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A nurse cares for a client who has obstructive jaundice. The
client asks, Why is my skin so itchy? How should the nurse
respond?
a. Bile salts accumulate in the skin and cause the itching.
b. Toxins released from an inflamed gallbladder lead to itching.
c. Itching is caused by the release of calcium into the skin.
d. Itching is caused by a hypersensitivity reaction - ANSWER -a
After teaching a client who is recovering from laparoscopic
cholecystectomy surgery, the nurse assesses the clients
understanding. Which statement made by the client indicates
a correct understanding of the teaching?
a. Drinking at least 2 liters of water each day is suggested.
b. I will decrease the amount of fatty foods in my diet.
c. Drinking fluids with my meals will increase bloating.
d. I will avoid concentrated sweets and simple carbohydrates. -
ANSWER -b
A nurse cares for a client who is recovering from laparoscopic
cholecystectomy surgery. The client reports pain in the
,shoulder blades. How should the nurse respond? a.
Ambulating in the hallway twice a day will help.
b. I will apply a cold compress to the painful area on your back.
c. Drinking a warm beverage can relieve this referred pain.
d. You should cough and deep breathe every hour. - ANSWER -
a
After teaching a client who has a history of cholelithiasis, the
nurse assesses the clients understanding.
Which menu selection made by the client indicates the client
clearly understands the dietary teaching?
a. Lasagna, tossed salad with Italian dressing, and low-fat milk
b. Grilled cheese sandwich, tomato soup, and coffee with cream
c. Cream of potato soup, Caesar salad with chicken, and a diet
cola
d. Roasted chicken breast, baked potato with chives, and
orange juice - ANSWER -d
A nurse plans care for a client with acute pancreatitis. Which
intervention should
the nurse include
in this
clients plan of care to reduce
discomfort?
a. Administer morphine sulfate intravenously every 4
hours as needed.
b. Maintain nothing by mouth (NPO) and administer
intravenous fluids.
,c. Provide small, frequent feedings with no
concentrated sweets.
d. Place the client in semi-Fowlers position with the head of
bed elevated. -
ANSWER
-b
After teaching a client who is prescribed pancreatic
enzyme replacement
therapy, the nurse
assesses the
clients understanding. Which statement made by the client
indicates a need for additional teaching?
a. The capsules can be opened and the powder sprinkled on
applesauce if needed.
b. I will wipe my lips carefully after I drink the enzyme
preparation.
c. The best time to take the enzymes is immediately after I have
a meal or a snack.
d. I will not mix the enzyme powder with food or liquids that
contain protein. -
ANSWER -c
A nurse assesses a client who is recovering from an open
Whipple procedure. Which action should the nurse perform
first?
a. Assess the clients endotracheal tube with 40% FiO2.
b. Insert an indwelling Foley catheter to gravity drainage.
c. Place the clients nasogastric tube to low intermittent suction.
, d. Start lactated Ringers solution through an intravenous
catheter. - ANSWER a
A nurse cares for a client with end-stage pancreatic cancer.
The client asks, Why is this happening to me?
How should the nurse respond?
a. I dont know. I wish I had an answer for you, but I dont.
b. Its important to keep a positive attitude for your family right
now.
c. Scientists have not determined why cancer develops in
certain people.
d. I think that this is a trial so you can become a better person
because of it. -
ANSWER -a
A nurse prepares to assess the emotional state of a client
with end-stage pancreatic cancer. Which action should
the nurse take first?
a. Bring the client to a quiet room for privacy.
b. Pull up a chair and sit next to the clients bed.
c. Determine whether the client feels like talking about his or
her feelings.
d. Review the health care providers notes about the prognosis
for the client. -
ANSWER -c
A nurse assesses clients at a community health center.
Which client is at