EXAM #1
1) A client is admitted with acute cholecystitis. Surgery is scheduled in 7 days. The client asks the nurse why the surgery is being put off
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a week. What rationale would underlie the nurse’s response?
- Surgery is delayed until the acute symptoms subside
2) A nurse is caring for a patient who has been admitted for the treatment of advanced cirrhosis. What assessment should the nurse
prioritize in this patient’s plan of care?
- Assessment for variceal bleeding
3) A nurse is participating in the emergency care of a client who has just developed variceal bleeding. What intervention should the nurse
anticipate?
- IV administration of octreotide
4) A nurse is preparing to administer prescribed medications to a client with hepatic encephalopathy. The client’s current medication
regime includes lactulose. What desired outcome should the nurse relate to this pharmacological intervention?
- Two to three soft bowel movements daily
5) The nurse administers lactulose to a client with cirrhosis for which purpose?
- Promotes gastrointestinal excretion of ammonia
6) The nurse is assessing a client who had a cholecystectomy and has just returned to the post surgical unit. Which of the following
assessment findings should the nurse report immediately to the surgeon?
- Rigidity of the abdomen
7) The nurse is planning an educational activity about risk behaviors related to Hepatitis A. The nurse includes which individual in the
teaching plan as having the greatest risk for developing Hepatitis A?
- Person who consumes raw oysters
8) A nurse is assisting with serving dinner trays on the unit. Upon receiving the dinner tray for a patient admitted with acute gallbladder
inflammation, the nurse will question which of the following foods on the tray?
- Fried chicken
9) The nurse is teaching a client who was admitted to the hospital with acute hepatic encephalopathy and ascites about an appropriate
diet. The nurse determines that the teaching has been effective when the client chooses which food choice from the menu?
- Pancakes with butter and honey, and orange juice
10) The nurse is caring for a patient who has just returned from the ERCP removal of gallstones. The nurse should monitor the patient for
signs of what complications?
- Bleeding and perforation
11) What do you with severe pancreatitis?
- Manage pain
12) Food question
- Lemon (answer has lemon as one of the choices)
13) What do you check when you give calcium carbonate?
- Phosphate
14) The male client diagnosed with CKD has received the initial dose of erythropoietin, a biologic response modifier, one (1) week ago.
Which complaint by the client indicates the need to notify the health-care provider?
- The client reports an elevation in his blood pressure
15) The nurse is preparing to administer epoetin alfa to a client with end stage kidney disease. Which abnormalities should the nurse report
to the HCP before giving the medication?
- Hemoglobin 13
16) Bladder irrigation catheter
- Obstruction
17) A patient diagnosed AKI has a serum potassium level of 6.5 mEq/L. The nurse anticipates administering which of the following?
- Kayexalate
18) The client is admittefd to a nursing unit from a long-term care facility with a hematocrit of 56% snf a serum sodium levrl of 152 mEq/L.
Which condition is a cause for these findings?
- Dehydration
19) The nurse in the dialysis clinic is reviewing the home medications of a patient with CKD. Which medication reported by the patient
indicates that patient teaching is required?
- Magnesium hydroxide
20) Which foods should be avoided following acute gallbladder inflammation?
- Cheese
21) The nurse is informed that the client with BPH has a prescription for an alpha adrenergic blocker. The nurse recognizes that the
medication prescribed is
- Tamusulosin
22) A patient with cirrhosis who has scheduled doses of spironolactone (Aldactone) and furosemide (Lasix) has a serum potassium level of
3.2. Which action should the nurse take?
- Administer the spironolactone
23) The patient’s potassium level is within normal range, possibly 5
- Administer both, furosemide and spironolactone
24) Nurse assessing a client following paracentesis
- Patient’s HR is 132
25) The client receiving dialysis is complaining of being dizzy and light-headed. Which action should the nurse implement first?
- Place the client in Trendelenburg position
26) The client is diagnosed with acute pancreatitis. Which HCP’s admitting order should the nurse question?
- Low fat, low carb diet
27) The nurse is teaching a client with BPH who has a new prescription for finasteride. Which of the following should the nurse include in
the teaching plan?
- Your interest in se [Show Less]