Health Concepts Exam 2
After the nurse teaches a patient with gastroesophageal reflux disease (GERD) about recommended dietary modifications, which statement by the patient indicates that the teaching has been effective?
"I will have to use herbal teas instead of caffeinated drinks."
The nurse teaches a patient with a history of upper GI bleeding how to check for bloody stools. Which statement by the nurse is appropriate?
"Stools that are black and tarry occur with slow bleeding from the stomach."
serum lipase levels
0-160
Bicarbonate
22-26 mEq/L
PaCO2
35-45 mmHg
Serum Amylase Levels
40-140
PH
7.35-7.45
PaO2
80-100 mmHg
SaO2
95-100%
A nurse is caring for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The nurse would expect prescriptions for which of the following medications? SELECT ALL THAT APPLY
Antacids Histamine 2 receptor antagonists Proton Pump inhibitors
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 nurse is reviewing laboratory data of a client who has an acute exacerbation of Crohn's disease. Which of the folllow blood laboratory results should the nurse expect to be elevated?
ESR and WBC
A patient with UC must undergo surgical intervention. Which comment indicates that additional instruction about the care of his new ileostomy is needed?
I should change the appliance daily to prevent odors.
A parent presents to the clinic with their infant and has feeding concerns. Which symptom indicates the infant may be experiencing GERD?
Infant is fussy during feeding and arching back
A 49-yr-old man has been admitted with hypotension and dehydration after 3 days of nausea and vomiting. Which prescribed action will the nurse implement first?
Infuse normal saline 250ml/hr
The nurse explains to a patient with an episode of acute pancreatitis that the most effective means of relieving pain by suppressing pancreatic secretions is the use of:
NPO status Rationale: Pain from acute pancreatitis is aggravated by eating; NPO status will help to alleviate the pain by decreasing pancreatic secretions
Which action would the nurse take first when caring for a postoperative client who reports pain?
Perform a focus assessment on the patient.
Which is the priority intervention for a dependent client with peptic ulcer disease (PUD) who is vomiting bright red blood?
Place the client in a side-lying position
The nurse is caring for a client with a bowel obstruction. Which assessment findings indicate the possible onset of peritonitis? Select all that apply. One, some, or all responses may be correct.
Rebound tenderness, diminshed bowel sounds, and rigid board like abdomen
A patient has just been admitted to the emergency department with nausea and vomiting. Which information requires the most rapid intervention by the nurse?
The patient is lethargic and difficult to arouse
The nurse prepares discharge teaching for a client recovering from a cholecystectomy. Which topic should the nurse include in this teaching? (Select all that apply.)
activity level surgicial incision care manifestations of postoperative complications pain control measures
After teaching a patient with IBD about about dietary modifications, you determine that teaching was effective when he chooses which menu?
baked cod, baked sweet potato, and canned pears
A client with cholelithiasis is not a surgical candidate at this time. Which pharmacologic treatment should the nurse expect to be prescribed for this client? (Select all that apply.)
chenodiol, ursodiol
A nurse is completing discharge teaching with a patient who was Crohn's Disease. Which of the following instructions should the nurse include in the teaching?
drink a canned protein supplement
Diagnostic testing is planned for a patient with a suspected peptic ulcer. The nurse explains to the patient that the most reliable test to determine the presence and location of an ulcer is:
endoscopy
A nurse is completing an admission assessment for a patient with pancreatitis. Which of the following findings should the nurse expect?
epigastric pain radiating to the left shoulder
A client develops peritonitis and sepsis after the surgical repair of a ruptured diverticulum. Which signs would the nurse expect when assessing the client? Select all that apply. One, some, or all responses may be correct
fever, tachypnea, abdominal rigidity
A nurse is reviewing lab results for a patient with acute pancreatitis. Which of the follow would the nurse expect?
increased blood glucose level
The surgical treatment of choice for the patient with symptomatic gallbladder disease is a:
laparoscopic cholecystectomy
A patient has the following ABG results: pH 7.48, PaO2 86 mm Hg, PaCO2 44 mm Hg, HCO3− 29 mEq/L. When assessing the patient, the nurse would expect the patient to have
muscle cramping
The nurse is caring for a client with chronic inflammation of the bowel. For which most serious complication would the nurse monitor in this client?
perforation
Which condition may occur if the client does not seek medication attention for acute appendicitis within 24-36 hours? (Select all that apply.)
perforation and peritonitis
Which information will the nurse provide for a patient with newly diagnosed gastroesophageal reflux disease (GERD)?
"Keep the head of your bed elevated on blocks."
A nurse is reviewing data for four children. Which of the following children should the nurse assess first? - A 10 year old who has sickle cell anemia who reports severe chest pain. - A 7 year old child who has diabetes insipidus and a urine specific gravity of 1.016. - A 1 year old toddler who has rosella and a temp of 102.2F - A 4 year old child who has asthma and a PCO2 of 37mmHg
A 10 year old who has sickle cell anemia who reports severe chest pain