Med-Surg II Ch 10, 11, 35

A nurse schedules a patient for an invasive procedure in which a physician visualizes the liver, gallbladder , and pancreas. For which procedure has the patient been scheduled. A ERCP B EGD C Endoscopic Ultrasonography D Percutaneous liver biopsy

A ERCP

A patient is admitted to the hospital with acute viral hepatitis. Which of the following signs and symptoms would the nurse expect to note based upon this diagnosis? A Fatigue B Pale urine C Weight gain D Spider angiomas

A Fatigue

HIPAA is an ACRONYM for: A Health Insurance Portability and Accountability Act B Hospital Information Privacy and Accountability Act C Health Information Privacy and Accountability Act D Health Information Privacy and Access Act

A Health Insurance Portability and Accountability Act

Gallstones may be found in the following places except: A Hepatic Artery B Common Bile Duct C Cystic Duct D Biliary tract

A Hepatic Artery

It is determined that a client with hepatitis has contracted the infection from contaminated food. What type of hepatitis is this client most likely experiencing? A Hepatitis A B Hepatitis B C Hepatitis C D Hepatitis D

A Hepatitis A

Which type of hepatitis is transmitted by the fecal-oral route via contaminated food, water, or direct contact with an infected person? A Hepatitis A B Hepatitis B C Hepatitis C D Hepatitis

A Hepatitis A

Of the following infection control methods, which would be the priority to include in the plan of care to prevent Hepatitis B in a patient considered to be a high risk for exposure? A Hepatitis B vaccine B Proper personal hygiene C Use of immune globulin D Correct hand washing technique

A Hepatitis B vaccine

A patient with viral hepatitis has no appetite, and food makes the patient nauseated. Which nursing intervention would be appropriate? A Offer small, frequent meals B Encourage foods low in calories C Explain that high-fat diets are usually better tolerated D Explain that a majority of calories need to be consumed in the evening hours

A Offer small, frequent meals

Pain is best described by the: A Patient B Nurse C Physician D Physiologist

A Patient

A nurse is taking care of a patient who has just had a liver biopsy. After the procedure, which position should the nurse place the patient? A Right lateral position B Left Sim's position C Reverse Trendelenburg position D Semi-Fowler's position

A Right lateral position

The Wong-Baker FACES Pain Rating Scale which face indicates "hurts a whole lot?" Assume that scale is numbered 0-10 instead of 1-5. 0="no pain" & 10="hurts as much as you can imagine" THIS QUESTION INVOLVES CRITICAL THINKING A 4 B 8 C 10 D 3

B 8

Which client problem has priority for the patient diagnosed with acute pancreatitis? A Risk for fluid volume deficit B Alteration in comfort C Imbalanced nutrition: less than body requirements D Knowledge deficit

B Alteration in comfort

A nurse is caring for a patient who has just undergone oral surgery. The patient's surgeon prescribes "300mg Acetaminophen plus 30mg Codeine (Tylenol #3) every 4-6 hours as needed for pain." How should the nurse instruct the patient to take this medication? A As needed for pain B By mouth every 4 to 6 hours as needed for pain C Immediately D By mouth every 4 to 6 hours

B By mouth every 4 to 6 hours as needed for pain

Which instruction should the nurse discuss with the patient who is in the icteric phase of Hepatitis C? A Decrease alcohol intake B Encourage rest periods C Eat a large evening meal D Drink diet drinks and juices

B Encourage rest periods

A patient is admitted to the hospital with viral hepatitis and is complaining of a loss of appetite. In order to provide adequate nutrition, the nurse encourages the patient to: A Select foods high in fat B Increase intake of fluids C Eat less often, preferably only 3 large meals a day D Eat a large dinner when anorexia is most likely not as severe

B Increase intake of fluids

According to the WHO, which level involves mild to moderate pain? A Level I B Level II C Level III D Level IV

B Level II

A patient has abdominal pain after gallbladder surgery. Which type of pain is the patient experiencing? A Neuropathic B Nociceptive C Chronic D Non-physiological

B Nociceptive

Which type of precaution should the nurse implement to protect from being exposed to any of the hepatitis viruses? A Airborne Precautions B Standard Precautions C Droplet Precautions D Exposure Precautions

B Standard Precautions

There are 3 classifications of analgesics. Which classification potentiates the effects of other analgesics? A Opioids B Nonopioids C Adjunvants D All of the above E None of the above

C Adjunvants

In the cirrhosis patient, esophageal varices and hemorrhoids are caused by which of the following? A Blood vessels weakened by malnutrition B Inability to conjugate and excrete bilirubin C Elevated pressure in GI blood vessels D Fluid retention associated with excess aldosterone

C Elevated pressure in GI blood vessels

The client seeks treatment for right shoulder pain at the MD's office. When collecting data from the client's lifestyle history, the nurse interprets that the client's complaint could most likely be related to which of the following factors? A Cigarette smoking B High calcium intake C Employment as a carpenter D Sleeping on the left side

C Employment as a carpenter

Health care providers are routinely vaccinated against which of the following? A Hepatitis A B Hepatitis C C Hepatitis B D Hepatitis D

C Hepatitis B

Cholecystitis involves tenderness in: A Abdomen B Right shoulder radiating down left arm C RUQ D None of the above

C RUQ

When a patient is taking opioid analgesics, the nurse's first priority is to assess which of the following? A Bowel elimination B Hydration C Respiratory system D Urinary elimination

C Respiratory system

The nurse is completing discharge teaching to the patient diagnosed with acute pancreatitis. Which instruction should the nurse discuss with the client? A Decrease alcohol intake B Avoid all stress C Stop smoking D Take pancreatic enzymes

C Stop smoking

Which problem is highest priority for the nurse to identify in the patient who had an open cholecystectomy? A Alteration in nutrition B Alteration in skin integrity C Alteration in urinary pattern D Alteration in comfort

D Alteration in comfort

The patient is in the preicteric phase of hepatitis. Which signs/symptoms should the nurse expect the patient to exhibit during this phase? A Clay-colored stools and jaundice B Normal appetite and pruritus C Being afebrile and left upper quadrant pain D Complaints of fatigue and diarrhea

D Complaints of fatigue and diarrhea

Which outcome should the nurse identify for the patient scheduled to have a cholecystectomy? A Decreased pain management B Ambulate first day postoperative C No break in skin integrity D Knowledge of postoperative care

D Knowledge of postoperative care

Which patient problem is the nurse's priority concern for the patient diagnosed with acute pancreatitis? A Impaired nutrition B Skin integrity C Anxiety D Pain relief

D Pain relief

The patient is 4 hours postoperative open cholecystectomy. Which data warrant immediate intervention by the nurse? A Absent bowel sounds in all 4 quadrants B The T-tube has 60 ml of green drainage C Urine output of 100 ml in the past 3 hours D Refusal to turn, deep breathe, and cough

D Refusal to turn, deep breathe, and cough

A nurse is evaluating the effect of dietary counseling on a client with cholecystitis. The nurse determines that the client understands the instructions given if the client states that which food item is acceptable to include in the diet? A Beef chili B Grilled steak C Mashed potatoes D Turkey and lettuce sandwich

D Turkey and lettuce sandwich

The 5 F's are sometimes used to describe the risk for gallbladder disease. Which one of these is associated with the 5 F's. A Fair B Fat C Female D Fertile E All of the above

E All of the above