Health and Illness exam 3
A patient newly diagnosed with peptic ulcer disease (PUD) is concerned about managing the disease because of not being able to tolerate a bland diet. Which response should the nurse make that accurately addresses this concern?
"A bland diet is no longer recommended; it is best to eat balanced meals with increased fiber at regular intervals."
A patient with right upper quadrant abdominal pain asks why an ultrasound is needed. Which statement should the nurse make in response to this patient?
"An ultrasound will show any stones in your gallbladder and tell us how it is emptying."
A patient with gallstones is concerned that insurance will not pay for an ultrasound but will pay for an x-ray. Which response by the nurse is accurate?
"An x-ray just shows the presence of gallstones, but an ultrasound also shows if the gallbladder is emptying."
The nurse is caring for a young female adult with Crohn disease who was married a few weeks ago. Which question should the nurse include in the assessment interview?
"Are you considering starting a family soon?"
The nurse is discussing the care of a patient with a colleague. The patient, who reports pain in the affected extremity, is being treated for deep vein thrombosis (DVT). Which statement by the colleague indicates a need for further teaching?
"As the thrombosis dissolves, pain may increase."
The nurse is assessing a patient who is at high risk for developing hypertension. Which question is important for the nurse to ask?
"Do you have headaches or neck pain upon awaking?"
The nurse is assessing a patient during a wellness visit. Which patient statement should the nurse identify as a barrier to effective pain control?
"Even if I eat healthy, something causes me pain anyway."
The nurse prepares a teaching plan for a patient with fibromyalgia. Which information about exercise should the nurse include?
"Exercise improves oxygen uptake and decreases pain intensity and fatigue."
A patient recently diagnosed with fibromyalgia asks why the body hurts so much. Which response should the nurse make?
"Fibromyalgia causes your body to feel pain in abnormal and increased ways."
The nurse is caring for a patient with peripheral vascular disease (PVD) who asks, "Is there anything other than medication to help slow this disease?" How should the nurse respond?
"Garlic supplements have been shown to slow the progression of PVD."
The nurse is planning a community education program to help reduce hypertension. Which statement should the nurse include?
"Have no more than one alcoholic drink per day."
The nurse is preparing a vaccination for a 2-year-old child. Which instructions should the nurse share with the parent to facilitate treatment of pain for the toddler?
"Hold your child on your lap and provide comfort after the vaccination."
During a visit at the health clinic, a patient says, "I just can't understand why I can't get a good night's sleep. I am so tired." Which assessment question should the nurse ask to support or rule out consideration of chronic fatigue syndrome?
"How long have you had difficulty sleeping?
The nurse prepares to assess a patient with a history of chronic fatigue. Which question should the nurse include when assessing this patient?
"How often do you drink alcohol?"
The nurse evaluates the care of a patient diagnosed with fibromyalgia. Which patient statement indicates to the nurse that treatment was effective?
"I am more active than I was because my pain is better controlled."
The nurse is caring for a patient with peripheral atherosclerosis. Which report from the patient is most important for the nurse to know about?
"I have a cut and a bad bruise on the top of my foot that still hurts."
The nurse is completing a health history with a patient new to the community clinic. Which statement should cause the nurse to suspect that the patient has fibromyalgia?
"I have had generalized pain throughout my body for at least 3 to 4 months."
A patient is completing a health history questionnaire. Which patient response indicates the need for assessment for peripheral atherosclerosis?
"I have hairless lower legs."
The nurse is teaching a patient with atherosclerosis about their condition. Which patient statement indicates the teaching was successful?
"I have plaque building up in my coronary arteries, which is restricting the blood flow to my heart."
The nurse is evaluating the effectiveness of a treatment plan for a patient with peripheral vascular disease (PVD). Which statement by the patient indicates progress toward healing PVD?
"I have started a smoking cessation program."
The nurse is evaluating a patient who is recovering from a laparoscopic cholecystectomy. Which patient statement indicates to the nurse that goals for care have been achieved?
"I heard that there is a farmer's market in town this weekend. I think I'll get some fresh vegetables."
The nurse caring for a patient with peripheral vascular disease (PVD) suspects the patient is having rest pain. Which patient statement supports the nurse's suspicion?
"I keep waking up in the middle of the night with a burning sensation in my legs."
The nurse is teaching a patient about a potassium-sparing diuretic drug. Which patient statement indicates that the teaching is successful?
"I should change positions slowly."
The nurse is teaching a group of patients with peptic ulcer disease (PUD) about strategies to manage the disorder. Which patient statement indicates to the nurse that teaching has been effective?
"I should find activities or strategies such as meditation or yoga that will help me to feel less stressed."
The nurse is assessing a patient who recently started warfarin. Which patient statement requires follow-up?
"I take gingko supplements for cognition."
The nurse completes nutritional teaching for a patient experiencing fatigue. Which patient statement indicates teaching has been effective?
"I will divide my meals up throughout the day."
The nurse is teaching a patient about possible complications of hypertension. Which patient statement indicates a need for further instruction?
"I will feel the difference if my blood pressure goes up too much."
A patient having a follow-up examination after being diagnosed with peptic ulcer disease (PUD) reports not taking the prescribed medication since the symptoms subsided. Which response should the nurse make to this patient?
"I will let your healthcare provider know so that you can discuss it, because you should continue treatment even if your symptoms subside."
The nurse is teaching a parent about a healthy diet for their 8-year-old child who has hypertension. Which statement by the parent requires follow-up?
"I will limit my child's dessert to lunch and dinner each day."
The parent of a 3-year-old child states, "He really has not been himself these last few weeks. He is tired and cranky all of the time." Which response should the nurse make first to this parent
"I would like to share some information on diet and sleep patterns for a 3-year-old child."
The nurse prepares a teaching plan for a patient diagnosed with fibromyalgia. Which information about coping with fibromyalgia should the nurse include?
"Identify stressors and ways to minimize them."
The nurse is caring for a patient newly diagnosed with Crohn disease. Which lifestyle change should the nurse suggest to this patient?
"Increase dietary fiber to add bulk to stools."
A patient with peripheral vascular disease (PVD) states, "I want to stay active, but I am having a hard time getting motivated because every time I try to exercise my legs hurt." How should the nurse respond?
"It is best to maintain activity with your condition, but make sure to rest if you develop pain during activity."
During a community health fair, a participant asks how fibromyalgia can be prevented. Which response by the nurse is accurate?
"Maintaining a healthy lifestyle is the best way to reduce the risk of developing fibromyalgia."
The nurse is evaluating whether a patient has achieved adequate pain control following hip replacement surgery. Which patient statement indicates that the goal has been met?
"My pain is a 2 on a scale of 0-10."
A patient with fatigue asks which nonpharmacologic intervention is the best to use. Which is the best response for the nurse to make to this patient?
"No definitive complementary and alternative medicine therapy is supported by clinical studies."
The nurse is preparing discharge instructions for a patient prescribed warfarin for a deep venous thrombosis. Which instruction should the nurse include?
"Notify the healthcare provider of bleeding or bruising."
A patient who has been taking a proton pump inhibitor (PPI) for symptoms of peptic ulcer disease (PUD) is scheduled for a urea breath test. Which information should the nurse provide to the patient prior to scheduling this diagnostic test?
"PPIs interfere with this test, so you will need to stop taking them 14 days prior to the test."
The nurse suspects that a patient experiencing neck, back, and hip pain despite having an active lifestyle has fibromyalgia. How should the nurse expect the patient to describe the pain and fatigue?
"Pain and tiredness are worse with increased activity."
A patient who was informed about having a peptic ulcer asks if that means the ulcer is not located in the stomach. Which response should the nurse make to this patient?
"Peptic ulcers can be located in the esophagus, stomach, and duodenum; however, the most common area is the duodenum."
A 35-year-old patient with symptoms of fibromyalgia asks why testing for thyroid function is being done. Which response should the nurse make to this patient?
"Sometimes the symptoms of fibromyalgia present similar to the symptoms of hypothyroidism. Knowing how your thyroid is functioning will allow for an accurate diagnosis."
A patient who has secondary hypertension tells the nurse, "I smoke a pack of cigarettes and drink two to three 12-oz cans of beer each day." Which response by the nurse is most appropriate?
"Stop smoking and limit alcohol intake to one drink per day."
A 50-year-old patient is being discharged after treatment for a deep venous thrombosis (DVT). Which instruction should the nurse provide to the patient to reduce the risk of future DVT development?
"Take frequent breaks to prevent sitting for prolonged periods of time."
The nurse is caring for a 13-year-old who was recently diagnosed with juvenile primary fibromyalgia syndrome (JPFS). The patient's parents do not understand their daughter's disease, and they have many questions for the nurse. Which information should the nurse include when talking with the parents?
"The fibromyalgia will most likely persist into adulthood."
A patient recently diagnosed with peripheral vascular disease states to the nurse, "My legs burn when I am relaxing on the couch. I can't seem to find a comfortable position." How should the nurse respond to the patient's concern?
"The pain you're referring to is called rest pain. Does it improve when you hang your legs off the couch?"
A patient is scheduled for an endarterectomy due to severe peripheral vascular disease (PVD). When reviewing this procedure with the patient, which statement should the nurse include?
"The plaque from your occluded vessel will be surgically removed."
A patient experiencing tiredness and lethargy is requesting medication to treat the health problem. Which response should the nurse make about the use of pharmacotherapeutics to treat the patient's fatigue?
"The reason for the fatigue must be identified first."
A patient with fibromyalgia is fatigued and does not sleep well. Which reason for the sleep disturbances should the nurse provide to the patient?
"The sleep disturbance is due to elevated cortisol levels in the evening."
A patient is scheduled for a duplex venous ultrasonography to assist in the diagnosis of a deep venous thrombosis (DVT). Which information should the nurse provide to the patient regarding this diagnostic test?
"The velocity of blood flow through the veins is measured."
A pregnant patient with peptic ulcer disease (PUD) who has been experiencing hematemesis and weight loss is concerned about treatment and its potential impact on the fetus. Which response should the nurse provide to this patient?
"There are medications that have been found safe and appropriate for use during pregnancy to treat PUD; you can discuss them with the healthcare provider."
The nurse is caring for a patient with peripheral vascular disease (PVD) who reports burning pain in the legs at night in bed. Which response by the nurse is appropriate?
"This is known as rest pain. Dangling your legs off your bed may help your pain."
While the nurse prepares an injection of an anticoagulant, the 82-year-old patient asks why injections will be given in the stomach if the problem is in the leg. Which response by the nurse is accurate?
"This medication prevents blood clots from forming in your leg but must be given under the skin to be absorbed."
The nurse is teaching the parents of a child newly diagnosed with inflammatory bowel disease (IBD). Which statement by the parents should indicate to the nurse that teaching has been effective?
"We will provide several small feedings a day."
The nurse prepares to assess a patient experiencing an acute onset of pain. Which question should the nurse include when completing the health history?
"What have you done in the past to help control pain?"
The nurse is caring for a patient with a history of deep venous thrombosis (DVT) who is scheduled for a total hip replacement. Which assessment question is a priority for the nurse?
"What medications are you currently taking?"
The nurse teaches a patient about caring for a T-tube after having surgery to remove the gallbladder. Which information should the nurse provide the patient before discharge?
"You will see less drainage each day, until the duct fully heals."
A patient with a common bile duct obstruction asks why testing has been prescribed for the pancreas. Which response should the nurse provide to this patient?
"Your condition can lead to pancreatitis, so we are monitoring your enzyme levels."
A patient with peptic ulcer disease (PUD) asks what needs to be done to determine if bacteria is causing the ulcer. Which statement should the nurse make to this patient?
"Your healthcare provider may order a breath test to determine the presence of H. pylori."
The nurse is completing a physical assessment on a patient with possible fibromyalgia. To support the diagnosis of fibromyalgia, how many standard tender points should the nurse identify upon palpation?
11
The nurse reviews the health histories for a group of assigned patients. Which patient should the nurse identify as having the highest risk of a duodenal ulcer?
45-year-old male, smoker
The nurse reviews a list of older patients to be seen during upcoming home care visits. Which patient should the nurse consider as being at the greatest risk for fatigue?
65 years old with newly diagnosed liver cirrhosis
Which patient is at the greatest risk for developing a DVT?
A 17-year-old woman using hormonal contraception
The nurse is assessing several patients. Which patient should the nurse identify as being at the greatest risk for developing hypertension?
A 65-year-old African American with central obesity
Which patient is at the greatest risk for developing hypertension?
A 67-year-old woman who walks one block once a week
The nurse is preparing to assess a group of patients. Which patient should the nurse anticipate to be at a higher risk for developing inflammatory bowel disease (IBD)?
A Jewish male with a history of high NSAID use
The community health nurse is preparing a bulletin board for Vascular Disease Awareness Month. Which should the nurse identify as inappropriate in an infographic about foods to improve or prevent the condition?
A carton of whole milk
African Americans are at the greatest risk for developing primary hypertension. Which reason accurately explains the pathophysiology of this phenomenon?
A genetic tendency to conserve salt and water
The nurse is caring for a patient with suspected fibromyalgia. Which diagnostic tool should the nurse anticipate will be used to properly diagnose this patient?
A widespread pain index
A patient with known peptic ulcer disease (PUD) experiences severe upper abdominal pain that began within the past half hour. The nurse suspects possible perforation. Which additional assessment information should the nurse identify that helps support a definitive diagnosis?
Abdominal rigidity and absence of bowel sounds
The nurse reviews data collected during the assessment of a patient with fibromyalgia. Which nursing diagnosis should the nurse identify for this patient?
Activity intolerance
A patient experiences pain in the upper right quadrant, which radiates to the right scapula and shoulder and becomes worse with movement and deep breathing. Which reason should the nurse suspect for this patient's pain?
Acute cholecystitis
The nurse reviews the health histories for a group of assigned pediatric patients. Which patient should the nurse consider as at the highest risk for peptic ulcer disease (PUD)?
Acutely ill child experiencing health disparities
The nurse taught a patient diagnosed with hypertension about healthy dietary choices. Which action by the patient indicates the need for further instruction?
Adding salt to most foods
The nurse plans care for a patient experiencing nausea, vomiting, and epigastric pain caused by peptic ulcer disease (PUD). Which action should the nurse take to best address this patient's risk for deficient fluid volume?
Administer fluid volume and electrolyte solutions.
A patient is experiencing symptoms of biliary colic. Which intervention should the nurse complete first?
Administering opioid narcotics as prescribed
The nurse prepares a seminar about fibromyalgia for a group of community members. Which type of exercise should the nurse emphasize as being the most beneficial for people with this disorder?
Aerobic exercise
The nurse is preparing a bulletin featuring peripheral vascular disease (PVD). Which should the nurse include as a risk factor for developing PVD?
Age 50 or older
An older patient with shingles reports continued pain after receiving oral medication an hour ago. Which factor should the nurse consider as a reason for this patient's ongoing pain?
Age-related changes to the gastrointestinal tract
While assessing an 82-year-old patient the nurse finds that the patient's systolic pressure is consistently high, while the diastolic pressure is within normal limits. Which statement correctly explains this phenomenon?
Aging decreases arterial compliance, resulting in increased pressure within the vessels.
The nurse is caring for a patient with a history of drug and alcohol abuse who is experiencing pain. Which intervention should the nurse suggest to this patient?
Agreeing to a pain contract
The nurse prepares teaching on nonpharmacologic therapies for a patient with fibromyalgia. Which intervention to treat activity intolerance should the nurse include in the teaching?
Alternate periods of activity with periods of rest.
The nurse is caring for an older adult patient with a new diagnosis of ulcerative colitis (UC). Which medication prescription should the nurse anticipate for this patient?
An immunosuppressive agent
The nurse is assessing a patient with Crohn disease for systemic manifestations. For symptoms of which disorder should the nurse assess this patient?
Arthritis
The nurse is planning to administer the first dose of a beta-adrenergic blocking agent to a patient. Which action should the nurse implement?
Asking if the patient has ever been told that they have asthma or chronic lung disease
The nurse identifies that a patient is not coping effectively with fatigue. What should the nurse do first to promote effective coping for this patient?
Assess the patient's usual method of coping.
The preceptor nurse is helping a new graduate care for a patient who wants to make lifestyle changes as treatment for hypertension. Which intervention indicates that the new graduate requires assistance?
Assisting the patient to develop long-term goals for lifestyle changes
During a routine follow-up examination, a postpartum patient says, "The baby is waking up twice a night, and I don't know how I am going to manage going back to work next week." What concern shoulds the nurse have for this patient?
At risk for chronic fatigue
The nurse is caring for a patient admitted with a diagnosis of deep venous thrombosis (DVT). Which measure should the nurse implement to relieve symptoms and reduce inflammation?
Avoid tight-fitting garments or stockings that bind.
A patient with chronic fatigue syndrome reports joining a gym. Which information should the nurse share with the patient?
Be cautious about beginning exercise.
The nurse is caring for a patient at 24 weeks' gestation who presents with tachycardia, tachypnea, and pain and swelling in the left lower extremity. Following confirmation of the suspected diagnosis, which collaborative therapy should the nurse anticipate?
Begin heparin therapy.
A patient has managed their hypertension for a year with antihypertensives, DASH diet, weight loss, and exercise. Which collaborative intervention should the nurse anticipate?
Beginning step-down therapy
The nurse prepares materials about ulcerative colitis (UC) for a community health fair. Which age group should the nurse focus on when preparing this material?
Between the ages of 15 and 30 years
A pregnant patient is experiencing symptoms of cholelithiasis. Which risk factor for cholelithiasis should the nurse identify as being related to pregnancy?
Biliary stasis
A pregnant patient is experiencing jaundice, extreme pruritus, and throbbing pain in the right upper abdominal quadrant that radiates to the neck. Which should the nurse consider as causing this patient's symptoms?
Biliary stasis caused by hormonal stimulation
A patient with suspected thyroid cancer is experiencing fatigue. For which treatment should the nurse expect to prepare the patient?
Biopsy
The nurse is preparing a patient for a segmental pressure measurement test. Which equipment will be needed to complete the test?
Blood pressure cuff and Doppler
The nurse is presenting information on hypertension to a group of older adults. Which reason should the nurse include that explains why this population is at high risk for this condition?
Blood vessels lose flexibility with age.
The nurse is caring for a patient with severe ulcerative colitis (UC). Which clinical manifestation should the nurse anticipate to assess in this patient?
Bloody diarrhea occurring at least six times per day
A patient is scheduled for stricturoplasty surgery. For which health problem should the nurse prepare teaching for this patient?
Bowel strictures
A female patient with obesity is diagnosed with inflammation of the gallbladder. Which medical diagnosis should the nurse expect to use to guide this patient's care?
Cholecystitis
While assessing an overweight 57-year-old patient during a yearly physical exam, the nurse obtains a blood pressure reading of 180/96 mmHg. Which diagnostic test should the nurse anticipate being ordered for this patient?
Cholesterol panel
A pregnant patient is experiencing stabbing pain after eating a large meal, yellowing sclera, pale-colored stools, and intense itching. Which medication should the nurse anticipate to be prescribed?
Cholestyramine
The nurse records 180/100 mmHg as the blood pressure of a pregnant patient at 16 weeks of gestation. Which diagnosis should the nurse anticipate for this patient?
Chronic hypertension
A patient with cholelithiasis has a gallstone lodged in the common bile duct. Which clinical manifestation should the nurse assess this patient?
Clay-colored stools
A patient suspected of having Crohn disease is scheduled to have a colonoscopy. Which finding should the nurse expect from the colonoscopy if the patient has Crohn disease?
Cobblestone appearance of bowel
A patient with fatigue conducts an internet search about the problem and sees cognitive-behavioral therapy as treatment. How should the nurse describe this therapy approach?
Cognitive-behavioral therapy helps to identify stressors.
A patient seeks medical care for diarrhea and lower abdominal pain. Which diagnostic test should the nurse anticipate being prescribed for this patient?
Colonoscopy
The nurse suspects that a patient has undiagnosed fibromyalgia. What finding supports the nurse's suspicion?
Complaints of pain in four quadrants of the body and 11 of 18 tender points
A patient seeks medical attention for blood in the stool. Which laboratory test should the nurse anticipate to be prescribed first for this patient?
Complete blood count (CBC)
The nurse is assessing an 83-year-old patient. Which finding should concern the nurse the most?
Current calf pain with walking
The nurse prepares to assess a patient with fatigue. When completing the health history, the nurse should focus on which data?
Current medications
The nurse is teaching a group of adults about chronic venous insufficiency (CVI). Which should the nurse identify as the most common cause of CVI?
Deep vein thrombosis (DVT)
A patient with fibromyalgia expresses a desire to use complementary and alternative treatment methods as much as possible. Which complementary treatment option should the nurse list as being the least effective?
Dietary supplements, including vitamins
The nurse is concerned that a colleague is demonstrating signs of fatigue. Which manifestation of fatigue did the nurse most likely observe?
Difficulty concentrating
The nurse is discharging an 89-year-old patient who is wheelchair bound and who has been receiving heparin therapy. Which order should the nurse anticipate?
Discontinue heparin.
A patient with peptic ulcer disease (PUD) is experiencing nausea, heartburn, and epigastric pain. Which nursing intervention should the nurse plan to implement?
Discourage the patient from eating a nighttime snack.
The nurse is caring for a patient who has been admitted with severe claudication secondary to peripheral vascular disease (PVD). Due to the patient's manifestations, an angiogram has been ordered. Which assessment question should the nurse ask as a priority prior to the patient's angiogram procedure?
Do you have an allergy to contrast dye?"
The nurse completes an assessment of a patient experiencing fatigue. Which dietary teaching should the nurse include to help with the feeling of fatigue?
Drink at least six to eight 8-oz glasses of water daily.
A pregnant patient asks what can be done to reduce the feelings of fatigue. Which information should the nurse provide to help this patient?
Eat a healthy diet
A patient with deep vein thrombosis (DVT) has been diagnosed with a pulmonary embolism (PE). Which nursing intervention promotes effective gas exchange?
Elevating the head of the bed
Within a family, one sister is diagnosed with fatigue caused by obstructive sleep apnea, and the other sister has chronic fatigue syndrome. Which independent intervention should the nurse recommend for the sister with obstructive sleep apnea?
Encourage exercise.
Which nursing intervention should the nurse recommend to promote tissue perfusion in a patient with peripheral vascular disease (PVD)?
Encourage patient to exercise.
The nurse is planning care for a patient with peripheral vascular disease (PVD) who is scheduled to have revascularization surgery to improve circulation to the lower extremities. Which independent nursing intervention should the nurse include in the plan of care to promote patient tissue perfusion?
Encourage regular exercise.
A patient complaining of fatigue during the day eats a balanced diet, exercises 2 hours a day, takes a vitamin supplement for health, and gets 7 hours of sleep at night. Based on this information, the nurse should conclude that which factor may be related to the patient's fatigue?
Exercising too much
A preschool-age child is brought for emergency care after falling down on the playground. Which pain assessment tool should the nurse use for this patient?
Faces rating scale
The nurse prepares to assess a patient with fibromyalgia. The nurse should assess this patient for which risk factor?
Family history
A patient with fibromyalgia reports constant fatigue and wants to know why this is happening. Which response should the nurse provide?
Fibromyalgia causes sleep disturbances, which is the reason for your fatigue."
The nurse is preparing an educational seminar about the development of peptic ulcer disease. Which information should the nurse include that best characterizes the pathophysiological changes secondary to Helicobacter pylori (H. pylori) infection leading to the development of peptic ulcer disease (PUD)?
H. pylori reduces the efficacy of the mucosal gel protecting the gastric mucosa.
A patient in the clinic complains of fatigue. Which question should the nurse ask to differentiate acute fatigue from chronic fatigue?
Have you had a recent change in your life?"
The nurse is caring for a patient with primary hypertension. Which nursing diagnosis is the most appropriate?
Health Maintenance, Ineffective
The nurse notes that a patient with severe ulcerative colitis (UC) has decreased hemoglobin and hematocrit levels. Which complication should cause the nurse to have the most concern?
Hemorrhage
While conducting a health history, the nurse learns that an older adult patient regularly uses NSAIDs. Which medication should the nurse encourage the patient to discuss with the healthcare provider to reduce the risk of developing peptic ulcer disease (PUD)?
Histamine-receptor blockers
A patient experiences severe nausea and vomiting caused by acute cholecystitis. Which nonpharmacologic intervention should the nurse implement first?
Hold all oral intake.
A patient recovering from a cholecystectomy and T-tube placement is prescribed an analgesic medication as needed, nasogastric tube placement, minimal ice chips, and monitoring of T-tube drainage. Which patient statement should cause the nurse to notify the healthcare provider?
I must be better because there's no drainage in the bag."
After a diagnosis of acute cholecystitis, a patient is instructed on a low-fat diet. Which patient statement indicates that the nurse's teaching has been successful?
I think I will have chicken and a green salad for dinner tonight."
A patient is instructed to consume a low-fat diet after being diagnosed with acute cholelithiasis. Which patient statement indicates that the nurse's teaching has been successful?
I think I will have grilled chicken tonight for dinner."
The nurse is teaching a parent about a healthy diet for their 11-year-old child who has hypertension. Which statement by the parent demonstrates a correct understanding?
I will decrease my child's intake of sweets to 5 servings per week or fewer."
A patient is admitted with impaired tissue healing of the lower extremities due to peripheral vascular disease (PVD). The nurse applies a bed cradle. Which effect should the nurse expect from this intervention?
Improved capillary blood flow
The nurse is caring for a patient with acute cholecystitis. In which area should the nurse expect the patient to experience pain?
In the right upper quadrant, radiating to the right scapula and shoulder
The nurse instructs a patient with peptic ulcer disease (PUD) about dietary approaches to manage the disorder. Which dietary change indicates that teaching provided to the patient was effective?
Increase in dietary fiber
When laboratory tests indicate that a patient has circulatory stasis, the nurse suspects that the patient has a deep venous thrombosis (DVT). Which additional pathologic factor supports the nurse's suspicion?
Increased blood coagulability
The nurse is assessing a patient during a routine clinic appointment. Which physiologic change should indicate to the nurse that the patient might be experiencing pain?
Increased perspiration
The nurse is creating a plan of care for a patient diagnosed with hypertension. The patient's waist circumference is greater than the hip circumference. The patient admits to drinking three 12-oz beers before bed every day, down from four beers per day. Which nursing diagnosis should the nurse include in the care plan?
Ineffective Health Maintenance related to inability to modify lifestyle
A patient experiences fatigue, pain, loss of appetite, cough, and night sweats. Which condition should the nurse suspect is causing the patient's symptoms?
Infection
An adolescent patient with ulcerative colitis (UC) is hospitalized for severe diarrhea. Which nursing intervention should the nurse implement for the patient?
Infuse intravenous fluids as prescribed.
The nurse is assessing a patient who is experiencing sharp, stabbing pain in the right upper abdominal quadrant (RUQ) and vomiting after eating. Which finding should the nurse expect when conducting the interview?
Ingests a high-calorie, high-cholesterol diet
An adolescent is experiencing right upper quadrant abdominal pain, nausea, and vomiting after eating at a fast food restaurant. Which treatment should the nurse anticipate to be prescribed for this patient?
Intravenous fluids, antiemetics, and analgesics
A patient seeks medical attention for ongoing diarrhea. Which question should the nurse ask to confirm a diagnosis of ulcerative colitis (UC)?
Is there blood or mucus in your stool?"
A patient with peptic ulcer disease (PUD) is prescribed a proton-pump inhibitor. Which information should the nurse recall before administering this medication?
It inhibits an acid-secreting enzyme to reduce gastric acid content.
The nurse notes that a patient is prescribed a serum bilirubin level. Which symptom should the nurse expect to assess in this patient?
Jaundice of the skin and sclera of the eyes
A patient with cholelithiasis asks what can be done to avoid the development of future gallstones. Which response should the nurse provide?
Keep your weight within normal limits."
The nurse is preparing to administer low molecular weight heparin (LMWH) subcutaneously. The nurse understands which statement to be accurate?
LMWH prevents blood clots from forming.
The nurse is caring for a 2-year-old patient with a diagnosis of deep venous thrombosis. Which collaborative therapy should the nurse anticipate giving immediately?
Low molecular weight heparin
A patient experiencing recurring bouts of pain in the upper right quadrant feels nauseous after eating fatty foods. Which type of diet should the nurse recommend to this patient?
Low-fat diet
A patient with a history of deep venous thrombosis reports a sudden onset of severe pain in the pelvis. Which diagnostic test should the nurse expect to be prescribed for this patient?
Magnetic resonance imaging (MRI)
The nurse is caring for a patient with inflammatory bowel disease (IBD). Which intervention should the nurse make a priority for this patient?
Maintaining skin integrity
The patient states, "I have been under a lot of stress and would like to treat my high blood pressure with a nonpharmacologic therapy." Which treatment option should the nurse recommend?
Meditating for 15 minutes every day
A patient recovering from a cholecystectomy with T-tube placement is prescribed nothing by mouth (NPO), a nasogastric (NG) tube, pain medication, minimal ice chips, and T-tube drainage measurement. Which assessment finding should cause the nurse to notify the healthcare provider?
Minimal drainage from the T-tube
A patient with a fractured arm is experiencing acute pain. Which nursing diagnosis should the nurse use to guide this patient's care?
Mobility: Physical, Impaired
A patient has been treated for deep venous thrombosis (DVT) conservatively with anticoagulant therapy with little results. Which is an indication for a venous thrombectomy?
Multiple thrombi lodged in femoral vein
The nurse is caring for a patient with a history of peripheral neuropathy and spinal stenosis. Which clinical manifestation should indicate to the nurse that the patient is experiencing chronic pain?
Muscle tension
Which musculoskeletal assessment finding should the nurse anticipate for a patient complaining of fatigue?
Muscle weakness
A patient receiving pain medication for end-stage prostate cancer continues to experience pain. Which complementary approach should the nurse implement for this patient?
Music therapy
A patient presents with a history of chronic unrelieved pain related to leukemia. Which intervention of last resort should the nurse expect to be prescribed for this patient?
Nerve block
For which reason should the nurse expect the patient with depression to experience fatigue?
Neurotransmitter dysregulation
A patient reports lower back pain. Which risk factor should the nurse include when assessing this patient?
Obesity
The nurse notes that a patient with chronic pain continues to be uncomfortable while waiting for medication to take effect. Which action should the nurse take to help this patient?
Offer a back massage.
The nurse is caring for an older adult patient diagnosed with deep venous thrombosis (DVT). Which statement is accurate regarding the older adult and DVT?
Older adult patients diagnosed with DVT are often asymptomatic."
The nurse is discussing medications with a patient who is diagnosed with fibromyalgia. Which drug classification should the nurse explain as one that provides pain relief and encourages sleep?
Opiate narcotics
The nurse is completing a physical assessment of a patient with peptic ulcer disease (PUD). Which vital sign abnormality should the nurse identify that could indicate a potential complication of the disorder?
Orthostatic hypotension
A middle-aged patient has a history of deep venous thrombosis (DVT). Which manifestation should the nurse identify as most likely to be a complication from the DVT?
Pain and edema in the affected leg
The nurse is caring for a patient with a fractured ankle. Which manifestation differentiates breakthrough pain from acute pain?
Pain between dosages of medication
The nurse is concerned that an older adult patient is having pain but continues to refuse pain medication. Which belief should the nurse suspect this patient is demonstrating?
Pain is inevitable.
The nurse is planning care for a patient with fibromyalgia. Which nursing diagnosis is a priority for the nurse to address?
Pain, Chronic
A patient is experiencing right-upper-quadrant abdominal pain. Which technique should the nurse use to pinpoint the location of the pain?
Palpation
A patient with a history of peptic ulcer disease (PUD) reports severe abdominal pain that radiates to the right shoulder. The patient's heart rate is 114 beats/min and blood pressure is 90/56 mmHg. The patient's skin is cool and clammy, the abdomen is hard, and bowel sounds are absent. Which complication associated with PUD should the nurse suspect?
Perforation
A patient with a history of abusing hydrocodone is admitted following a motor vehicle crash resulting in multiple injuries. Which action should the nurse include in this patient's care?
Performing adequate pain assessment
A patient asks how the new diagnosis of fibromyalgia occurred. Which condition should the nurse identify as a contributor to the development of fibromyalgia?
Physical or emotional trauma
A patient with severe exacerbation of Crohn disease is prescribed bowel rest. Which additional prescription should the nurse anticipate for this patient?
Placement of a nasogastric tube for enteral feedings
A preadolescent patient reports having trouble sleeping. Which diagnostic test should the nurse anticipate to be prescribed for this patient?
Polysomnography
The nurse is caring for a patient receiving analgesics for pain. Which medication should the nurse identify as a coanalgesic?
Prednisone
The nurse is assessing a patient who has an elevated blood pressure despite taking diuretics as prescribed. Which treatment change should the nurse expect the healthcare provider to prescribe?
Prescribing another antihypertensive in addition to the diuretics
A 12-year-old child has a history of diabetes mellitus, central obesity, and a family history of hypertension. The nurse obtains a blood pressure reading of 122/76 mmHg. Which condition should the nurse suspect?
Primary hypertension
A patient who reports having a headache in the back of the head and neck every morning that subsides during the day, visual disturbances, and nocturia has a blood pressure of 156/100 mmHg. Which condition should the nurse expect to find in this patient?
Primary hypertension
A participant in a community health program asks why it is important for fibromyalgia to be promptly diagnosed and treated. Which response should the nurse make to this participant?
Prompt diagnosis and treatment of fibromyalgia symptoms can reduce flare-ups and help manage the pain."
The nurse is preparing to administer a nonsteroidal anti-inflammatory drug (NSAID) to a patient experiencing acute pain. Which action should the nurse implement when providing this medication?
Provide with a full glass of water.
The nurse is assessing a patient with deep vein thrombosis (DVT) who reports shortness of breath and chest pain. The nurse notes the patient has rapid, shallow breathing, and an oxygen saturation of 89%. Which intervention should the nurse implement immediately?
Raising the head of the bed
A patient with fibromyalgia asks if there are any nonpharmacologic actions to help with the fatigue. Which complementary therapy should the nurse suggest?
Relaxation therapy
A patient with peptic ulcer disease (PUD) is draining coffee-ground emesis through a nasogastric tube. Which action should the nurse take to help maintain homeostasis?
Replace gastric output milliliter for milliliter with a balanced electrolyte solution.
The nurse is caring for a patient in the postsurgical unit following a knee replacement. Which independent nursing intervention should the nurse implement to address this patient's acute pain?
Repositioning for comfort
A young adult sustains a fractured ankle and is prescribed an intravenous opioid for pain control. Which assessment should the nurse include when evaluating the effectiveness of the pain medication?
Respiratory status
Which patient assessment should the nurse implement following the administration of an opioid pain medication?
Respiratory status
The nurse is assessing a patient with a suspected deep vein thrombosis (DVT). Which event should the nurse not consider associated with this diagnosis?
Running a marathon
The nurse is assessing a patient and suspects peripheral vascular disease (PVD). Which test should the nurse anticipate being ordered to confirm this diagnosis?
Segmental pressure measurement
The nurse is planning care for a patient with chronic fatigue syndrome. Which nursing diagnosis should the nurse identify to address this patient's need for assistance with activities of daily living (ADLs)?
Self neglect
A patient with acute cholecystitis is being tested for possible pancreatitis. Which laboratory test should the nurse expect to be ordered?
Serum amylase and lipase
A patient experiences jaundice, nausea, and right upper abdominal quadrant and scapula pain. Which diagnostic test should the nurse anticipate being prescribed for this patient?
Serum bilirubin
The nurse is preparing a presentation about pain for colleagues. Which information should the nurse explain about nociceptors and pain?
Serve as specialized pain receptors
A patient with diarrhea containing both blood and mucus experiences seven to eight stools per day. The nurse notes decreased red blood cells on the patient's complete blood count (CBC). Which condition should the nurse suspect in this patient?
Severe ulcerative colitis
An adolescent with a new ileostomy is observed crying. Which action is best for the nurse take at this time?
Sit next to the patient.
The nurse reviews data collected during the assessment of a patient with fatigue. Which nursing diagnosis should be identified as a priority for this patient?
Sleep Deprivation
The home health nurse is helping a patient with atherosclerosis and peripheral vascular disease (PVD) write a grocery list with foods to reduce cholesterol. Which should the nurse recommend be removed from the shopping list?
Stick butter
A patient with a history of being treated with antibiotics and steroids for Crohn disease is being considered for surgery because of strictures in the colon. Which surgery should the nurse anticipate for the patient?
Strictureplasty
The nurse is providing care to a patient with uncontrolled hypertension. The nurse should be concerned that the patient is at risk for which condition?
Stroke
A patient with inflammatory bowel disease (IBD) has an allergy to sulfonamides. Which medication prescription should the nurse question?
Sulfasalazine
The nurse prepares material for a patient prescribed a nonsteroidal anti-inflammatory drug (NSAID) for management of acute pain. Which information should the nurse emphasize with this patient?
Take only the prescribed amount every day.
The nurse is planning care for a patient with peripheral vascular disease (PVD) who is hospitalized due to increased pain associated with intermittent claudication. Which independent nursing intervention should the nurse implement?
Teach the patient guided imagery.
The nurse is planning care for a patient who has been prescribed bedrest after abdominal surgery. Which action by the nurse helps to prevent development of a deep venous thrombosis (DVT) in this patient?
Teaching ankle extension and flexion exercises
The goal for a patient diagnosed with hypertension is to maintain fluid volume. Which intervention should the nurse include?
Teaching the patient about the relationship between sodium intake and fluid retention
The nurse is caring for a patient experiencing symptoms of acute cholecystitis. Which part of the patient's anatomy should the nurse consider as being obstructed with a gallstone?
The cystic duct
The nurse is discussing the incidence of inflammatory bowel disease (IBD) with a community group. Which information should the nurse include?
The disease is often linked to heredity.
The nurse is evaluating a patient with chronic peripheral venous disease (PVD) and claudication following a change in treatment plan. The patient reports that for the past several nights burning pain is waking them from sleep. How should the nurse interpret these findings?
The disease is progressing and tissue perfusion is altered.
The nurse prepares teaching material about gallbladder disease and includes obesity, certain medications, rapid weight loss, and dyslipidemia as modifiable risk factors. Which additional information about modifiable risk factors should the nurse include?
The importance of a low-fat diet
A patient is discharged with a transdermal patch to treat pain. Which information should the nurse include in the discharge teaching for this preparation?
The medication has a preset dose and will be changed at preset times.
The nurse is reviewing discharge teaching for a patient who was recently diagnosed with hypertension. Which outcome demonstrates that the teaching has been effective?
The patient describes side effects of medications to report to the healthcare provider.
The nurse is planning care for a patient with inflammatory bowel disease (IBD). Which outcome should the nurse consider as most appropriate for this patient?
The patient has no symptoms of infection.
The home care nurse is evaluating a patient who was recently discharged from the hospital for deep venous thrombosis (DVT). Which observation indicates that additional teaching is required?
The patient has removed the antiembolism stockings.
While making rounds on assigned patients, the nurse notes an ampule of vitamin K at the bedside of one patient. Which should the nurse understand from the presence of this medication?
The patient is receiving warfarin.
The nurse is developing a plan of care for a patient with nausea, vomiting, and epigastric pain caused by peptic ulcer disease (PUD). Which outcome should the nurse identify for this patient?
The patient will maintain adequate fluid volume.
The nurse is caring for a patient experiencing pain from knee-replacement surgery. Which outcome should the nurse identify for this patient?
The patient will verbalize a 50% reduction in pain.
The nurse reviews the care plan for a patient with a diagnosis of deep venous thrombosis (DVT). Which item in the plan of care should the nurse question?
The patient will wear antiembolism stockings while on bedrest.
The nurse is reviewing assigned patients to determine who is at risk for developing a deep venous thrombosis (DVT). Which patient should the nurse identify as a candidate for DVT preventive therapy?
The patient with a recently fractured femur
The nurse is caring for a patient with peripheral vascular disease (PVD) who has an ulcer on their great toe. Which additional assessment finding should the nurse expect to find?
The skin of the extremity is cool to the touch.
A young adult patient who is experiencing symptoms of gallbladder disease believes the illness only affects older people. Which response should the nurse make to this patient?
There are many risk factors for gallbladder disease."
The nurse is caring for a patient with chronic venous insufficiency (CVI) who has a past medical history of thrombophlebitis. The nurse should recognize that this patient was at a high risk for developing CVI for which reason?
Thrombophlebitis may damage valves of deep veins.
The nurse is teaching a patient with fibromyalgia about self-care. For which main reason should the nurse recommend that the patient engage in good sleep-hygiene practices?
To increase restorative sleep and reduce fatigue
A patient with ulcerative colitis is scheduled for surgery to remove the bowel and place a temporary ostomy. For which surgical procedure should the nurse prepare teaching material for this patient?
Total colectomy ileal pouch-anal anastomosis (IPAA)
The nurse notes that a patient with fibromyalgia is prescribed an anticonvulsant. What should the nurse explain to the patient as being the purpose for this medication?
Treat neuropathic pain
The nurse is conducting a support group for parents of young children with ulcerative colitis (UC). Which suggestion made by a parent requires the nurse to intervene?
Try giving two to three larger meals per day to allow the bowel to rest in between feedings."
A patient presents with suspected peptic ulcer disease (PUD). Which diagnostic test should the nurse expect to be ordered first for this patient?
Upper GI series
A patient prescribed bowel rest for an acute exacerbation of Crohn disease asks what food is permitted. Which response should the nurse make to this patient?
We will put a tube into your stomach and give you a special type of high-protein and high-calorie solution."
An older adult patient continues to experience chest pain and dysphagia after having an examination that eliminated the cause as being heart disease. Which other symptom should the nurse assess that might indicate peptic ulcer disease?
Weight loss and anemia
A patient experiencing fatigue thinks it is "a result of a stressful lifestyle." Which is the most important initial question the nurse can ask the patient?
What do you think is causing the stress?"
In the course of diagnosing the underlying cause of fatigue, when can the nurse anticipate a sleep study to be prescribed?
When physiological disorders have been ruled out
The nurse is evaluating the plan of care for a patient with fatigue. Which objective data should the nurse use to evaluate the patient's ability to perform activities of daily living (ADLs)?
When the nurse enters the room, the patient is in the shower.
The nurse reviews a list of patients scheduled for appointments in the community clinic. Which patient is most at risk for chronic fatigue?
Working the night shift and has a toddler and a school-age child
A patient diagnosed with peripheral vascular disease (PVD) asks the nurse, "What activities should I avoid doing with my legs and feet?" Which statement by the nurse is most helpful for this patient?
You should avoid sitting with your legs crossed."
A patient with obesity and cholecystitis asks for help with ways to improve nutritional intake. Which statement should the nurse make to this patient?
You should begin a low-fat, high-protein diet."
A patient with diarrhea and epigastric pain is diagnosed with a gastrinoma. Which additional condition should the nurse suspect in the patient?
Zollinger-Ellison syndrome
A patient taking a proton pump inhibitor for peptic ulcer disease (PUD) asks if there is anything else that can be taken to help reduce the symptoms. Which medication should the nurse recommend to help provide rapid relief of ulcer symptoms?
antacid
A patient experiencing right upper quadrant pain that has lasted for over 7 hours is diagnosed with cholecystitis. For which additional clinical manifestation should the nurse assess?
chills and fever
The nurse is completing an assessment on a patient with peptic ulcer disease (PUD). Which activity should the nurse include when assessing this patient's discomfort?
eating
The nurse is caring for a patient with a strong family history of Crohn disease. Which action should the nurse suggest to help prevent this patient from developing the disease?
eliminate smoking
A patient with inflammatory bowel disease (IBD) asks about dietary supplements to help with the symptoms. Which suggestion should the nurse make to this patient?
probiotics
A patient with inflammatory bowel disease (IBD) reports taking nutritional supplements that help reduce the inflammation. Which supplement should the nurse anticipate to be used in the treatment of this disorder?
probiotics
A patient with symptoms of gallbladder disease is prescribed a test to evaluate the presence of gallstones and gallbladder emptying function. For which diagnostic test should the nurse prepare the patient?
ultrasound