Inflammation Adaptive Quiz

A client is admitted to the hospital with severe back and abdominal pain, nausea and occasional vomiting, and an oral temperature of 101 F. The client reports drinking 6 to 8 beers a day. A diagnosis of acute pancreatitis is made. Based on data presented, which clinical finding is a primary nursing concern for this client? a) acute pain b) inadequate nutrition c) electrolyte imbalance d) disturbed self-concept

a) acute pain

A client who has a history of alcohol abuse now has recurrent exacerbations of chronic pancreatitis. The nurse asks the client to obtain a stool specimen. When assessing the client's stool, which would the nurse expect to observe? a) melena b) steatorrhea c) hard, dry stool d) ribbon-shaped stool

b) steatorrhea

A client has a abdominal cholecystectomy for treatment of a gangrenous gallbladder. Considering the location of the surgical site, the nurse would assess the client for which postoperative complication? a) atelectasis b) hemorrhage c) paralytic ileus d) wound infection

a) atelectasis Rationale: subcostal incisional pain causes the client to splint and avoid deep breathing, which impedes air exchange in the alveoli

For which clinical indicator would the nurse monitor when caring for a client with cholelithiasis and obstructive jaundice? SELECT ALL THAT APPLY a) dark urine b) yellow skin c) pain on urination d) clay-colored stool e) coffee-ground vomitus

a) dark urine b) yellow skin d) clay-colored stool

Which type of hepatitis develops into a chronic form of the disease? SELECT ALL THAT APPLY a) Hepatitis A b) Hepatitis B c) Hepatitis C d) Hepatitis D e) Hepatitis E

b) Hepatitis B c) Hepatitis C d) Hepatitis D

A client is hospitalized with a diagnosis of acute pancreatitis. The plan of care is focused on the goals of maintaining nutrition, promoting rest, maintaining fluids and electrolytes, and decreasing anxiety. Which interventions would the nurse implement? SELECT ALL THAT APPLY a) provide a low-fat diet b) administer analgesics c) teach relaxation exercises d) encourage walking in the hall e) monitor cardiac rate and rhythm f) observe for signs of hypercalcemia

b) administer analgesics c) teach relaxation exercises e) monitor cardiac rate and rhythm

Which condition would the nurse suspect in a 6-year-old child who was admitted with abdominal pain and guarding, nausea, anorexia, and pain with palpation of the right lower quadrant? a) viral infection b) inflamed appendix c) irritable bowel d) parasitic infestation

b) inflamed appendix

A client with Crohn disease is admitted to the hospital with abdominal pain, fever, poor skin turgor, and having experienced 10 liquid bowel movements in the past 24 hours. The nurse suspects that the client is dehydrated based on which assessment findings? SELECT ALL THAT APPLY a) moist skin b) sunken eyes c) decreased apical pulse d) dry mucous membranes e) increased blood pressure

b) sunken eyes d) dry mucous membranes

The nurse teaches a client who is concerned about hepatitis transmission routes. Which type of hepatitis spreads more frequently through food? a) A b) B c) C d) D

a) A

A client is admitted to the hospital with Laennec cirrhosis and chronic pancreatitis. Bile salts (bile acid factor) are prescribed, and the client asks why they are needed. How would the nurse respond? a) "They stimulate prothrombin production" b) "They aid in the absorption of fat-soluble vitamins" c) "They promote bilirubin secretion in the urine" d) "They help the common bile duct contract stronger"

b) "They aid in the absorption of fat-soluble vitamins" Rationale: bile salts are used to aid in digestion of fats and absorption of the fat-soluble vitamins A, D, E, and K

The nurse educator of a college health course is discussing tattoos with the class. Which type of hepatitis associated with tattoos would the nurse include in the teaching plan? a) Hep A b) Hep C c) Hep D d) Hep E

b) Hep C Rationale: a blood-borne pathogen

Which foods should the nurse recommend for a toddler with newly diagnosed celiac disease? SELECT ALL THAT APPLY a) oatmeal b) ice cream c) rice caked d) corn crisps e) whole-wheat toast

a) oatmeal b) ice cream c) rice caked d) corn crisps

The nurse is assessing a female client and identifies that which client has the greatest risk of developing gallbladder disease? a) older than age 40 and obese b) older than age 40 with a low serum cholesterol level c) less than 40 years of age with a history of high fat intake d) less than 40 years of age with a family history of gallstones

a) older than age 40 and obese

A client with severe Crohn disease develops a small bowel obstruction. Which clinical finding would the nurse expect the client to report? a) bloody vomitus b) projectile vomiting c) bleeding with defecation d) pain in the left lower quadrant

b) projectile vomiting

Which clinical manifestation would the nurse expect in a 6-year-old child with celiac disease? SELECT ALL THAT APPLY a) energetic b) diarrhea c) muscle wasting d) edema e) abdominal distention

b) diarrhea c) muscle wasting d) edema e) abdominal distention

Which clinical finding would the nurse expect to find when performing a health history and physical assessment on a client with acute cholecystitis and biliary colic? SELECT ALL THAT APPLY a) diarrhea with black feces b) intolerance to foods high in fat c) vomiting of coffee-ground emesis d) gnawing pain when stomach is empty e) pain that radiates to the right shoulder

b) intolerance to foods high in fat e) pain that radiates to the right shoulder

The nurse provides education for a client about prophylactic measures that minimize the risk of contracting hepatitis B. Which actions would be included in the teaching plan? SELECT ALL THAT APPLY a) preventing constipation b) screening of blood donors c) avoiding shellfish in the diet d) limiting hepatotoxic medication therapy e) maintaining a monogamous sexual relationship

b) screening of blood donors e) maintaining a monogamous sexual relationship

Which signs and symptoms would the nurse be alert to when assessing a child for the presence of celiac disease? SELECT ALL THAT APPLY a) steatorrhea b) thin, drawn feces c) hyperalbuminemia d) distended abdomen e) iron-deficiency anemia

a) steatorrhea d) distended abdomen e) iron-deficiency anemia

Which foods selected by the parents of a child recently diagnosed with celiac disease indicate further teaching is needed? a) frankfurters and baked beans b) lamb chops and mashed potatoes c) all-natural roast beef and french fries d) hamburgers with no added fillers and tortilla chips

a) frankfurters and baked beans Rationale: frankfurters is processed meat that may contain flour as a filler

A client who is slightly overweight is preparing for discharge from the hospital after a cholecystectomy. Which is important for the nurse to include in teaching the client about nutrition? a) listing low-protein foods that may be included in the diet b) explaining that fatty foods may not be tolerated for several weeks c) teaching the importance of a low-calorie diet to promote weight reduction d) encouraging the intake of high vitamin C, vitamin A, and zinc foods at each meal

b) explaining that fatty foods may not be tolerated for several weeks

A client is admitted to the hospital with slight jaundice and reports of pain on the left side and back. A diagnosis of acute pancreatitis is made. Which common response to acute pancreatitis would the nurse monitor in the client? a) crackles b) hypovolemia c) gastric reflux d) jugular vein distention

b) hypovolemia

The nurse is caring for a client with acute pancreatitis. Which elevated laboratory test result is MOST indicative of acute pancreatitis? a) blood glucose b) serum lipase c) serum bilirubin level d) white blood count level

b) serum lipase

After many years of coping with ulcerative colitis, a client makes the decision to have a colectomy as advised by the primary health care provider. Which is MOST likely the significant factor that affected the client's decision? a) it is temporary until the colon heals b) surgical treatment cures ulcerative colitis c) ulcerative colitis can progress to Crohn disease d) without surgery, eating table foods is contraindicated

b) surgical treatment cures ulcerative colitis

Which factor would cause the nurse to identify an illness as chronic? SELECT ALL THAT APPLY a) the illness is reversible and often severe b) the illness persists for longer than 6 months c) the client may develop a life-threatening relapse d) the symptoms are intense and appear abruptly e) the illness affects the functioning of one or more symptoms

b) the illness persists for longer than 6 months c) the client may develop a life-threatening relapse e) the illness affects the functioning of one or more symptoms

Which education would the nurse anticipate providing the parent of a 3-year-old child with a tentative diagnosis of celiac disease? a) how to give daily injections b) the necessity of reading food labels carefully c) how to pace the child's activities to allow plenty of rest d) the need for respiratory therapy to keep airways clear of mucus

b) the necessity of reading food labels carefully

The nurse is caring for a client who is positive for Hepatitis A. Which precautions would the nurse take? a) wear a gown when entering the client's room b) use gloves when removing the client's bedpan c) clean eating utensils with bleach after use d) wear a high-efficiency particulate air (HEPA) respirator when entering the client's room

b) use gloves when removing the client's bedpan

The mother of a toddler with celiac disease states, "My neighbor told me that I'll only need to monitor the diet until our child is 8 years old. I'm so relieved. You know how kids are about eating!" Which education would the nurse provide to this mother? a) the basic defect of celiac disease is lifelong b) susceptibility to celiac crisis lessens with age c) the diet is relatively easy to follow for a growing child d) the child will be able to tolerate small amounts of gluten by school age

a) the basic defect of celiac disease is lifelong

A client is diagnosed as having the hepatitis B virus (HBV). The nurse reviews the client's health history for situations in which exposure may have occurred. Which event does the nurse determine is MOST likely the source of this infection? a) the client received a small tattoo on the arm 3 months ago b) the client assisted in the emergency birth of a baby 2 weeks ago c) the client worked for a month in an underdeveloped area in a foreign country 4 months ago d) the client attended an ecological conference in a large urban center 2 months ago

a) the client received a small tattoo on the arm 3 months ago

A client is hospitalized with acute pancreatitis. Which would be included in the client's plan of care? a) use IV fluids b) season foods sparingly c) eat small meals frequently d) limit coffee to three cups per day

a) use IV fluids Rationale: Acute pancreatitis requires an NPO status to allow the pancreas to rest

Which nursing intervention would prevent stimulation of the pancreas in a client with acute pancreatitis? a) maintain the gastric pH at a level of less than 3.5 b) encourage the resumption of activities of daily living c) administer the histamine H2 receptor antagonist as prescribed d) ensure that the nasogastric tube remains

c) administer the histamine H2 receptor antagonist as prescribed

A client is admitted voluntarily to a psychiatric unit for severe depression. Later, the client develops severe pain in the right lower quadrant and is diagnosed as having acute appendicitis. How would the nurse prepare the client for the appendectomy? a) have two nurses witness the client signing the operative consent form b) ensure that the primary health care provider and the psychiatrist sign for the surgery because it is an emergency procedure c) ask the client to sign the operative consent form after the client has been informed of the procedure by the health care provider d) inform the client's next of kin that it is necessary for one of them to sign the consent form because the client is on a psychiatric unit

c) ask the client to sign the operative consent form after the client has been informed of the procedure by the health care provider

A client is diagnosed with chronic pancreatitis. Which dietary instruction is important for the nurse to share with the client? a) eat a low-fat, low-protein diet b) avoid foods high in carbohydrates c) avoid ingesting alcoholic beverages d) eat a bland diet with no snacks in between

c) avoid ingesting alcoholic beverages Rationale: Will cause the most damage

A client is admitted with an acute onset of right lower quadrant pain at McBurney point, and appendicitis is suspected. For which clinical indicator would the nurse assess the client to determine if the pain is secondary to appendicitis? a) urinary retention b) gastric hyperacidity c) rebound tenderness d) increased lower bowel motility

c) rebound tenderness

Acute appendicitis develops in an older client with a history of chronic constipation. Before arrival at the hospital, the client attempted self-care at home. Which self-care measure could potentially lead to rupture of the appendix? a) avoiding food and liquids because of nausea b) applying an ice pack to the abdomen c) self-administering a small-volume enema d) taking acetaminophen for pain

c) self-administering a small-volume enema Rationale: edemas can increase pressure in the intestines and cause rupture of an inflamed appendix

Discharge planning for a client with chronic pancreatitis includes dietary education. Which client statement indicated to the nurse that further teaching is needed? a) "I must eat foods high in calories" b) "I should avoid alcoholic beverages" c) "I will eat more often but in smaller amounts" d) "I can eat foods high in fat now that the acute stage is over"

d) "I can eat foods high in fat now that the acute stage is over"

The nurse is assessing a client with Crohn disease who is scheduled for an upper gastrointestinal series. Which condition would necessitate the cancellation of the procedure? a) hemorrhoids b) hyperkalemia c) inflamed colon d) colon perforation

d) colon perforation

The nurse is evaluating a client who has been receiving medical intervention for a diagnosis of Crohn disease. Which expected outcome is MOST important for this client? a) performs skin care b) tolerates oral fluids c) experiences less abdominal cramping d) gains half a pound per week

d) gains half a pound per week Rationale: weight loss is severe with Crohn disease; highest priority

The nurse is eliciting a health history from a client with ulcerative colitis. Which factor would the nurse consider to be most likely associated with the client's colitis? a) food allergy b) infectious agent c) dietary components d) genetic predisposition

d) genetic predisposition

The nurse is caring for a client with a diagnosis of acute pancreatitis and alcoholism. The client asks, "How does my drinking relate to my diagnosis?" Which effect of alcohol would the nurse include when responding? a) it promotes the formation of calculi in the cystic duct b) it stimulates the pancreas to secrete more insulin than it can immediately produce c) it alters the composition of enzymes so they are capable of damaging the pancreas d) it increases enzyme secretion and pancreatic duct pressure that causes backflow of enzymes into the pancreas

d) it increases enzyme secretion and pancreatic duct pressure that causes backflow of enzymes into the pancreas

A client with a history of pancreatitis is scheduled for surgery to excise a pseudocyst of the pancreas. The client asks, "What is a pseudocyst?" Which information would the nurse include in a response to this question? a) malignant growth b) pocket of undigested food particles c) sac filled with pus from necrotic pancreatic tissue d) walled-off space of pancreatic enzymes and exudate

d) walled-off space of pancreatic enzymes and exudate

A client is admitted to the hospital with a diagnosis of acute pancreatitis. The health care provider's prescriptions include nothing by mouth and total parenteral nutrition (TPN). The nurse explains that the TPN therapy provides which benefit? a) is the easiest method for administering needed nutrition b) is the safest method for meeting the client's nutritional requirements c) will satisfy the client's hunger without the discomfort associated with eating d) will meet the client's nutritional needs without causing the discomfort precipitated by eating

d) will meet the client's nutritional needs without causing the discomfort precipitated by eating

Which rationale will the nurse provide to a client with Crohn's disease who asks why the prescribed vitamins have to be given IV rather than by mouth? SELECT ALL THAT APPLY a) "They provide more rapid action results" b) "They decrease colon irritability" c) "Oral vitamins are less effective" d) "Intestinal absorption may be inadequate" e) "Allergic responses are less likely to occur"

a) "They provide more rapid action results" c) "Oral vitamins are less effective" d) "Intestinal absorption may be inadequate"

Which type of hepatitis is commonly spread by consuming contaminated food and water or by fecal contamination? SELECT ALL THAT APPLY a) Hep A b) Hep B c) Hep C d) Hep D e) Hep E

a) Hep A e) Hep E

A client is admitted with the diagnosis of acute pancreatitis. Which clinical manifestation would the nurse assess in the client? SELECT ALL THAT APPLY a) jaundice b) acute pain c) hypertension d) hypoglycemia e) increased amylase

a) jaundice b) acute pain e) increased amylase