NDEE 2

renal calculi

kidney stones

Appendcitis symptoms

nausea, anorexia, abdominal pain, fever

Which serum blood level would the nurse expect to be decreased in a client with a diagnosis of hyperparathyroidism?

Phosporus

intassusception

It is telescoping of a proximal loop of bowel into a distal loop. *telescopes into another part of the intestine *red current jelly *sausage shaped abdominal mass *therapeutic procedure: air enema

Which information about benign prostatic hyperplasia (BPH) is important for the nurse to consider when caring for a client with that condition?

It predisposes to hydronephrosis

Good foods for ulcerative colitis?

Jelly s/w Lean roast beef Scrambled eggs

Laboratory reports indicate the client's thyroxine levels are low. Which medication might have led to this condition?

Lithium

dyspepsia

indigestion

choledochostomy

opening into the common bile duct

A client who had a subtotal thyroidectomy asks how hypothyroidism may develop when the problem was hyperthyroidism. Which would the nurse consider when formulating a response?

Less thyroid tissue is available to supply thyroid hormone after surgery.

tetany

tension; prolonged, continuous muscle contraction

The nurse is assessing a client with Crohn disease who is scheduled for an upper gastrointestinal series. Which condition would necessitate the cancellation of the procedure?

Colon perforation

The laboratory values of a client with renal calculi reveal a serum calcium within expected limits and an elevated serum purine. Which type of stone composition is consistent with these laboratory values?

Uric acid

Which clinical findings would the nurse expect to identify when completing a nursing admission history and physical on a client with suspected hypothyroidism?

Palpitations Tachycardia Missed menstrual periods

A client who is 5 feet 8 inches, 220lb, has ureteral colic, blood in the urine, and a BP of 150/90. Which objective is the highest priority and directs the nursing interventions for this client?

Decrease pain

The nurse is performing a physical assessment of a client with ulcerative colitis. Which symptom is often associated with a serious complication of this disorder?

Decreased bowel sounds

A client is diagnosed with parathyroid dysfunction. Which serum calcium concentration supports the diagnosis?

7.8 mg/dl

Which test confirms BPH?

Biopsy of prostatic tissue

Which are neurological manifestations of hyperthyroidism?

Blurred vision Exophthalmos

A self-help group of clients with IBS is advised to omit what from there diet?

Cola drinks

The nurse identifies which clinical manifestations as being characteristic of hyperthyroidism?

Diaphoresis, Weight loss, Protruding eyes

Which clinical manifestations would the nurse anticipate when assessing a client with hypothyroidism?

Dry skin Brittle hair

Which reported clinical manifestations would the nurse expect from a client with ulcerative colitis?

Fever, diarrhea, Abdominal cramps

Which factor may contribute to a client developing urinary calculi?

History of hyperparathyroidism

Which intervention would prevent urinary stasis and formation of renal calculi in an immobile client?

Increasing oral fluid intake to 2 to 3 L/day

A client develops an intestinal obstruction. A nasogastric tube is inserted and connected to low, continuous suction. The nurse monitors the client for fluid volume deficit. Which clinical finding would the nurse expect if the client becomes dehydrated?

Inelastic skin turgor

Where would appendicitis pain be felt?

RLQ

A client is admitted with an acute onset of right lower quadrant pain at McBurney point. Appendicitis is suspected. For which clinical indicator would the nurse assess the client to determine if the pain is secondary to appendicitis?

Rebound tenderness

Which complication would the nurse be concerned about if there is a removal of the parathyroid glands during athyroidectomy?

Tetany

An infant with congenital hypothyroidism receives levothyroxine for 3 months. Which finding would indicate that the medication is effective?

The infant is alert and interactive

Which equipment would the nurse include when setting up an emergency equipment at the bedside of a client in the immediate postoperative period after a thyroidectomy?

Tracheostomy set and oxygen.

A client has been taking levothyroxine for hypothyroidism for 3 months. The nurse suspects a decrease in dosage is needed when the client exhibits which clinical manifestations?

Tremors Heat intolerance

A client has been taking levothyroxine for hypothyroidism for 3 months. The nurse suspects that a decrease in dosage is needed when the client exhibits which clinical manifestations?

Tremors Heat intolerance

Which manifestations of surgically induced hypothyroidism might the client exhibit after a thyroidectomy?

Fatigue, Dry skin

Purpose of T-tube after surgery for cholecystectomy with choledochostomy is?

Permit drainage of bile

A client with a large calculus in the calyces of the right kidney has surgery scheduled for removal of the stone. Which information would the nurse include when teaching postoperative care?

After surgery there will be a small incision in the right flank area

A client complains of nocturia, bladder pain, urinary frequency, and dribbling at the end of urination. The digital rectal report indicates smooth, firm, and enlarged prostate tissue surrounding the urethra. Which condition would the nurse suspect?

BPH

Which complication would the nurse monitor in a client with hyperparathyroidism?

Bone pain

The nurse assesses a client with the diagnosis of an intestinal obstruction in the descending colon. When auscultating the mid-abdomen, which type of sound would the nurse expect to hear?

Borborygmi

A client is admitted via the emergency department with a tentative diagnosis of diverticulitis. The nurse anticipates that which test will be prescribed?

CT Scan

A client with a history of recurrent cholecystitis is scheduled for an abdominal cholecystectomy. Which would the nurse specifically emphasize when planning preoperative teaching for this client?

Coughing and deep breathing

Which clinical manifestation would the nurse associate with BPH?

Distention of the lower abdomen

When an intestinal obstruction is suspected, a client has a nasogastric tube inserted and attached to suction. For what response should the nurse critically assess this client?

Fluid deficit

A client is admitted to the hospital with a diagnosis of peptic ulcer. Which common complication would the nurse assess for in this client?

Hemorrhage

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 would the nurse assess the client after this surgery?

Limited water reabsorption caused by removal of intestine

The nurse is caring for a client who has renal calculi secondary to hyperparathyroidism. Which type of diet would the nurse teach the client?

Low calcium

The nurse is caring for a client who is experiencing an underproduction of thyroxine (T4). This condition is associated with which diagnosis?

Myxedema

exophthalmos

abnormal protrusion of the eyeball

Cholecystitis

inflammation of the gallbladder

Which symptom might the nurse identify when assessing a client with hyperthyroidism?

Fatigue

Which pain-related clinical manifestation would the nurse expect in a client who had received a diagnosis of a peptic ulcer?

The pain occurs 1-2 hours after having a meal

cholecystectomy

surgical removal of the gallbladder

Assessment findings of a client who is admitted to the emergency department include cramping in the LLQ, weakness, bloating, malaise, and a low grade fever. The nurse suspects which condition?

Diverticulitis

Which instructions would the nurse give to a client with renal calculi?

Drink plenty of water Substitute lemon juice for tea

The nurse is creating a discharge plan for a client who had a subtotal gastrectomy. The nurse would include which instructions about minimizing dumping syndrome?

Eat small, frequent meals Lie down for 1 hour after eating

Which clinical indicators are consistent with the diagnosis of hyperthyroidism?

Emotional liability Dyspnea on exertion Hyperactive deep tendon reflexes

Assessment finding of a client who is admitted to the emergency department include cramping in the left lower quadrant, weakness, bloating, malaise, and a low grade fever. The nurse suspects which condition?

Diverticulitis

After a subtotal gastrectomy, the client reports perspiration and epigastric discomfort that occurs approximately 30 minutes after eating a meal. The client states the symptoms disappear within a few minutes. Which would be the appropriate for the nurse to include in the client teaching to prevent this complication?

Eat small, low carb meals

Which intervention would the be included in the plan of care for a client admitted to the hospital with primary hyperparathyroidism?

Ensure a large fluid intake

A client with an acute episode of ulcerative colitis is admitted to the hospital. Blood studies reveal that the chloride level is low. Which would the nurse be prepared to administer to the client?

Intravenous therapy

The 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?

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

After several episodes of intermittent abdominal pain and vomiting, a 5-month-old infant is admitted to the pediatric unit. A diagnosis of intussusception is made. What is the priority nursing intervention that will help confirm the diagnosis?

Observing characteristics of stools

The nurse is obtaining a health history from a client with a diagnosis of peptic ulcer disease. The nurse identifies a possible contributory risk factor when the client makes which statement?

I smoke one pack of cigarettes a day.

A client is returned to the surgical unit after an abdominal cholecystectomy. Which is the main reason why the nurse would assess for clinical indicators of respiratory complications?

Incision is in close proximity to the clients diaphragm

The nurse is planning care for a client with hyperparathyroidism and subsequent hypocalcemia and low bone density. Which information would then nurse provide the UAP to prevent injury?

Use a lift sheet for transfers

The nurse is reviewing the clinical record of a client with a diagnosis of BPH. Which test would confirm the diagnosis?

Biopsy of prostatic tissue

The nurse is caring for a client admitted with peritonitis. Which finding in the medical record is most likely the cause?

Bowel obstruction

Manifestations of surgically induced hypothyroidism after a thyroidectomy?

Fatigue, dry skin

During a home visit to a client, the nurse identifies tremors in the client's hands. When discussing this assessment, the client reports being nervous, having difficulty sleeping, and feeling as if the collars of shirts are getting tight. Which additional assessment would the nurse report immediately to the health care provider?

Fluttering in the chest

An older client's colonoscopy reveals the presence of extensive diverticulosis. Which type of diet would the nurse encourage the client to follow?

High Fiber

Which situation in a client with hyperthyroidism may precipitate thyroid crisis?

High levels of the hormone triiodothyronine

A client is admitted to the hospital with severe renal colic caused by a ureteral calculus. Later that evening, the client's urinary output is much less than intake. The client's bladder is not distended Which condition would the nurse suspect?

Hydroureter

After a teaching session, the nurse evaluates the client's understanding of hypoparathyroidism. Which statement by the client indicates the need for further edication?

I should include yoghurt in my dienet. (Rich in phosphorus along w/processed cheese and milk should be avoided.)

A primary health care provider diagnoses a client with acute cholecystitis with biliary colic. Which clinical findings would the nurse expect when performing a health history and physical assessment?

Intolerance to foods high in fat Pain that radiates to the right shoulder

A primary health care provider diagnoses a client with acute cholecystitis with binary colic. Which clinical findings would the nurse expect when performing a health history and physical assessment?

Intolerance to foods in high fat Pain that radiates to the right shoulder

The nurse is assessing female clients and identifies which client has the greatest risk of developing gall bladder disease?

Older than age 40 and obese

A client readmitted for exacerbation of ulcerative colitis, is weak thin, and irritable. The client states, " I am now ready for the surgery to create an ileostomy." Which nursing intervention best meets the clients need at this time?

Parenterally replace the client's fluids and eloctrolytes

The health care provider prescribes finasteride for a client with BPH. The client would like to take saw palmetto instead of the finasteride. Which information would the nurse provide to the client about this herbal supplement?

Research has shown that saw palmetto is no better than a placebo

Which assessment finding is characteristic of a client with hypoparathyroidism?

Serum phosphorus of 5mg/dl, serum magnesium of 0.9mEq/L

A client with cholecystitis is placed on a low fat, high protein diet. What nutrient should the nurse teach the client is included with this diet? 1 Skim milk 2 Boiled beef 3 Poached eggs 4 Steamed broccoli

Skim milk

The nurse provides dietary teaching for a client with calcium oxalate kidney stones. The nurse would instruct the client to limit the intake of which item?

Sodium

Which finding is an indication of ulcer perforation in a client with peptic ulcer disease?

Tachycardia Hypotension Rigid abdomen Nausea and vomiting Back and shoulder pain

Before a transurethral resection of the prostate (TURP), a client asks about what to expect postoperatively. The most appropriate response by the nurse is: 1 "You will have an abdominal incision and a dressing." 2 "Your urine will be pink and free of clots." 3 "There will be an incision between your scrotum and rectum." 4 "There will be an indwelling urinary catheter and a continuous bladder irrigation in place."

There will be a urinary catheter and continuous bladder irrigation.

Foods recommended for diverticular disease?

Whole grains Cooked fruits and vegetables Nuts and seeds Milk and eggs

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. 1 Whole grains 2 Cooked fruit and vegetables 3 Nuts and seeds 4 Lean red meats 5 Milk and eggs

Whole grains Nuts and seeds Cooked fruits and vegetables Milk and eggs

Borborygmi

loud, gurgling bowel sounds signaling increased motility or hyperperistalsis; occurs with early bowel obstruction, gastroenteritis, diarrhea