AH1 Test 4 Uworld

which of the following complications are related to liver cirrhosis ? SELECT ALL THAT APPLY

All the above

The nurse is assessing a client with suspected hepatitis. which of the following questions would be important for the nurse to ask the client? SELECT ALL THAT APPLY

Do you take any over the counter medications? HOw many alcohol beverages to you consume per week? Do you use injectable recreational substances?

During the immediate postoperative period after a colostomy, which stoma assessment requirement requires the nurse to contact the HCP immediately.

Dusky with moderate edema

which statement by the client demonstrated a correct understanding of the home care of an ascending colostomy?

I will clarify with my HCP before taking enteric coated medication I will limit foods such as broccoli and cauliflower to reduce odor.

The nurse assessing a clients pain would expect the client to make which statement when describing the abdominal pain associated with appendicitis?

My pain is excruciating in my lower abdomen above my right hip.

The nurse is caring for a client who has acute pancreatitis. Which of the following assessment findings is most concerning?

Temperature of 102.2

The nurse is caring for a client with hepatic encephalopathy who is receiving newly prescribed lactulose. Follow-up would be required if the nurse.

holds the medication if the client has three soft stools a day.

The post anesthesia care unit nurse receives report on a client after abdominal surgery. What sounds would the nurse expect to hear when auscultating the bowel?

Absent Bowel Sounds

The nurse is caring for a client with acute pancreatitis who has severe nausea, frequent vomiting, epigastric pain and tachycardia. Which of the following interventions should the nurse anticipate for the client? ALL APPLY

Administer IV Fluids Administer IV hydromorphone for pain Insert a Nasogastric tube for nasogastric suction

The nurse is caring for a patient with cirrhosis of the liver. Which blood test values would the nurse typically anticipate to be elevated when reviewing the client's morning lab results.

Ammonia Bilirubin Prothrombin time (PT)

The nurse prepares to admit a client with worsening cirrhosis who is on the waiting list for a liver transplant. Based on the clients EHR, the nurse anticipates which assessment finding?

Ascites Bruising Itching Lethargy

The nurse is providing postoperative care to a client who had a laparoscopic cholecystectomy 4 hours ago. Which intervention is the priority?

Assist with early ambulation

A nurse is caring for a client with liver cirrhosis. Which of the following assessment findings would warrant immediate follow-up?

Black, tarry stool

The nurse understands that which of these body substances are modes of transportation for hepatitis B?

Blood Semen Vaginal Secretions

The nurse is caring for a client with acute pancreatitis. While obtaining the client's blood pressure, the nurse notes a carpal spasm. The nurse should obtain a blood specimen to check the client's serum

Calcium level

A nurse is caring for a client who developed paralytic ileus after a stroke. The client reports nausea, abdominal discomfort, and distention; bowel sounds are absent. Which prescription should the nurse question?

Hydrocodone 5/325 mg 1 tab every 4 hours PRN for moderate pain

The nurse has taught a client who had a sigmoid colostomy 3 days ago. Which of the following statements by the client would indicate a correct understanding of the teaching?

I may irrigate my colostomy daily in order to wear a smaller size pouch

The nurse is teaching a client about cirrhosis who has portal hypertension and esophageal varices. Which of the following statements by the client would indicate correct understanding of the teaching.

I should avoid straining while having a bowel movement

The nurse is caring for a client with hepatic encephalopathy who is receiving lactulose. Which of the following findings would indicate that the medication has been effective?

Improved mental status

The nurse admits a client with cirrhosis who has an upper gastrointestinal bleed from suspected gastroesophageal varices. which new prescription should the nurse question?

Insert and maintain a nasogastric tube

A client with a history of cirrhosis has a new prescription for lactulose 30 mL four times a day. What does the nurse explain to the client about this medication?

It will decrease intestinal absorption of ammonia

During assessment of a client with cholelithiasis and acute cholecystitis, which of the following findings should the nurse expect during the health history and physical examination?

Low grade fever Right upper quadrant pain radiating to the right shoulder.

The nurse is caring for a client with cirrhosis who has ascites, peripheral edema, shortness of breath, fatigue, and generalized discomfort. Which of the following actions should the nurse take?

Maintain client in semi fowlers

A client diagnosed with cirrhosis is experiencing pruritus. Which strategies are appropriate for the nurse to teach the client to promote comfort and skin integrity? SELECT ALL THAT APPLY

Maintain short nails Take prescribed cholestyramine Use moisturizing cream on unbroken skin daily

The nurse is caring for a client with acute cholecystitis who has vomited multiple times in the past hour. Which of the following actions would be the priority for the nurse to take?

Maintain the client on NPO status

Which nursing interventions would the nurse implement when caring for a client newly diagnosed with acute viral hepatitis B? SELECT ALL THAT APPLY

offer some frequent meals promote rest periods teach patient not to share razors or toothbrushes with others teach patient to abstain from drinking alcohol