Advanced Med-Surg CFUQS Exam - Questions and Answers (Complete Solutions) A patient with hepatitis A is in acute phase. The nurse plans care for the
... [Show More] patient based on the knowledge that: a. itching is a common problem in this phase b. the patient is most likely to transmit the disease during this phase c. GI symptoms are not as severe as hep A as they are in hep B d. extrahepatric manifestations of glomerulonephritis and polyarteritis are common in this phase A patient with acute hepatitis B is being discharged. The discharge teaching plan should include instructions to a. avoid alcohol for the first 3 weeks b. use a condom during sexual intercourse c. have family members get an injection of immunoglobulin d. follow a low protein, moderate carbohydrate, moderate fat diet A patient has been told that she has elevated liver enzymes caused by NAFLD. The nursing teaching plan should include a. having genetic testing done b. recommending a heart healthy diet c. the necessity to reduce weight rapidly d. avoiding alcohol until liver enzymes return to normal The patient with advanced cirrhosis asks why his abdomen is so swollen. the nurses response is based on the knowledge that a. a lack of clotting factors promotes the collection of blood in the abdominal cavity b. portal hypertension and hypoalbuminemia cause a fluid shift into the peritoneal space c. decreased peristalsis in the GI tract contributes to gas formation and dissension of the bowel d. bile salts in the blood irritate the peritoneal membranes, causing edema and pocketing of fluid In planning care for a patient with metastatic liver cancer, the nurse should include interventions that a. focus primarily on symptomatic and comfort measures b. reassure the patient that chemotherapy offers a good prognosis c. promote the patients confidence that surgical excision of the tumor will be successful d. provide information needed for the patient to make decisions about liver transplantation Nursing management of the patient with acute pancreatitis includes: SATA a. administering pain medication b. checking signs of hypocalcemia c. providing a diet low in carbohydrates d. giving insulin based on a sliding scale e. monitoring for infection, particularly respiratory tract infection A patient with pancreatic cancer is admitted to the hospital for evaluation of treatment options. The patient asks the nurse to explain the Whipple procedure that the surgeon has described. the explanation includes the information that a Whipple procedure involves a. creating a bypass around the obstruction caused by the tumor by joining the gallbladder to the jejunum b. resection of the entire pancreas and the distal part of the stomach, with anastomosis of the common bile duct and the stomach into the duodenum c. removal of part of pancreas, part of the stomach, the duodenum, and the gallbladder, with joining of the pancreatic duct, the common bile duct, and the stomach of the jejunum d. removal of the pancreas, the duodenum, and the spleen, and attachment of the stomach to the jejunum, which requires oral supplementation of pancreatic digestive enzymes and insulin replacement therapy The nurse caring for a patient with a suspected acute cholecystitis would anticipate: SATA a. ordering a low sodium diet b. administration of IV fluids c. monitoring of liver function tests d. administration of antiemetics for patients with nausea Teaching in relation to home management after a laparoscopic cholecystectomy should include a. keeping the bandages on the puncture sites for 48 hours b. reporting any bile-colored drainage or pus from any incision. c. using OTC antiemetics if nausea and vomiting occur d. emptying and measuring of contents of the bile bag from the T tube every day In assessing the joints of a patient with osteoarthritis, the nurse understands that bouchard's nodes: a. are often red, swollen, and tender b. indicate osteophyte formation at the PIP joints c. are a result of panes formation at the DIP joints d. occur from deterioration of cartilage by proteolytic enzymes A patient with rheumatoid arthritis has articular involvement. The nurse recognizes these characteristics changes include: SATA a. bamboo shaped fingers b. metatarsal head dislocation in feet c. noninflammatory pain in large joints d. asymmetric involvement of small joints e. morning stiffness lasting 60 min or more When administering medications to the patient with chronic gout, the nurse recognizes which drug is used as a treatment for this disease? a. colchicine b. allopurinol c. sulfasalazine d. cyclosporine The nurse should teach the patient with ankylosing spondylitis the importance of: a. avoiding extremes in environmental temperatures b. regularly exercising and maintaining proper posture c. maintaining patients usual physical activity during flares d. applying hot and cool compresses for relief of local symptoms In teaching a patient with systemic lupus erythematous about the disorder, the nurse knows the Pathophysiology includes: a. circulating immune complexes formed from igG autoantibodies reacting with IgG. b. an autoimmune T-cell reaction that results in destruction of the deep dermal skin layer c. immunologic dysfunction leading to chronic inflammation in the cartilage and muscles d. the production of a variety of autoantibodies directed against components of the cell nucleus In teaching a patient with sjorgrens syndrome about drug therapy for this disorder, the nurse includes instruction about the use of which drug? a. pregabalin (Lyrica) b. etanercept (Enbrel) c. cyclosporine (restasis) d. cyclobenzaprine (flexeril)
Teach the patient with fibromyalgia the importance of limiting intake of which foods (select all that apply) a. Sugar b. Alcohol c. Caffeine d. Red meat e. Root vegetables Which safe sun practices would the nurse include in the teaching plan for a patient who has photosensitivity (select all that apply) a. Wear protective clothing. b. Apply sunscreen liberally and often. c. Emphasize the short-term use of a tanning booth. d. Avoid exposure to the sun, especially during midday. e. Wear any sunscreen as long as it is purchased at a drugstore. When teaching a patient with melanoma about this disorder, the nurse recognizes that the patients prognosis is most dependent on: a. the thickness of the lesion b. apply sunscreen liberally and often c. amount of ulceration in the lesion d. how much the lesion has spread superficially The nurse determines that a patient with which disorder is most at risk for spreading the disease? a. tinea pedis b. impetigo on the face c. candidiasis of the nails d. psoriasis on the palms and soles A mother and her two children have been diagnosed with pediculosis corporis at a health care center. An appropriate measure in treating this condition is a. applying pyrethrins to the body. b. topical application of griseofulvin. c. moist compresses applied frequently. d. administration of systemic antibiotics. A common site for the lesions associated with atopic dermatitis is the a. buttocks. b. temporal area.
c. antecubital space. d. plantar surface of the feet. During the assessment of a patient, you note an area of red, sharply defined plaques covered with silvery scales that are mildly itchy on the patient’s knees and elbows. You would describe the finding as: a. lentigo b. psoriasis c. actinic keratosis d. seborrheic keratosis In teaching a patient who is using topical corticosteroids to treat acute dermatitis, the nurse should tell the patient that: a. the cream form is the most efficient system of delivery b. short term use of topical corticosteroids usually does not cause systemic side effects c. use a glove to apply small amounts of creams or ointments to prevent further infection d. abruptly stopping the use of topical corticosteroids may cause the dermatitis to reappear Important patient teaching after a chemical peel includes a. avoidance of sun exposure. b. application of firm bandages. c. limitation of vigorous exercise. d. use of moist heat to relieve discomfort. Which prevention strategy will the nurse include when teaching about home fire safety? a. set hot water temperature at 140 degrees b. use only hardwired smoke detectors c. encourage regular home fire exit drills d. do not allow older adults to cook unattended The injury that is least likely to result in a full-thickness burn is a. sunburn b. scald injury c. chemical burn d. electrical injury When assessing patient with a partial thickness burn, the nurse would expect to find SATA [Show Less]