Week 5 ticket to class

A client is admitted via the emergency department with the tentative diagnosis of diverticulitis. Which test commonly is prescribed to assess for this problem? A. Computed tomography (CT) scan B. Gastroscopy C. Colonoscopy D. Barium enema

A. Computed tomography (CT) scan

The nurse is caring for the patient with acute appendicitis. Which interventions will the nurse perform? Select all that apply. A. Maintain the patient on NPO status B. Administer IV fluids as prescribed C. Apply warm compresses to the right lower abdominal quadrant D. Maintain the patient in the supine position E. Administer laxatives F. If tolerated, maintain the patient in a semi-Fowler's position

A. Maintain the patient on NPO status B. Administer IV fluids as prescribed F. If tolerated, maintain the patient in a semi-Fowler's position .

Which intervention does the nurse delegate to the unlicensed assistive personnel (UAP) when caring for a postoperative patient with peritonitis? A. Measure intake and output B. Assess wound drainage C. Administer IV antibiotics D. Teach patient about wound care

A. Measure intake and output

A client with cholecystitis is placed on a low-fat, high-protein diet. Which nutrient should the nurse teach the client to include in this diet? A. Skim milk B. Boiled beef C. Poached eggs D. Steamed broccoli

A. Skim milk

A primary healthcare provider diagnoses a client with acute cholecystitis with biliary colic. Which clinical findings should the nurse expect when performing a health history and physical assessment? Select all that apply A. Diarrhea with black feces B. Intolerance to food 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 food high in fat E. Pain that radiates to the right shoulder

A 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 cell count

B. Serum lipase

A woman who is 34 weeks pregnant is hospitalized for pyelonephritis. Which assessments should the nurse include in the plan of care? Select all that apply. A. Homans sign B. Urine output C. Temperature D. Dietary sodium E. Blood pressure F. Uterine contractions

B. Urine output C. Temperature E. Blood pressure F. Uterine contractions

An emergency department nurse assesses an older client who reports cramping pain in the left lower quadrant, weakness, bloating, and malaise. The client also has a low-grade fever. Which condition does the nurse suspect as the most likely cause of the client's clinical findings? A. Pancreatitis B. Appendicitis C. Cholecystitis D. Diverticulitis

D. Diverticulitis

An older client's colonoscopy reveals the presence of extensive diverticulosis. Which type of diet should the nurse encourage the client to follow? A. High-fiber B. High-protein C. Low-carbohydrate

A. High-fiber

The client asks the nurse to recommend foods that might be included in a diet for diverticular disease. Which foods would be appropriate to include in the teaching plan? Select all that apply A. Whole grains B. Cooked fruits and vegetables C. Nuts and seeds D. Lean red meats E. Milk and Eggs

A. Whole grains B. Cooked fruits and vegetables E. Milk and Eggs

A client who had a lithotripsy for a renal calculus is to be discharged from the hospital. Which information should the nurse include in the home care instructions? A. "Increase your intake of dairy products for 5 days" B. "Drink at least 3 L of fluid daily for 4 weeks" C. "Take no medications after this treatment" D. "Report blood in the urine immediately"

B. "Drink at least 3 L of fluid daily for 4 weeks"

A 5-year-old child is admitted to the pediatric unit complaining of colicky abdominal pain with guarding, nausea, anorexia, and a low-grade fever. Palpation of the right lower quadrant of the abdomen elicits pain. What is the most likely diagnosis the nurse should expect when planning care for this child? A. Ulcerative colitis B. Acute appendicitis C. Hirschsprung disease D. Hookworm infestation

B. Acute appendicitis

The nurse is assessing a patient who reports chills, high fever, and flank pain with urinary urgency and frequency. On physical examination, the patient has costovertebral angle tenderness, pulse is 110 beats/min, and respirations are 28/min. How does the nurse interpret these findings? A. Complicated cystitis B. Acute pyelonephritis C. Chronic pyelonephritis D. Acute glomerulonephritis

B. Acute pyelonephritis

A client is admitted with a diagnosis of acute pancreatitis. The medical and nursing measures for this client are aimed toward maintaining nutrition, promoting rest, maintaining fluid and electrolytes, and decreasing anxiety. Which interventions should the nurse implement? Select all that apply A. Provide a low-fat diet B. Administer analgesics C. Teach relaxation exercises D. Monitor cardiac rate and rhythm E. Observe for signs of hypercalcemia

B. Administer analgesics C. Teach relaxation exercises D. Monitor cardiac rate and rhythm

Which nursing intervention is part of nonsurgical management for a patient with peritonitis? A. Monitor weekly weight and intake and output B. Insert a nasogastric tube to decompress the stomach C. Order a breakfast tray when the patient is hungry D. Administer NSAIDs for pain

B. Insert a nasogastric tube to decompress the stomach

What key assessment data would the nurse expect to find in a patient with peritonitis? A. Fever and headache B. Dizziness with nausea and vomiting C. Abdominal pain, distention, and tenderness D. Nausea and loss of appetite

C. Abdominal pain, distention, and tenderness

A client is admitted to the hospital from the emergency department with a diagnosis of urolithiasis. The nurse reviews the client's clinical record and performs an admission assessment. Which is the priority nursing action? A. Strain the client's urine B. Place the client in the high-Fowler position C. Administer the prescribed morphine D. Collect a urine specimen for culture and sensitivity

C. Administer the prescribed morphine

A teenager is admitted with an acute onset of right lower quadrant pain at McBurney point. Appendicitis is suspected. For which clinical indicator should 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

The nurse is performing an abdominal assessment on a client. Where on the abdomen should the nurse assess for McBurney point? A. Right upper quadrant (RUQ) B. Left upper quadrant (LUQ) C. Right lower quadrant (RLQ) D. Left lower quadrant (LLQ)

C. Right lower quadrant (RLQ)

A client is admitted to the hospital for medical management of acute pancreatitis. Which nursing action is most likely to reduce the pancreatic and gastric secretions of a client with pancreatitis? A. Encouraging clear liquids B. Obtaining a prescription for morphine C. Assisting the client into a semi-Fowler position D. Administering prescribed anticholinergic medication

D. Administering prescribed anticholinergic medication

The nurse is creating a dietary plan for a client with cholecystitis who has been placed on a modified diet. Which will be most appropriate to include in the client's dietary plan? A. Offer soft-textured foods to reduce the digestive burden B. Offer low-cholesterol foods to avoid further formation of gallstones C. Increase protein intake to promote tissue healing and improve energy reserves D. Decrease fat intake to avoid stimulation of the cholecystokinin mechanism for bile release

D. Decrease fat intake to avoid stimulation of the cholecystokinin mechanism for bile release

A patient with a history of kidney stones presents with severe flank pain, nausea, vomiting, pallor, and diaphoresis. He reports freely passing urine, but it is bloody. What is the priority concern? A. Possible hemorrhage B. Impaired tissue perfusion C. Impaired urinary elimination D. Severe pain

D. Severe pain

A client who had surgery for a ruptured appendix develops peritonitis. Which clinical findings related to peritonitis should the nurse expect the client to exhibit? Select all that apply. A. Fever B. Hyperactivity C. Extreme hunger D. Urinary retention E. Abdominal muscle rigidity

A. Fever D. Urinary retention E. Abdominal muscle rigidity

Which statements about peritonitis are true? Select all that apply A. Peritonitis is caused by contamination of the peritoneal cavity by bacteria or chemicals B. Continuous ambulatory peritoneal dialysis (CAPD) can cause peritonitis C. White blood cell counts are often decreased with peritonitis D. Abdominal wall rigidity is a classic finding in patients with peritonitis E. Chemical peritonitis is caused by leakage of pancreatic enzymes or gastric acids F. Respiratory problems can be caused by increased abdominal pressure against the diaphragm

A. Peritonitis is caused by contamination of the peritoneal cavity by bacteria or chemicals B. Continuous ambulatory peritoneal dialysis (CAPD) can cause peritonitis D. Abdominal wall rigidity is a classic finding in patients with peritonitis E. Chemical peritonitis is caused by leakage of pancreatic enzymes or gastric acids F. Respiratory problems can be caused by increased abdominal pressure against the diaphragm

A patient returns to the medical-surgical unit after having shock wave lithotripsy. What is an appropriate nursing intervention for the poatprocedural care of this patient? A. Strain the urine to monitor the passage of stone fragments B. Report bruising that occurs on the flank of the affected side C. Continuously monitor electrocardiogram for dysrhythmias D. Apply a local anesthetic cream to the skin of the affected side

A. Strain the urine to monitor the passage of stone fragments

A patient has come to the clinic for follow up of acute pyelonephritis. Which action does the nurse reinforce to the patient? A. Complete all antibiotic regimens B. Report episodes of nocturia C. Wash hands to prevent spreading infection D. Avoid taking any over-the-counter drugs

A. Complete all antibiotic regimens

Which medication should the nurse question when it is prescribed for a client with acute pancreatitis? A. Ranitidine B. Cimetidine C. Meperidine D. Promethazine

C. Meperidine

A client experiences occasional right upper quadrant pain attributed to cholecystitis. The nurse is providing discharge instructions, including a list of foods that cause dyspepsia. Which foods should be on the list the nurse provided the client? A. Nuts and popcorn B. Meatloaf and baked potato C. Chocolate and boiled shrimp D. Fried chicken and buttered corn

D. Fried chicken and buttered corn

A nurse is caring for a client with a diagnosis of acute pancreatitis and alcoholism. The client asks, "What does my drinking have to do with my diagnosis?" What effect of alcohol should the nurse include when responding? A. Promotes the formation of calculi in the cystic duct B. Stimulates the pancreas to secrete more insulin than it can immediately produce C. Alters the composition of enzymes so they are capable of damaging the pancreas D. Increase enzyme secretion and pancreatic duct pressure that causes backflow of enzymes into the pancreas

D. Increase enzyme secretion and pancreatic duct pressure that causes backflow of enzymes into the pancreas

The nurse is assessing an older adult patient with abdominal pain. Assessment findings include generalized abdominal pain with rigidity, nausea and vomiting, temperature 101.2 F (38.4 C), heart rate 122/minute, and chills. The patient is also somewhat confused and does not know where he is. What does the nurse suspect with this patient? A. Crohn's disease B. Ulcerative colitis C. Diverticulitis D. Peritonitis

D. Peritonitis