NCLEX Physio Adapt- Alterations in body systems

the nurse instructs a client w/ hiatal hernia. Which indicates teaching was effective? 1.i will not eat before bedtime 2.i will not eat more than 3 meals/day 3.i will drink a small glass of wine at bedtime 4. i will lie down 20 minutes after eating

1. i will not eat before bedtime

The nurses assesses a child w/ hemophilia. Which essential data should be collected 1. consistency and frequency of bowel moments 2. ability to perform ROM 3. Petechia on lower extremities 4. the childs intake of iron-rich foods

2. ability to perform ROM -hemophilia causes joint pain. want to assess ACTIVE ROM -iron doesnt play a factor in clotting disorders, only anemia -check blood in bm, not amount of BM -petechia not concern because small hemorrhage that platelets can fix

a pt is about to have surgery for inguial hernia. which should he report to the surgeon immediately? 1.swollen scrotum 2. groin pain w/ movement 3. client is able to reduce hernia 4. soft asymetic bulges bilaterly

2. groin pain w/ movement -may indicate incarcarated hernia or strangulated hernia

The nurse identifies the primary reason for elderly adults to have problems with constipation is because of which process? 1. Elderly adults eat a small volume of food with decreased bulk. 2. Elderly adults engage in less activity and have decreased GI muscle tone. 3. Elderly adults have neurological changes in the gastrointestinal tract. 4. Elderly adults have decreased sensation in the gastrointestinal tract.

2.elderly engage in less exercise and have decreased GI muscle tone

the nurse is caring for pt w/ hx of cholecystitis. there is a scheduled ultrasound. which statement by the pt that their teaching is effective? 1. i will take a contrast agent before the ultrasound 2. i will tell the doctor im allergic to shellfish 3. I will not eat after midnight 4.i will receive moderate sedation

3. i will not eat after midnight -no contrast agent used w/ ultrasound -more accurate if pt fasts

Which information does the nurse recognize as being the most pertinent to the diagnosis of cholecystitis? 1. Flatulence. 2. Nausea and vomiting. 3. Right upper abdominal pain. 4. Dyspepsia.

3.RUQ pain -can radiate to right shoulder and back

What type of diet does a pt w/ cholecystitis need? 1.low protein, high carb, high fat diet 2. low protein, low carb diet, high fat diet 3. high protein, high carb diet, low fat diet 4. low protein, low carb, low fat diet

3.low fat diet, w/ high protein/carb -pt have fat intolerance due to gallbladder not working

The outpatient clinic nurse cares for an elderly client diagnosed with type 1 diabetes. Because the client is unwilling to perform blood glucose monitoring, the client tests urine for glucose and acetone. The nurse knows that blood glucose monitoring is preferred over urine testing for glucose because of which reason? 1. The renal threshold for glucose is elevated in the elderly. 2. Blood glucose monitoring is easier and less costly for clients to perform. 3. Urine testing for glucose provides false-positive readings. 4. Determination of the color on a reagent strip varies from person to person.

1.the renal threshold for glucose is elevated in the elderly -the level at which glucose starts to appear in the urine increases, leading to false-negative readings; results in elevated glucose levels -urine samples lead to false negatives

The nurse cares for a client diagnosed with gastric reflux due to a hiatal hernia. The client asks the nurse why food and fluids should be withheld just before going to bed. Which response by the nurse is most appropriate? 1. "You are less likely to awaken during the night with heartburn if the stomach is empty." 2. "Early-morning vomiting will be less of a problem if the stomach is empty." 3. "Drinking or eating before lying down causes decreased respirations due to increased pressure on the lungs." 4. "You may develop fluid overload if fluids are taken just before going to bed."

1.you are less likely to awaken during night w/ heartburn if the stomach is empty -sx of hiatal hernia: regurgitation, dyspepsia, heartburn

The nurse cares for the child diagnosed with pediculosis capitis (head lice) who is being treated with permethrin 1% cream rinse. The nurse includes which information when instructing the child's parents? 1. Apply the cream rinse every other day for 1 week. 2. Wash the child's clothing and personal belongings in soap and cool water. 3. Repeat the application of the cream rinse in 7 days if nits are still present. 4. Comb the child's hair weekly with a nit comb.

3. repeat cream in 7 days if nits still present -wash clothes in hot water -application once then reassess after a week -comb hair daily with nit comb

The parents of a child diagnosed with hemophilia ask the nurse to explain the cause of the disease. Which response by the nurse is best? 1.The father transmits the gene to the son." 2."Both the mother and the father carry a recessive trait." 3."The mother transmits the gene to her son." 4."There is a 50% chance that the mother will pass the trait to each of the daughters."

3."The mother transmits the gene to her son." x linked

T/F: hepatitis needs a low protein diet

F. hepatitis need a high protein diet -liver failure needs a RESTRICTED protein diet

succralfate

cytoprotective agent -use: hiatel hernia, ulcers -se: constipation -administer 1 hr before meals or 2 hours after

what is the antiucler suffix/h2 receptor blockers

tidine -cimetidine -famotidine (Pepsid) -ranitidine (Zantac)