Inflammation practice questions

D. oxygen saturation

A nurse is admitting a client to the surgical unit from the PACU following a cholecystectomy. Which of the following assessments is the nurse's priority? A. bowel sounds B. surgical dressing C. temperature D. oxygen saturation

B. pantoprazole 80 mg IV bolus twice daily (decreases gastric acid production)

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate? A. initiate a low-residue diet B. pantoprazole 80 mg IV bolus twice daily C. ambulate twice daily D. pancrelipase 500 units/kg PO 3 times daily with meals

B. shakiness and diaphoresis

A nurse is assessing a client and discovers the infusion pump with the client's TPN solution is not infusing. The nurse should monitor the client for which of the following conditions? A. excessive thirst and urination B. shakiness and diaphoresis C. fever and chills D. hypertension and crackles

C. Restrict protein intake

Elevated ammonia levels can lead to hepatic encephalopathy. Which provider order best reduces this risk in patients with cirrhosis? A. Administer furosemide and spironolactone B. Administer antibiotics C. Restrict protein intake D. Restrict caloric intake

B. Vitamin K deficiency

In a patient with cirrhosis, the nursing diagnosis "Risk for injury and bleeding associated with prolonged clotting factors" is most appropriate associated with which disorder? A. Pruritus B. Vitamin K deficiency C. Hyponatremia D. Ascites

C. Presence of IgM anti-HAV

In reviewing diagnostic results of a patient with suspected hepatitis, the nurse correlates which result as consistent with hepatitis A? A. Prolonged prothrombin time (PT) B. Decreased white blood cell count C. Presence of IgM anti-HAV D. Detectable serum HBV DNA

B. Serum lipase

The most specific laboratory result in the patient with acute pancreatitis is an elevation in which laboratory value? A. Serum bilirubin B. Serum lipase C. Serum trypsin D. Serum lactase

D. RUQ pain

The nurse correlates which clinical manifestation with cholecystitis? A. Retroperitoneal pain B. Absence of bowel sounds C. Diarrhea D. RUQ pain

B. CT scan, CBC, abdominal assessment for rebound tenderness

The nurse is caring for a patient in the emergency department with abdominal pain, fever, nausea, and vomiting. The patient is suspected of having appendicitis. What intervention may the provider order to confirm diagnosis? A. Flat-plate x-ray of the abdomen, chemistry panel B. CT scan, CBC, abdominal assessment for rebound tenderness C. Administer a laxative to see if symptoms improve D. Colonoscopy, esophagogastroduodenoscopy (EGD), and endoscopic retrograde cholangiopancreatography (ERCP)

C. Hepatitis D

The nurse is caring for a patient with known hepatitis B. Which type of hepatitis does the patient likely have if a secondary hepatitis is diagnosed? A. Hepatitis A B. Hepatitis C C. Hepatitis D D. Hepatitis E

A. Obesity C. Female E. European descent

The nurse recognizes which as risk factors for cholecystitis? (Select all that apply.) A. Obesity B. Male C. Female D. African descent E. European descent

A. A foreign body blocking the opening of the appendix B. Cancer C. Edema in the bowel walls

The nurse would understand which condition to cause appendicitis? Select all that apply. A. A foreign body blocking the opening of the appendix B. Cancer C. Edema in the bowel walls D. Increased pressure in the colon E.Autoimmune response

D. Cullen's sign (periumbilical bruising)

Which assessment finding would indicate retroperitoneal hemorrhage in a patient diagnosed with acute pancreatitis? A. Chvostek's sign B. Trousseau's sign C. Murphy's sign D. Cullen's sign

B. Altered mental status

Which clinical manifestation is directly associated with the accumulation of ammonia in a patient diagnosed with cirrhosis? A. Pruritus B. Altered mental status C. Altered blood pressure D. Bleeding

D. Amylase

A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values? A. Calcium B. RBC count C. Magnesium D. Amylase

B. "You should increase your daily intake of protein"

A nurse is providing discharge teaching for a client who has chronic pancreatitis. Which of the following statements should the nurse make? A. "You should decrease your caloric intake when abdominal pain is present" B. "You should increase your daily intake of protein" C. "You should increase fat intake when experiencing loose stools" D. "You should limit alcohol intake to 2-3 drinks per week"

A. hyperglycemia

A nurse is assessing a client who is receiving TPN. Which of the following findings should the nurse recognize as a complication of this therapy? A. hyperglycemia B. aspiration C. diarrhea D. stomatitis

D. administer sodium biphosphate/ sodium phosphate (enemas and laxatives are contraindicated because they increase volume and can cause appendix to rupture)

A nurse is caring for a child who has suspected appendicitis. Which of the following provider prescriptions should the nurse clarify? A. maintain NPO status B. monitor oral temp every 4 hrs C. medicate the client for pain every 4 hrs as needed D. administer sodium biphosphate/ sodium phosphate

A. sudden decrease in abdominal pain

A nurse is caring for a child who is admitted with suspected acute appendicitis. Which of the following manifestations should indicate to the nurse that the child's appendix is perforated? A. sudden decrease in abdominal pain B. absent rovsing's sign C. flaccid abdomen D. low-grade fever

D. Cirrhosis (severe scarring of the liver)

A nurse is caring for a client who has a history of alcohol use disorder and reports bruising and frequent nosebleeds. The nurse should recognize that this client is manifesting which of the following conditions? A. Malnutrition B. Hepatitis A C. Diabetes D. Cirrhosis

D. withhold oral fluids and food (to rest pancreas)

A nurse is caring for a client who has acute pancreatitis. After treating the client's pain, which of the following should the nurse address as the priority intervention? A. auscultate the client's lungs B. assist the client to a side-lying position C. provide oral hygiene D. withhold oral fluids and food

B. vomiting

A nurse is caring for a client who has cirrhosis and a new prescription for lactulose. Which of the following manifestations indicates an adverse effect of the medication? A. dry mouth B. vomiting C. headache D. peripheral edema

B. increase the client's IV fluid rate (priority is restoring circulating volume and increasing blood pressure)

A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500mL of blood. Which of the following actions is the nurse's priority? A. elevate the client's feet B. increase the client's IV fluid rate C. initiate a dopamine IV infusion for the client D. administer a unit of packed RBCs

D. dark and foamy (from kidneys filtering excess bilirubin)

A nurse is caring for a client who has suspected cholecystitis. The nurse should expect the client's urine to appear which of the following colors? A. pale yellow B. greenish-brown C. red D. dark and foamy

A. review the client's electrolyte values

A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first? A. review the client's electrolyte values B. check the client's perianal skin integrity C. investigate the client's emotional concerns D. obtain a dietary history from the client

C. provide frequent oral and nares care (unable to swallow with a Sengstaken-Blakemore tube)

A nurse is caring for a client who was admitted with bleeding esophageal varices and has an esophagogastric balloon tamponade with a Sengstaken-Blakemore tube to control the bleeding. Which of the following actions should the nurse take? A. ambulate the client four times per day B. encourage the client to consume clear liquids C. provide frequent oral and nares care D. keep the client in a supine position

D. wipe perianal area with warm water and apply a barrier cream

A nurse is creating a plan of care to maintain the skin integrity of a client who experiences frequent diarrhea due to ulcerative colitis. Which of the following interventions should the nurse include in the plan? A. soak in a sitz bath for 20 min after each stool B. administer a soap-suds enema to cleanse the colon C. cleanse with antimicrobial scrub and vigorously dry D. wipe perianal area with warm water and apply a barrier cream

A. soy milk

A nurse is discussing good food choices with a client who is recovering from an exacerbation of inflammatory bowel disease and is to start a low-lactose diet. Which of the following foods is the best choice for the client? A. soy milk B. chedder cheese C. low-fat yogurt D. cottage cheese

A. gallstones (bile inflames the pancreas)

A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history? A. gallstones B. hypolipidemia C. COPD D. diabetes

A. administer furosemide C. implement a low-sodium diet D. measure the client's abdominal girth

A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include in the plan? (SATA) A. administer furosemide B. administer warfarin C. implement a low-sodium diet D. measure the client's abdominal girth E. encourage weight lifting during physical therapy

B. ammonia

A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, "I don't need this medication. I am not constipated." The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream? A. glucose B. ammonia C. potassium D. bicarbonate

B. encourage ambulation once fully awake

A nurse is providing care for a client who had a laparoscopic cholecystectomy. Which of the following is an appropriate nursing action? A. place the client in a supine position post-op B. encourage ambulation once fully awake C. offer the client ice cream post-op D. instruct the client not to lift over 4.5kg (10 lb)

D. cheddar cheese (high in fat)

A nurse is providing teaching to a client who has a history of pancreatitis. Which of the following food choices should the nurse instruct the client to avoid? A. noodles B. vegetable soup C. baked fish D. cheddar cheese

C. chronic blood loss

A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia? A. dietary iron restrictions B. intestinal malabsorption syndrome C. chronic blood loss D. intestinal parasites

B. roast turkey (a low-fat protein)

A nurse is teaching a client who has cholecystitis about required dietary modifications. The nurse should include which of the following foods as appropriate for the client's diet? A. creamed chicken B. roast turkey C. ice cream D. macaroni and cheese

C. Manifestations of the virus are similar to flu-like symptoms

A nurse is teaching a client who has hepatitis A. Which of the following information should the nurse include? A. A family history increases your risk for acquiring hepatitis A B. Hepatitis A infects the kidneys C. Manifestations of the virus are similar to flu-like symptoms D. The incubation of the virus is 5 days

A. Rome IV and/or Manning Criteria

The nurse recognizes which findings as diagnostic for IBS? A. Rome IV and/or Manning Criteria B. CT scan of the abdomen shows inflammatory process C. Blood urea nitrogen and creatinine are elevated D. Patient has abdominal pain and a psychiatric diagnosis

D. Computed tomography (CT)

Which diagnostic test will confirm appendicitis? A. X-ray of abdomen B. Physical assessment C. White blood cell count D. Computed tomography (CT)

C. Alcohol

Which factor would be the most prevalent cause of acute pancreatitis? A. Cannabis B. Hypertriglyceridemia C. Alcohol D. Abdominal trauma

B. Hepatitis B C. Hepatitis D E. Hepatitis G

Which form of hepatitis can be transmitted through infected blood and body fluids? (SATA) A. Hepatitis A B. Hepatitis B C. Hepatitis D D. Hepatitis E E. Hepatitis G

A. Glucose

Which laboratory value would increase when chronic pancreatitis impairs the endocrine function of the pancreas? A. Glucose B. Alkaline phosphatase (ALP) C. Direct bilirubin D. Lipase

A. A 16-year-old male

Which patient would be at the highest risk for appendicitis? A. A 16-year-old male B. A 14-year-old female C. A 32-year-old male D. A 42-year-old female

A."A patient with Crohn's disease may pass five to six soft, loose, nonbloody stools per day." B."Fistulas, fissures, and abscesses are common in Crohn's disease." D."Strictures and obstructions are common in Crohn's disease."

Which statements regarding Crohn's disease are accurate? Select all that apply. A."A patient with Crohn's disease may pass five to six soft, loose, nonbloody stools per day." B."Fistulas, fissures, and abscesses are common in Crohn's disease." C."Tenesmus is common in Crohn's disease." D."Strictures and obstructions are common in Crohn's disease." E."A cobblestone appearance of the mucosa is rare in Crohn's disease."

A. Hepatitis C

Which type of hepatitis is considered a chronic illness? A. Hepatitis C B. Hepatitis D C. Hepatitis E D. Hepatitis G