Quiz #7 Questions Flashcards
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?
- Pale yellow
- Greenish-brown
- Red
- Dark and foamy
- Dark and foamy
A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?
- Include foods high in starch and proteins.
- Include foods high in fiber
- Avoid foods high in fat
- Avoid foods high in sodium
- Avoid foods high in fat
A nurse is providing discharge teaching to a client who is postoperative following a laparoscopic cholecystectomy. Which of the following instructions should the nurse include in the teaching? (Select all that apply)
A. take baths rather than showers
B. resume a diet of choice
C. cleanse the puncture site using mild soap and water
D. remove adhesive strips from the puncture site in 24 hr
E. report nausea and vomiting to the surgeon
B. resume a diet of choice
C. cleanse the puncture site using mild soap and water
E. report nausea and vomiting to the surgeon
A nurse is completing the admission assessment of a client who has acute pancreatitis. Which of the
following findings is the priority to be reported to the provider?
A. History of cholelithiasis
B. Serum amylase levels three times greater than the expected value
C. Client report of severe pain radiating to the back that is rated at an “8”
D. Hand spasms present when blood pressure is checked
D. Hand spasms present when blood pressure is checked
The greatest risk to the client is hypocalcemia due to the risk of cardiac dysrhythmia.
Hand spasms when taking a blood pressure is an indication of hypocalcemia and is the priority
finding to report to the provider.
A nurse is completing nutrition teaching for a client who has pancreatitis. Which of the following
statements by the client requires further teaching?
A. “I plan to eat small, frequent meals.”
B. “I will eat easy-to-digest foods with limited spice.”
C. “I will use skim milk when cooking.”
D. “I plan to drink regular cola.”
D. “I plan to drink regular cola.”
Caffeine-free beverages are recommended for the client who has pancreatitis. Regular
cola contains caffeine.
The nurse is completing discharge teaching to the client diagnosed with acute pancreatitis. What instruction should the nurse discuss with the client?
A. Instruct the importance to avoid all stress
B. Explain the correct way to take pancreatic enzymes
C. Instruct the client to decrease alcohol intake
D. Discuss the importance of stopping smoking
D. Discuss the importance of stopping smoking
Alcohol must be avoided completely due to its destruction of the pancreas. Stress stimulates the liver, but it is unrational to avoid all stress. Pancreatic enzymes are only needed for chronic pancreatitis. Smoking stimulates the pancreas to release pancreatic enzymes.
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 fat intake when experiencing loose stools.”
c. “You should increase your daily intake of protein.”
d. “You should limit alcohol intake to 2-3 drinks per week.”
c. “You should increase your daily intake of protein.”
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 mellitus
a.Gallstones
Acute pancreatitis is often associated with gallstones as one of the common causes. When the nurse is interviewing a client with acute pancreatitis, they should anticipate finding a history of gallstones. Other common causes include excessive alcohol consumption, certain medications, high lipid levels in the blood, infections, trauma, and certain medical conditions. However, among the options provided, gallstones are the most directly associated with acute pancreatitis.
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
C. Manifestations of the virus are similar to flu-like symptoms
The nurse should include in the teaching that the manifestations of hepatitis A are similar to having the flu or a gastrointestinal illness. Often the client is unaware that they have acquired the virus.
A nurse is teaching a class about preventive care to clients who are at risk for acquiring viral hepatitis. Which of the following information should the nurse include in the presentation?
A. Avoid covering sores with bandages
B. Avoid handwashing after eating
C. Avoid food prepared with tap water
D. Avoid eating meat
C. Avoid foods prepared with tap water.
To decrease the risk for acquiring hepatitis, clients should prepare foods with purified water.
A nurse is teaching a client who has hepatitis A about preventing transmission of the virus. Which of the following strategies should the nurse include in the teaching?
A. Avoid eating at fast food restaurants
B. Avoid serving raw food
C. Practice effective hand hygiene
D. Wear barrier protection during vaginal intercourse
C. Practice effective hand hygiene.
Effective hand hygiene - along with immunization, sanitation, and a safe water supply - are the most effective strategies for preventing the transmission of hepatitis A.
This type of hepatitis is usually contracted by consuming food or water contaminated with the feces of an infected person.
A nurse is teaching self-management to a client who has hepatitis B. Which of the following instructions should the nurse include in the teaching?
A. You may donate blood 6 months after completing the medication regimen.
B. Consume a high protein diet
C. Rest frequently throughout the day
D. Take acetaminophen every 4 hours as needed for discomfort.
C. Rest frequently throughout the day.
Limiting activity is usually recommended until the symptoms of hepatitis have subsided. The nurse should recommend the client rest frequently throughout the day to reduce metabolic demands upon the liver and decrease energy demands
A nurse is admitting a client who has Hepatitis C. Which of the following precautions should the nurse implement?
A. Droplet
B. Contact
C. Airborne
D. Standard
D. Standard
Hepatitis C is a blood-borne pathogen that is commonly spread by needle stick injury, sharing of IV drug paraphernalia and sexual contact. The nurse should implement standard precautions when in contact with blood, body fluids (except swear), broken skin, and mucous membranes. The nurse should schedule wear additional personal protective equipment if there is a possible blood contact or a risk for splashes or sprays of blood or body fluids.
A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan?
A. Administer antibiotics
B. Provide a diet high in fat
C. Restrict fluids
D. Encourage short periods of ambulation
D. Encourage short periods of ambulation
The nurse should encourage a client who has hepatitis B to alternate between activity and rest.
A nurse is assessing clients in a health clinic for risk factors for contracting hepatitis. Which of the following clients is at risk for developing hepatitis C?
A. A client who eats raw shellfish
B. A client who has multiple tattoos
C. A client who works in a child care center
D. A client who has recently traveled to a underdeveloped country
B. A client who has multiple tattoos
Hepatitis C is transmitted via blood-to-blood contact. The nurse should recognize that improperly maintained tattoo equipment may aid in transmission and could increase the client’s risk for contracting hepatitis C.
