration

tissue turgor with renal problems can detect _________ or _____

dehydration edema

A _________ solution is used during dialysis to remove waste products

dialysate

_________ ________ are more effective than meds for prevention of stones

dietary measures

antacids after meals and at bedtime reduces acidity and _________

discomfort

____________ is Presence of pouch like herniation through the muscular layer of the colon

diverticulosis

Complication that can occur after gastric resection when stomach contents enter the intestine is known as

dumping syndrome

measures to prevent re flux is the upright position

during and after meals

a patient eating should be eating the type of food best tolerated, or when the patient experiencing difficulty swallowing you should observe for

dysphasia

You must be diligent about watching for weight gain, if patient gains more than 2 lbs in a day notify physician, indicative of _______ problems

edema

care of the patient with a hiatal hernia is to

elevate the head of the bed

Many diagnostic tests for bowels require an _______ _______

empty bowel

older adult changes in renal function include a decrease in __________ production

erythropoietin

Significant loss of _______ and ________ and ________ are common problems with nausea and vomiting

fluid electrolytes aspiration

You need a high _______ ________ to keep the urine dilute for stone prevention

fluid intake

__________ should be given with bulk forming laxatives because they pull water into the feces increasing bulk

fluids

what position should the patient be in for a tube feeding

fowler/ high fowler

the type of incontinence when they are in-able to get to facility is known as

functional incontinence

preop for _______ _______ are N/G tube with gastric suction for gastric decompression turn, cough, deep breath pt. education for reducing risk of pneumonia

gastric surgery

Older adult changes in renal function include decrease in __________ _________

glomerular filtration

Acute _____________ usually occurs 2-3 weeks following group A strep infection

glomerulonephritis

Acute ______________ - Inflammation of the capillary loops of the glomeruli which leads to moderated to high blood pressure

glomerulonephritis

Location and degree of edema, heart and lung sound and skin condition are assessment info with __________________

glomerulonephritis

The nurse explains to the patient that when the blood sugar level drops, the liver is capable of converting the stored glycogen to glucose by the process of ____________________.

glycogenesis

______ ______ _____ is bruising over the flank and lower back that occur with retroperitoneal bleeding

grey turners sign

prevention for hepatitis A is

hand washing

The patient should be able to describe what a _______ stoma should look like

healthy

a patient with a hiatal hernia is probably complaining of

heartburn and pain

Most common indication of renal and bladder trauma is __________

hematuria

post op from renal biopsy you should watch for ____________

hemorrhage

_________ are Distended and swollen anal veins, can be external and internal.

hemorrhoids

Blood clots when it comes in contact with any foreign substance, the dialysis solution contains ________ to prevent clotting

heparin

major causes of cirrhosis is ______ and _____ ______

hepatitis, alcohol abuse

with a feeding tub you should make sure it is

in the stomach

The BUN and serum creatinine will ________ with acute glomerulonephritis and the creatinine clearance will _________

increase, decrease

you must monitor the patient for fluid loss with _______ ______ _______

inflammatory bowel disease

without a pancreas the patient must take

insulin and pancreatic enzymes

Interventions to increase the patients' __________ is assessing oral cavity, inquiring about tast and providing companionship at meals

intake

One of the most important things you should ask a patient getting an intravenous pyelogram is if they are allergic to ________ or __________

iodine, shellfish

If the common bile duct becomes blocked, bile may enter the bloodstream causing __________.

jaundice

The most common early manifestation of ______ _______ is the patient is unable to concentrate urine, frequency and substances are able to pass through but not reabsorbed for concentration of urine purposes

kidney disease

you should teach the patient following a ileostomy that the bowel movement will be ________ in the bag

liquid

with ______ you should assess intake and output every shift

lomotil

a nursing intervention for a patient with dysphagia is to wear

loose fitting clothing

Any disorder that interferes with the normal absorption of nutrients, water AND Vitamins from the intestinal tract.

malabsorption

with __________ Stools will be bulky, frothy, foul smelling and float

malabsorption

a patient with appendicitis attack the point of pain location is

mcburneys point

When sufficient fluids aren't given with _________ constipation occurs

metamucil

______ pulls water into feces increasing bulk

metamucil

large amount of fluid should be administered with _____________

metamucil

with liver disorders/ jaundice the ______ ______ and _____ become yellow to yellow orange

mucous membranes skin

The cause of ______ __________ results from a catheter, hospitalized, causative organism is E. Coli

nasocomial cystitis

older adult changes in renal function include thinning of the ________ __________

nephron membranes

__________ _______ is a tube placed through the skin into the kidney to drain the urine

nephrostomy tube

If the patient has had kidney surgery and states there is blood in the urine, this is ______ ____________ post op expectation

normal self-resolving

if a patient has decrease in output following an ilesotomy it is indicative of an __________ of the stoma

obstruction

If you have a pt with acute renal failure and has a urine output of 350 ml over 24 hours and have 40 mg of iv push of flurosimde, he will not respond to a diuretic, because the kidneys will not respond during the _________ stage

oliguric

with peptic ulcers you should avoid foods that cause gastric _____

pain

Removal of fluid from peritoneum will interfere with respiration if fluid not removed.

paracentesis

______ ______ is an ulceration in the mucosal wall of the stomach, pylorus or duodenum.

peptic ulcer

Causes of _________ _________ are drugs, infection, stress and H.pylori

peptic ulcers

use sterile aseptic technique when inserting a _________ _________ for perinea dialysis

peritoneal catheter

The major risk of peritoneal dialysis is _____________.

peritonitis

a healthy stoma should be ______ if it is blue it is indicative of poor __________

pink, circulation

Signs and symptoms of _________ _______ _______ are Dull, aching abdominal, lower back or flank pain, or colicky pain that begins abruptly

polycystic kidney disease

frequent urination, proper perineal care, hydration, loose fitting/ nonsynthetic undergarments, avoiding bubble baths and vaginal deodorant sprays are

preventions of UTI

With glomerulonephritis they need complete ________

proteins

The nurse is alert for bleeding in a patient with hepatic disorders because the inflamed liver may not be able to synthesize two clotting factors, which are ____________________ and ____________________.

prothrombin, fibrinogen

Treatment of ___________ you should focus on eliminating the cause, look at anti-infective (10-21 day course, longer for resistant or recurrent)

pyelonephritis

__________ is where pain occurs upon a sudden release of pressure

rebound pain

elevate the head of the bed to avoid _____________ during sleep

regurgitation

If patient is having a ________ _________ it is important to tell the patient, they will feel a warming sensation as the contrast is injected

renal angiogram

The primary goal of treatment for a patient with pyelonephritis is you want to prevent any further damage that could lead to ________ ________

renal failure

_______ _______ is the inability of the kidneys to function as normal

renal failure

what do you check for before you being tube feedings

residual stomach contents

the technique for cathing for ___________ _______ is to lengthen intervals between catheter as residual urine decreases and discontinue when small amounts of residual urine present

residual urine

urine that is left in the bladder after they have urinated is known as

residual urine

2 complications of an appendectomy which are the most common and life threatening complications are

rupture and peritonitis

The __________ test evaluates the small bowel absorption of b12 for presence or absence of intrinsic factors

schillings

In assessing a dark-skinned patient for jaundice, the nurse would assess the ____________________ for a yellow color.

sclera

with liver disorders/ jaundice the pigment first appears in the

sclera of the eye

patients with cirrhosis need to avoid ______ and ________

sedatives, opiates

with diverticulosis you should avoid ______

seeds

Anorexia nervosa is ______________ anorexia is not

self induced

After a successive kidney transplant lab values will show a decrease in the ______ ________

serum creatinine

you should always empty the bladder before and after ________ ____________ to prevent UTI

sexual intercourse

the medical emergency of peritonitis is_________

shock

_________ _______ ______ must be done for a renal biopsy and a cystoscopy

signed informed consent

hemorrhoidectomy will use _______ ________ post operation

sitz bath

_________ is the substance that is being removed when undergoing dialysis

sodium

management of ascities includes restriction of ______ and _______ and give _________

sodium, fluids, diuretic

For polycystic kidney disease there is no _________ ________, relieve pain, symptoms and complications

specific treatment

________ and _________ laxatives have the highest risk of habitual use

stimulant irritant

antacids are used to neutralize _______ _______

stomach acid

Bright red blood in _________ is sign of gi bleed

stools

With a urolithiasis you should ______ ____ ______ ____ _______

strain the urine for fragments

the type of incontinence when a small amount of urine loss with increased intra-abdominal pressure such as a laugh or cough is known as

stress incontinence

frequency of urination especially small amounts, burning when urinating, strong persistent urge to urinate, urine that appears cloudy/red, pink or cola colored, strong smelling urine, pelvic pain are

symptoms of UTI

Urine becomes _____ color as the output is decreased with glomerulonephritis

tea

with liver dysfunction/ jaundice the urine turns a _____ color or ______

tea brownish

___________ ___________ such as amitryptylline (Elavil) decreases the excitability of the bladder smooth muscles

tricyclic antidepressants

________ gi bleed is caused from peptic ulcers, esophagus, stomach and small intestine

upper

When a patient has renal problems they have crystals on the skin which is called

uremic frost

_________ _________ is the narrowing of the urethra

urethral stricture

causes of a _______ ________ include scar tissue, urethral injury, untreated gonorrhea, and congenital abnormalities

urethral stricture

_________ ____________ is a major surgical procedure of the abdomen that reroutes the normal flow of urine out of the body

urinary diversion

For the prevention of __________ ________, you should maintain the normal rate of urine flow

urinary stones

Signs and symptoms of ___________ is dull flank pain, decrease of urine output

urolithiasis

When the patient complains of urine crystals forming on the urostomy stoma, the home health nurse recommends dissolving them with a pad saturated with _________.

vinegar

Post op ileostomy you can rinse the pouch with _____ _____ solution to neutralize odors

vinegar water

Metabolic acidosis is indicated by ________ and __________

vomiting diarrhea

If they have the arterial venous fistula you must auscultate to hear the _______ for proper functioning

whoosh

In doing a physical exam on pts, with gallbladder, liver or pancreas disorders inspect the sclera will be slightly _________ and will have an _________ serum bilirubin.

yellow, elevated