Provider 1 Quiz 3

A nurse is caring for a client with cholelithiasis and obstructive jaundice. When assessing this client, the nurse should be alert for which findings that are consistent with these conditions? Select all that apply. 1 Ecchymosis 2 Yellow sclera 3 Dark brown stool 4 Straw-colored urine 5 Pain in right upper quadrant

1,2,5

Which information would the nurse include regarding appliance care and maintenance, when teaching a client with a new colostomy? Select all that apply. 1 Change the ostomy pouch on a routine basis. 2 Replace the ostomy wafer weekly or sooner as needed. 3 Remove the ostomy pouch when showering. 4 Empty the ostomy pouch when three-quarters full of stool or gas. 5 Empty the ostomy pouch before exercise and at bedtime.

1,2,5

A client is admitted to the hospital with a diagnosis of cirrhosis of the liver. For which assessment signs of hepatic encephalopathy should the nurse assess this client? Select all that apply. 1 Mental confusion 2 Increased cholesterol 3 Brown-colored stools 4 Flapping hand tremors 5 Musty, sweet breath odor

1,4,5

An 85-year-old client has a three-day history of nausea, vomiting, and diarrhea. The client develops weakness and confusion and is admitted to the hospital. To best monitor the client's rehydration status, what should the nurse assess? 1 Skin turgor 2 Daily weight 3 Urinary output 4 Mucous membranes

2

A nurse is providing discharge instructions to a client diagnosed with cirrhosis and varices. Which information should the nurse include in the teaching session? Select all that apply. 1 Adhering to a low-carbohydrate diet 2 Avoiding aspirin and aspirin-containing products 3 Limiting alcohol consumption to two drinks weekly 4 Avoiding acetaminophen and products containing acetaminophen 5 Avoiding coughing, sneezing, and straining to have a bowel movement

2,4,5

A client undergoes an abdominal cholecystectomy with common duct exploration. In the immediate postoperative period, what is the priority nursing action? 1 Irrigating the T-tube every hour 2 Changing the dressing every two hours 3 Encouraging coughing and deep breathing 4 Promoting an adequate fluid and food intake

3

A nurse reviews the plan of care for a geriatric client with less than adequate nutritional intake. The nurse should question which prescription? 1 Have client sit in a chair for meals to prevent aspiration of food/liquid into the lungs. 2 Provide six small feedings in 24 hours whenever requested by the client. 3 Give one can of diet supplement at 8:00 AM with breakfast and 4:00 PM prior to evening meal. 4 Encourage the client's family members to bring food from home, especially their favorite dishes.

3

The nurse assesses a client for the development of pernicious anemia after reviewing the client's history. Which condition did the nurse most likely find in the history? 1 Acute gastritis 2 Diabetes mellitus 3 Partial gastrectomy 4 Unhealthy dietary habits

3

A nurse is assessing a client with severe liver disease. Which assessment finding will the nurse expect to observe? 1 Icterus 2 Urticaria 3 Uremic frost 4 Hemangioma

1

A nurse is assessing different clients. Which female client has the greatest risk of developing gallbladder disease? 1 Older than age 40 and obese 2 Older than age 40 with a low serum cholesterol level 3 Less than 40 years of age with a history of high fat intake 4 Less than 40 years of age with a family history of gallstones

1

A nurse is teaching a newly admitted client who has acute pancreatitis about dietary restrictions. What should the education include? 1 Use of IV fluids 2 Season foods sparingly 3 Eat small meals frequently 4 Limit coffee to three cups per day

1

A client in a debilitated state is admitted for palliative treatment following a terminal diagnosis of liver cancer. Which objective information collected by the nurse is most helpful for future monitoring of the client's condition? 1 Description of the client's pain 2 Assessment of hunger 3 Inspection of bowel patterns 4 Record of daily weights

4

A client with a history of ulcerative colitis has a large portion of the large intestine removed, and an ileostomy is created. For which potential life-threatening complication should the nurse assess the client after this surgery? 1 Infection caused by the excretion of feces 2 Injury caused by exposed intestinal mucosa 3 Altered bowel elimination caused by the ostomy 4 Limited water reabsorption caused by removal of intestine

4

The nurse is caring for a client following a laparoscopic cholecystectomy. Which nursing action is priority? 1 Monitor the abdominal dressing for bleeding 2 Instruct on using patient-controlled analgesia 3 Teach about six-week activity restriction 4 Assess puncture sites for bleeding

4