EAQ AH Exam 3

A client is admitted to the hospital with a diagnosis of acute pancreatitis. The health care provider's prescriptions include nothing by mouth and total parenteral nutrition (TPN). The nurse explains that the TPN therapy provides what benefit? 1 Is the easiest method for administering needed nutrition 2 Is the safest method for meeting the client's nutritional requirements 3 Will satisfy the client's hunger without the discomfort associated with eating 4 Will meet the client's nutritional needs without causing the discomfort precipitated by eating

Will meet the client's nutritional needs without causing the discomfort precipitated by eating

A nurse assesses four different clients with pressure ulcers. Which client is suspected of having an unstageable ulcer? 1 Client A 2 Client B 3 Client C 4 Client D

Client B; Full thickness loss in tissue with the base of the ulcer covered by slough

A nurse is caring for a client with quadriplegia. Which nursing intervention will decrease the occurrence of pressure ulcers? 1 Avoiding leg massages 2 Frequent repositioning of client 3 Increasing fiber content in food 4 Encouraging weight-bearing exercises

Frequent repositioning of client

A client is hospitalized with a tentative diagnosis of pancreatic cancer. On admission the client asks the nurse, "Do you think I have anything serious, like cancer?" What is the nurse's best reply? 1 "What makes you think you have cancer?" 2 "I don't know if you do; let's talk about it." 3 "Why don't you discuss this with your primary healthcare provider?" 4 "You needn't worry now; we won't know the answer for a few days."

"I don't know if you do; let's talk about it."

A client with cirrhosis is scheduled for a liver biopsy. The client asks if there are any risks after the procedure. Which response by the nurse is the best? 1 "There are relatively no risks associated with this procedure." 2 "The major risk is infection at the biopsy site." 3 "The major risk is bleeding post procedure." 4 "The major risk is liver failure post procedure."

"The major risk is bleeding post procedure."

The nurse is administering lactulose to a client with a history of cirrhosis of the liver. The client asks the nurse why this medication is needed because the client is not constipated. How will the nurse respond? 1 "This medication helps you to stop drinking so much alcohol." 2 "This medication helps you relax and not feel anxious." 3 "This medication helps you lower the high ammonia level caused by your liver disease." 4 "This medication helps you keep your abdomen from being so distended."

"This medication helps you lower the high ammonia level caused by your liver disease."

A client is admitted via the emergency department with the tentative diagnosis of diverticulitis. Which test commonly is prescribed to assess for this problem? 1 Computed tomography (CT) scan 2 Gastroscopy 3 Colonoscopy 4 Barium enema

Computed tomography (CT) scan

A farmer seeks medical care for a large crusty patch of skin on the cheek. The client states that even after using different remedies, it still bleeds easily and has not gotten better. From the client's history, the nurse suspects skin cancer. Which factor in the client's history helped the nurse form this conclusion? 1 Exposure to radiation 2 Location of the lesion 3 Self-treatment of lesions 4 Contact with soil contaminants

Exposure to radiation

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? 1 Nuts and popcorn 2 Meatloaf and baked potato 3 Chocolate and boiled shrimp 4 Fried chicken and buttered corn

Fried chicken and buttered corn

Which type of hepatitis virus spreads through contaminated food and water? 1 Hepatitis A virus 2 Hepatitis B virus 3 Hepatitis C virus 4 Hepatitis D virus

Hepatitis A virus

The nurse is caring for a client admitted to the hospital for a rubber band ligation of internal hemorrhoids. Which action should the nurse take to reduce discomfort? 1 Offer sitz baths 2 Use water-soluble jelly 3 Use inflatable doughnut 4 Offer medicated suppository

Offer sitz baths

A client presents with extensive lesions due to psoriasis. Which intervention does the nurse anticipate from the healthcare provider? 1 Advising sunscreen and special clothing 2 Topical application of steroids 3 Potassium permanganate baths 4 Debridement of necrotic plaques

Topical application of steroids

A nurse is caring for a client who is positive for hepatitis A. Which precautions should the nurse take? 1 Wear a gown when entering the client's room. 2 Use caution when bringing in the client's food. 3 Use gloves when removing the client's bedpan. 4 Wear a protective mask when entering the client's room.

Use gloves when removing the client's bedpan.

A thin 24-year-old woman who runs 10 miles each week asks the nurse for advice about preventing osteoporosis. Which vitamin and other dietary supplement should the nurse recommend? 1 Vitamin E and ginseng tea 2 Vitamin B and ginkgo biloba 3 Vitamin D and calcium citrate 4 Vitamin C and glucosamine/chondroitin

Vitamin D and calcium citrate

A self-help group of clients with irritable bowel syndrome have invited a nurse to present a program on nutrition. Which substance should the nurse teach the clients to minimize in the diet to decrease gastrointestinal (GI) irritability? 1 Cola drinks 2 Gelatin 3 Fiber 4 Rice

Cola drinks

A nurse administers lactulose to a client with cirrhosis of the liver. Which laboratory test change leads the nurse to determine that the lactulose is effective? 1 Decreased amylase 2 Decreased ammonia 3 Increased potassium 4 Increased hemoglobin

Decreased ammonia

An older adult client with a low body mass index (BMI) is found to have osteoporosis. What should the nurse include in the discharge plan for this client? 1 Encouraging gradual weight gain 2 Monitoring for decreased urine calcium 3 Providing instructions relative to diet and exercise 4 Teaching about safety factors in the use of opioids and nonsteroidal anti inflammatory drugs

Providing instructions relative to diet and exercise

A client with terminal bone cancer is to receive 2 mg of hydromorphone intravenously (IV) every 4 hours as needed for severe breakthrough pain. The vial contains 10 mg/mL. When the client reports severe pain, how much solution of hydromorphone should the nurse administer? Record your answer using one decimal place. Include a leading zero if applicable. _____ mL

0.2 ml

A client with osteomyelitis has a slow rate of healing. Which factors can contribute to reduced healing in the client? Select all that apply1 Diabetes 2 Cataract 3 Smoking 4 Dermatitis 5 Alcoholism

1 Diabetes 3 Smoking 5 Alcoholism

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 Mental confusion 4 Flapping hand tremors 5 Musty, sweet breath odor

A nurse is assessing a client with a diagnosis of psoriasis. Which clinical findings should the nurse expect to observe? Select all that apply. 1 Scaly lesions 2 Pruritic pustules 3 Reddened papules 4 Multiple petechiae 5 Erythematous macules

1 Scaly lesions 3 Reddened papules

A client has a diagnosis of hemorrhoids. Which signs and symptoms does the nurse expect the client to report? Select all that apply. 1 Flatulence 2 Anal itching 3 Blood in stool 4 Rectal bulging 5 Pain when defecating

2 Anal itching 3 Blood in stool 4 Rectal bulging 5 Pain when defecating

The nurse is caring for a client who may have Paget's disease and osteomalacia. Which laboratory tests can be conducted to confirm the nurse's suspicion? Select all that apply. 1 Aldolase 2 Serum calcium 3 Alkaline phosphatase 4 Lactic dehydrogenase 5 Aspartate aminotransferase

2 Serum calcium 3 Alkaline phosphatase

A client is scheduled for skin cancer surgery and has not signed the consent form. Which situation will cause the nurse to legally delay signing the operative consent? 1 Ambivalent feelings are present and acknowledged. 2 A sedative type of medication has been given recently. 3 A complete history and physical has not been performed and recorded. 4 A discussion of alternatives with two primary healthcare providers has not occurred.

A sedative type of medication has been given recently.

A client is admitted to the hospital for acute pancreatitis. The nurse obtains the client's vital signs, performs a physical assessment, and reviews the client's health history. What is the priority intervention by the nurse? 1 Reduce environmental stimuli. 2 Continue to monitor the client's vital signs. 3 Institute constant observation of the client. 4 Assess the client for alcohol withdrawal symptoms.

Assess the client for alcohol withdrawal symptoms

A nurse is assessing two clients. One client has ulcerative colitis, and the other client has Crohn disease. Which is more likely to be identified in the client with ulcerative colitis than in the client with Crohn disease? 1 Inclusion of transmural involvement of the small bowel wall 2 Higher occurrence of fistulas and abscesses from changes in the bowel wall 3 Pathology beginning proximally with intermittent plaques found along the colon 4 Involvement starting distally with rectal bleeding that spreads continuously up the colon

Involvement starting distally with rectal bleeding that spreads continuously up the colon

A nurse is caring for a client who just had surgery to repair an inguinal hernia. To limit a common complication associated with this surgery, which action should the nurse take? 1 Apply an abdominal binder. 2 Place a support under the scrotum. 3 Teach the client to cough several times an hour. 4 Encourage the client to eat a high-carbohydrate diet

Place a support under the scrotum.

After many years of coping with ulcerative colitis, a client makes the decision to have a colectomy as advised by the primary healthcare provider. Which is most likely the significant factor that impacted on the client's decision? 1 It is temporary until the colon heals. 2 Surgical treatment cures ulcerative colitis. 3 Ulcerative colitis can progress to Crohn disease. 4 Without surgery, eating table foods is contraindicated.

Surgical treatment cures ulcerative colitis