Patho Chapter 28, 29, 30
Antibody testing has confirmed that a man is positive for hepatitis A virus (HAV). Which of the client's statements suggests that he understands his new diagnosis? "I guess I'm an example of why you should always use condoms." "I'm embarrassed that I'll be a carrier of hepatitis from now on." "I'm still trying to deal with the fact that this will forever change my life." "I don't know why I didn't bother to get vaccinated against this."
"I don't know why I didn't bother to get vaccinated against this."
Which of the following clients should the nurse observe most closely for the signs and symptoms of paralytic ileus? A) A client who is first day postoperative following gallbladder surgery B) A client whose acute diarrhea has necessitated the use of antidiarrheal medications C) An obese client who refuses to ambulate because he complains of shortness of breath D) A client with a long-standing diagnosis of irritable bowel syndrome
A) A client who is first day postoperative following gallbladder surgery
Which of the following individuals most likely faces the highest risk of developing chronic pancreatitis? A) A woman who has six to eight alcoholic beverages each evening B) A man who has become profoundly ill during a tropical vacation C) A woman who takes two Tylenol tablets five to six times a day D) An obese man who has a high-fat diet and has a sedentary lifestyle
A) A woman who has six to eight alcoholic beverages each evening
When explaining acute pancreatitis to a newly diagnosed client, the nurse will emphasize the pathogenesis begins with an inflammatory process whereby: A) Activated pancreatic enzymes escape into surrounding tissues, causing autodigestion of pancreatic tissue. B) The pancreas is irreversibly damaged and will not recover to normal functioning (chronic). C) The pancreas will hypertrophy (enlarge) to the point of causing bowel obstruction. D) Stones will develop in the common bile duct, resulting in acute jaundice.
A) Activated pancreatic enzymes escape into surrounding tissues, causing autodigestion of pancreatic tissue.
While assessing a client diagnosed with inflammatory bowel diseases, the nurse should assess for systemic manifestations that may include: Select all that apply. A) Autoimmune anemia B) Rheumatoid arthritis C) Thrombocytopenia D) Lactose intolerance E) Mouth ulcerations
A) Autoimmune anemia D) Lactose intolerance
An elderly client is complaining about chronic constipation. When evaluating the client's medication regimen, the nurse will note that which of the following medications may contribute to his constipation? Select all that apply. A) Calcium channel blockers for his hypertension B) Antacids for his heartburn C) Diuretics for his heart failure D) Propylthiouracil for his hyperthyroidism
A) Calcium channel blockers for his hypertension B) Antacids for his heartburn C) Diuretics for his heart failure
A client who is quadriplegic following a motor vehicle accident adheres to a bowel protocol to promote regular bowel movements and prevent constipation. Which of the following actions performed by the client's caregiver is likely to promote defecation? A) Digital stimulation of the client's rectum B) Massage of the client's abdomen C) Sitting the client in an upright position D) Administration of large amounts of free water
A) Digital stimulation of the client's rectum
The physiological rationale for hanging normal saline (0.9% NS) or 5% dextrose in water (D5W) to a client who has been experiencing diarrhea includes: A) Facilitating the absorption of osmotically active particles B) Activation of the A TP channels C) Activating the pancreatic enzymes of trypsin and elastase D) Emulsification of fats
A) Facilitating the absorption of osmotically active particles
While planning care for a client with irritable bowel syndrome, knowing the client has an increased amount of secretions with impaired GI absorption, the priority nursing diagnosis would be: A) Fluid volume deficit B) Hypotonic GI motility C) Fatigue D) Metabolic acidosis
A) Fluid volume deficit
An ultrasound (US) of a client with intermittent pain reveals gallbladder sludge. Which of the following client history items are likely factors in the US result? Select all that apply. A) Had lap band surgery 2 years ago and lost 100 pounds B) Recent pregnancy with a 6-month-old child at home C) Current prescription for a medicine to lower cholesterol D) A runner training for a marathon E) Works in surgery with long periods of standing in one place
A) Had lap band surgery 2 years ago and lost 100 pounds B) Recent pregnancy with a 6-month-old child at home C) Current prescription for a medicine to lower cholesterol
A client is admitted with late manifestations of cirrhosis. Which of the following clinical manifestations confirm this diagnosis? Select all that apply. A) Hepatomegaly felt on deep palpation B) Diffuse liver fibrosis with large, palpable lumps C) GI bleeding related to esophageal varices D) Acute renal failure with electrolyte imbalances E) Splenomegaly with bleeding tendencies
A) Hepatomegaly felt on deep palpation C) GI bleeding related to esophageal varices E) Splenomegaly with bleeding tendencies
An ultrasound has confirmed appendicitis as the cause of a 20-year-old man's sudden abdominal pain. Which of the following etiologic processes is implicated in the development of appendicitis? A) Obstruction of the intestinal lumen B) Elimination of normal intestinal flora C) Sloughing of the intestinal mucosa D) Increased osmolality of intestinal contents
A) Obstruction of the intestinal lumen
The ulcerative colitis client should be assessed by the health care provider for which of the following clinical manifestations? Select all that apply. A) Persistent diarrhea B) Steatorrhea C) Stool containing blood (hematochezia) D) External hemorrhoids E) Prolapsed colon
A) Persistent diarrhea C) Stool containing blood (hematochezia)
When caring for a cancer client experiencing chemotherapy-induced nausea and vomiting, which of the following drugs work to delay this nausea and vomiting by acting on the CNS to block the activation of the NK-1 receptors? Select all that apply. A) Serotonin (5-hydroxytryamine) antagonists B) Neurokinin-1 receptor antagonists C) Promethazine, a neuroleptic medication D) Compazine, a dopamine (D2) receptor antagonist
A) Serotonin (5-hydroxytryamine) antagonists B) Neurokinin-1 receptor antagonists
Which of the following signs/symptoms would lead the nurse to suspect the post-op client has developed a mechanical bowel obstruction? Select all that apply. A) Sluggish to absent bowel sounds B) Increase in abdominal distention C) Nausea and vomiting D) Rectal bleeding E) Continuous abdominal pain
A) Sluggish to absent bowel sounds B) Increase in abdominal distention C) Nausea and vomiting E) Continuous abdominal pain
Which of the following meals is most likely to exacerbate an individual's celiac disease? A) Spaghetti with meatballs and garlic bread B) Stir-fried chicken and vegetables with rice C) Oatmeal with milk, brown sugar, and walnuts D) Barbecued steak and a baked potato with sour cream
A) Spaghetti with meatballs and garlic bread
Which of the following signs and symptoms is most suggestive of acute cholecystitis? A) Upper right quadrant or epigastric pain B) Fever and sudden abdominal distention C) Appearance of undigested fat in feces D) Nausea resulting in greenish vomitus
A) Upper right quadrant or epigastric pain
A college student goes to the campus health office complaining of diarrhea, lower right abdominal pain, and weight loss. Suspecting Crohn disease, the nurse will assess for which complication associated with this diagnosis? A) Urine that has the look and smell of feces B) Inability to control diarrhea C) Tender right upper quadrant pain upon deep palpation D) Necrotic abscesses from twisting of the bowel
A) Urine that has the look and smell of feces
In addition to mucus, the intestinal mucosa produces two other types of secretions. Copious amounts of the serous-type fluid are secreted to act as a: A) Vehicle for absorption B) Enzyme that splits sugars C) Protection from acid content D) Parasympathetic stimulation
A) Vehicle for absorption
A decrease in the serum level of which of the following substances is suggestive of liver injury? ã-Glutamyltransferase (GGT) Albumin Alanine aminotransferase (ALT) Alkaline phosphatase
Albumin
Acute gastritis refers to a transient inflammation of the gastric mucosa that is most commonly associated with: Diarrhea Food allergies Gastric reflux Alcohol intake
Alcohol intake
Which of the following individuals most likely faces the greatest risk of developing Clostridium difficile colitis? A) A 55-year-old man who takes proton pump inhibitors for the treatment of peptic ulcers B) A 79-year-old hospitalized client who is being treated with broad-spectrum antibiotics C) A premature neonate who has developed hyperbilirubinemia and is receiving phototherapy D) A 30-year-old client who has a history of Crohn disease and has been admitted to a hospital to treat a recent flare-up
B) A 79-year-old hospitalized client who is being treated with broad-spectrum antibiotics
Given the fact that acute pancreatitis can result in severe, life-threatening complications, the nurse should be assessing the client for which of the following complications? A) Cerebral hemorrhage B) Acute tubular necrosis C) Bilateral pneumothorax D) Complete heart block
B) Acute tubular necrosis
The stomach is the source of two hormones produced by the gastrointestinal tract: gastrin and ghrelin. Ghrelin is a peptide hormone produced in the mucosal layer that has an important role in regulation of: A) Gastric acid fluid B) Growth hormone C) Biliary bicarbonate D) Pancreatic enzyme
B) Growth hormone
As a protective measure to keep abdominal inflammation and infection localized, the peritoneum: A) Constricts bowel contents B) Secretes fibrous exudate C) Increases intestinal motility D) Causes abdominal vasoconstriction
B) Secretes fibrous exudate
When educating residents of a senior citizen living facility, the nurse should review which of the following information about colorectal cancer? Select all that apply. A) Aspirin and NSAIDs are implicated in the etiology of colorectal cancer. B) Seek out medication attention for any blood in the stool. C) Most cases are quite advanced before symptoms become apparent. D) Survival rates for colorectal cancer are less than 20% but are increasing. E) Yearly colonoscopy is recommended for early detection after age 40.
B) Seek out medication attention for any blood in the stool. C) Most cases are quite advanced before symptoms become apparent.
Gastrin production, a task that is performed by the stomach, results in which of the following effects? A) Stimulation of pancreatic enzyme secretions B) Stimulation of HCl secretions by parietal cells C) Conversion of polysaccharides to monosaccharides D) Release of insulin in response to glucose load
B) Stimulation of HCl secretions by parietal cells
Both prehepatic and posthepatic causes of portal hypertension include the formation of: A) Fibrous nodules B) Venous thrombosis C) Collateral circulation D) Portosystemic shunts
B) Venous thrombosis
A client's complex and worsening pressure ulcer has necessitated the use of numerous antibiotics over the last several months. Which of the following consequences may result from this client's medication regimen? A) Impaired mucus production B) Vitamin K deficiency C) Impaired protein metabolism D) Excessive release of pepsin
B) Vitamin K deficiency
Which of the following diagnostic methods are utilized when gastric cancer is suspected? Select all that apply. Barium swallow study Endoscopic exam with biopsy Echocardiography Papanicolaou smear of gastric secretions
Barium swallow study Endoscopic exam with biopsy Papanicolaou smear of gastric secretions
in the stomach, chyme is churned by peristalsis into the antrum, which contracts, reverses the flow, and allows more churning. Because the pylorus is contracted during antral contraction, gastric content empties into the duodenum: During bile secretion Between contractions During opening of the pyloric sphincter Under gaseous pressure
Between contractions
A client who has had his gallbladder (GB) removed asks the nurse, "Why do I feel sick every time I go through a drive- in fast-food restaurant and order burgers and fries?" The nurse bases the response knowing that: The restaurant may have "bad" grease in their fryer. Without a GB, the size of the client's stomach has been decreased. Bile from the GB is needed to breakdown lipids. When the GB is removed, the pancreatic duct is also removed.
Bile from the GB is needed to breakdown lipids.
A client is diagnosed with Zollinger-Ellison syndrome. Which of the following clinical manifestations confirm this diagnosis? Select all that apply. Burning, gnawing pain when the stomach is empty Pain located near the midline close to the xiphoid process Excessive belching and burping following meals Continuous vomiting lasting many days at a time
Burning, gnawing pain when the stomach is empty Pain located near the midline close to the xiphoid process
Which of the following factors is most strongly associated with the pathogenesis of gallstones? A) Excess serum ammonia and urea levels B) Portal hypertension C) Abnormalities or stasis of bile D) High-cholesterol diet
C) Abnormalities or stasis of bile
The client has right upper quadrant pain caused by acute choledocholithiasis. The health care provider suspects the common bile duct is obstructed, based on which of the flowing lab values? A) Albumin 2.0 g/dL (low) B) Amylase 150 unites/L (high) C) Bilirubin 15 mg/dL (high) D) Serum calcium level 7 mg/dL (low)
C) Bilirubin 15 mg/dL (high)
While explaining digestion and absorption of nutrients to a client, the nurse mentions that the brush border enzymes would facilitate absorption of which of the following foods? A) Ice cream B) Green, leafy vegetables C) Garlic toast D) Fried catfish
C) Garlic toast
A major factor in the development of hepatic encephalopathy is: A) Hypersplenism B) High sodium level C) Neurotoxin accumulation D) Steroid hormone deficiency
C) Neurotoxin accumulation
A client presents to the emergency department vomiting large amounts of bright red blood. The client has a history of alcohol abuse, and the physician suspects esophageal varices. The drug that is used to reduce splanchnic and hepatic blood flow and portal pressures is: A) Propranolol, a â-adrenergic blocking agent B) Lisinopril, an ACE inhibitor C) Ocetrotide, a long-acting synthetic analog of somatostatin D) Famotidine, a histamine-2 blocker to decrease stomach acid
C) Ocetrotide, a long-acting synthetic analog of somatostatin
When explaining absorption to a client, the nurse mentions that a number of substances require a specific carrier or transport system. An example the nurse could use relates to the transport of amino acids and glucose, which requires the presence of which of the following for absorption to occur? A) Potassium B) Phosphate C) Sodium D) Calcium
C) Sodium
The intestinal absorption of glucose and amino acids is facilitated by which of the following transport systems? A) Bile salt micelles B) Fat emulsification C) Sodium linked D) Brush border enzyme
C) Sodium linked
When discussing digestion with a group of nursing students, the instructor asks, "Where does the digestion of our food begin?" The most accurate student response would be A) The stomach with its hydrochloric acid production B) The duodenum with common bile duct secretions C) The mouth with ptyalin and amylase breaking down starches D) The jejunum, where peristaltic waves begin
C) The mouth with ptyalin and amylase breaking down starches
Biopsy results reveal that a client has a deficit amount of parietal (oxyntic) cells in their stomach. The client asks the nurse to explain what this means. The nurse explains that parietal cells secrete HCl and intrinsic factor, which is needed for absorption of: A) Vitamin A B) Vitamin K C) Vitamin B12 D) Vitamin D3
C) Vitamin B12
A 66-year-old woman has been diagnosed with diverticular disease based on her recent complaints and the results of a computed tomography (CT) scan. Which of the client's following statements demonstrates an accurate understanding of this diagnosis? A) "From now on, I'm going to stick to an organic diet and start taking more supplements." B) "I think this might have happened because I've used enemas and laxatives too much." C) "I've always struggled with heartburn and indigestion, and I guess I shouldn't have ignored those warning signs." D) "I suppose I should try to eat a bit more fiber in my diet."
D) "I suppose I should try to eat a bit more fiber in my diet."
Which of the following clients likely faces the greatest risk of a gastrointestinal bleed? A) A man whose hypertension requires him to take a diuretic, an ACE inhibitor, and a â-adrenergic blocker B) A client who is taking a broad-spectrum antibiotic to treat a urinary tract infection C) A client with a history of anxiety who takes benzodiazepines several times daily D) A client who takes aspirin with each meal to control symptoms of osteoarthritis
D) A client who takes aspirin with each meal to control symptoms of osteoarthritis
The nurse who is providing care for a client with pancreatic cancer should prioritize which of the following assessments? A) Assessment for ascites and close monitoring of fluid balance B) Respiratory assessment and monitoring of arterial blood gases C) Vigilant monitoring of blood glucose levels D) Assessment for deep vein thrombosis
D) Assessment for deep vein thrombosis
A child who is experiencing the signs and symptoms of influenza has vomited frequently over the last 24 hours. While discussing vomiting with a group of nursing students, the instructor asks, "What site in the neurologic system is responsible for vomiting?" Which student response is most accurate? A) Myenteric plexus B) Intramural plexus C) V agus nerve D) Chemoreceptor trigger zone
D) Chemoreceptor trigger zone
A teenager has been diagnosed with failure to thrive. The health care providers suspect a malabsorption syndrome. In addition to having diarrhea and bloating, the client more than likely has what hallmark manifestation of malabsorption? A) Feeling there is incomplete emptying of the bowel B) Abdominal distention C) Esophageal reflux with heartburn D) Fatty, yellow-gray, foul-smelling stools
D) Fatty, yellow-gray, foul-smelling stools
A client has been diagnosed with cholecystitis (gallbladder inflammation) that has impaired the normal release of bile. Which of the following gastrointestinal consequences is this client likely to experience? A) Incomplete digestion of starches B) Impaired glucose metabolism C) Inadequate gastric acid production D) Impaired digestion of fats
D) Impaired digestion of fats
Which of the following characteristics differentiates inflammatory diarrhea from the noninflammatory type? A) Larger volume of diarrhea B) Electrolyte imbalances C) Absence of blood in the stool D) Infection of intestinal cells
D) Infection of intestinal cells
The nurse caring for a client with diverticulitis should assess for which of the following clinical manifestations? A) Frequent rectal bleeding B) Increased abdominal distention C) Large-volume diarrhea D) Lower left quadrant pain
D) Lower left quadrant pain
Following the analysis of a recent barium enema and colonoscopy with biopsy, a client has been diagnosed with colorectal cancer. Which of the following treatment modalities will be the mainstay of this client's treatment? A) Chemotherapy B) Radiation therapy C) Pharmacologic therapies D) Surgery
D) Surgery
Hepatocellular cancer usually has a poor prognosis due in part to which of the following factors? A) Surgical options do not exist because removal of all or part of the liver is a threat to health. B) Liver cancer typically metastasizes at a much earlier stage than other cancers. C) Liver tumors are poorly differentiated due to the low density of hepatic tissue. D) The nonspecific symptomatology of liver cancer leads to a diagnosis at a late stage.
D) The nonspecific symptomatology of liver cancer leads to a diagnosis at a late stage.
A client has had severe heart burn associated with persistent gastroesophageal reflux for many years. Which of the following statements made by the client leads the nurse to suspect the client is having a complication related to his reflux? The client is having: Difficulty in swallowing with feelings that food is "stuck" in the throat Burning sensation a half-hour after a meal Substernal chest pain that radiates to the shoulder and arm "Hoarseness" unrelieved by coughing or taking a drink of water
Difficulty in swallowing with feelings that food is "stuck" in the throat
Which of the following signs and symptoms most clearly suggests the need for endoscopy to rule out esophageal cancer? Heartburn after an individual consumes high-fat meals Dysphagia in an individual with no history of neurologic disease A new onset of gastroesophageal reflux in a previously healthy individual Recurrent episodes of gastritis that do not respond to changes in diet
Dysphagia in an individual with no history of neurologic disease
Clients with chronic autoimmune hepatitis may display which of the following clinical manifestations upon physical exam? Select all that apply. Enlarged liver Jaundice Bacterial meningitis Nuchal rigidity Edematous joints
Enlarged liver Jaundice
A teenager who has a history of achalasia will likely complain of which of the following clinical manifestations? Excessive heartburn following a high-fat meal of French fries Feeling like there is food stuck in the back of the throat Projectile vomiting across the room unrelated to meals Vomiting large amounts of bright red emesis
Feeling like there is food stuck in the back of the throat
A 16-year-old girl has been admitted to the emergency department after ingesting 20 g of acetaminophen (Tylenol) in a suicide attempt. The care team would recognize that this client faces a severe risk of acute fulminant hepatitis, with elevated ammonia levels that can result in: Select all that apply. Flapping tremor (asterixis) Confusion Convulsions Elevated creatinine levels Photosensitivity
Flapping tremor (asterixis) Confusion Convulsions
A client has visited the health care provider following several days of nausea/vomiting and abdominal pain. The provider thinks the client may have Helicobacter pylori (H. pylori) infection. As part of the education provided, the client should be informed that which of the following complications can occur if this infection is not eradicated? Select all that apply. GI bleeding due to peptic ulcer formation Failure to thrive due to malabsorption Pyloric stenosis due to inability to empty the stomach Gastric cancer due to metaplasia changes in the cell
GI bleeding due to peptic ulcer formation Gastric cancer due to metaplasia changes in the cell
While assessing a client who is experiencing diarrhea caused by Clostridium difficile, the nurse should anticipate hearing: Normal bowel sounds Hypoactive bowel sounds Absence of bowel sounds Hyperactive bowel sounds
Hyperactive bowel sounds
When trying to explain to a newly diagnosed irritable bowel syndrome (IBS) client how the nervous system affects gastrointestinal (GI) disorders, the nurse mentions which of the following in regard to IBS? Increase in smooth muscle tone Enhancement of sphincter function Decrease in gastrointestinal motility Increase in enteric nervous system activity
Increase in enteric nervous system activity
A 60-year-old male client has presented to his primary care provider to follow up with his ongoing treatment for peptic ulcer disease. What is the most likely goal of this client's pharmacologic treatment? Inhibiting gastric acid production Promoting hypertrophy of the gastric mucosa Increasing the rate of gastric emptying Increasing muscle tone of the cardiac sphincter
Inhibiting gastric acid production
A client with hepatitis B asks the nurse, "How did I get this hepatitis?" The nurse responds that the mode of transmission is predominantly by: Select all that apply. Intravenous drug use Fecal-oral route Unprotected sexual intercourse Sharing oral secretions by kissing Inhalation of airborne droplets
Intravenous drug use Unprotected sexual intercourse
A client presents to the emergency department with some vague symptoms. After history and physical exam, the physician is suspecting the client may have viral hepatitis. Which of the following clinical manifestations leads the nurse to suspect the client is in the prodromal period of viral hepatitis? Slight jaundice in the sclera of the eyes Liver tenderness on palpation Onset of severe itching with skin breakdown Muscle aches and pain along with fatigue
Muscle aches and pain along with fatigue
A client has been told he has abdominal adhesions due to an old appendix infection. Knowing the structures of the abdominal cavity, the nurse will explain which of the following structures can form bands of fibrous scar tissue to wall off the infection, preventing it from spreading to other parts of the body? Mesentery Omentum Haustration Peritoneum
Omentum
The physician thinks a teenager is having clinical manifestations of irritable bowel syndrome. Which of the following complaints would support this diagnosis? Select all that apply. Pain is relieved by defecation. Pain is most severe at night. Pain is worse after and between meals. Pain is described as "cramping" in the lower abdomen. Belching makes the pains go away.
Pain is relieved by defecation. Pain is described as "cramping" in the lower abdomen.
The role Kupffer cells play in removing harmful substances or cells from the portal blood as it moves through the venous sinusoids is known as: Filters Channels Phagocytes Cytotoxic cells
Phagocytes
A client's long-standing diagnosis of congenital hemolytic anemia often manifests itself with jaundice. What type of jaundice does this client most likely experience?Prehepatic Intrahepatic Posthepatic Infectious
Prehepatic
A liver failure client asks, "How does the liver process ammonia in healthy individuals?" The health care provider explains that ammonia is toxic to tissues, especially neurons, so this ammonia is removed from the blood by the liver, which: Converts it into bilirubin, which is then excreted intestinally Processes ammonia into nitrogen and hydrogen ions for excretion Processes it into urea, releasing it into the circulation Combines it with oxygen to create ammonium oxide
Processes it into urea, releasing it into the circulation
A client asks the nurse to explain the digestive tract layers because the client is experiencing upper GI problems. When talking about the mucosa layer, the nurse will emphasize that the roles/functions of this layer consist of: Select all that apply. Production of mucus to protect and lubricate the inner lining Beginning of the digestive process by secreting enzymes to break food down Contracting of smooth muscles to propel food forward Supporting the abdominal viscera with its connective tissue
Production of mucus to protect and lubricate the inner lining Beginning of the digestive process by secreting enzymes to break food down
A client is suspected of having the onset of alcoholic liver disease. The nurse should be assessing for which of the following manifestations related to the necrosis of liver cells? Tremors of the hands Rapid onset of jaundice Long muscle group atrophy Development of multiple skin nodules
Rapid onset of jaundice
Motility along the length of the GI tract, controlling the function of each segment of the GI tract and integrating signals for absorption of nutrients primarily, is innervated by which portion of the enteric nervous system? Submucosal plexus V asovagal Sympathetic Preganglionic
Submucosal plexus
A client has been diagnosed with an incompetent pyloric sphincter. This client is experiencing a lot of abdominal pain and nausea. When this client vomits, the nurse should expect what type of secretions will be in the basin? Green, stringy emesis Bright red, bloody emesis Thick, brownish, foul-smelling emesis Clear mucous-looking emesis
Thick, brownish, foul-smelling emesis
The client chews an apple and starts the swallowing process. As the food bolus enters the back of the mouth and swallowing is initiated, the nurse knows that the client's motor impulses are being carried out by which of the following cranial nerves? Select all that apply. Trigeminal (V) V agus (X) Hypoglossal (XII) Abducent (VI)
Trigeminal (V) V agus (X) Hypoglossal (XII)
A client has been diagnosed with cholestasis and is experiencing pruritus. The nurse caring for this client should be educating the client about reduced bile flow that will interfere with intestinal absorption of which of the following vitamins? Select all that apply. Vitamin A Vitamin B Vitamin C Vitamin D Vitamin K
Vitamin A Vitamin D Vitamin K
A newborn is admitted to the hospital with a high bilirubin level of 13 mg/dL. The assessment data related to this lab value includes: Select all that apply. Yellowish discoloration of the skin Colicky, intermittent pain associated with formula feeding Xanthomas Yellowing of the sclera of the eye Dark-colored urine
Yellowish discoloration of the skin Yellowing of the sclera of the eye Dark-colored urine
