NUR 4045 Adult Health 2 EXAM II.
1. Patient on PEEP (believe) experiencing ARDS (select all that apply)
a. Beta blocker
b. Loop diuretic
c. Bronchodilator
d. Something else corticosterian
Look it up
1. The nurse assists the provider with a liver biopsy at the bedside. Which position does the nurse put
the patient in after the biopsy?
Supine with head elevated on one pillow
Semi-fowlers with two pillows under the
leg
Right side lying with a folded towel under the puncture site
Left side lying with a small pillow under the puncture site
2. A patient is hospitalized for severe anorexia, fatigue, mild jaundice, hepatomegaly, and abnormal liver
function tests. The physician suspects viral hepatitis. In planning care, which patient outcome does
the nurse assign the highest priority?
Maintains adequate nutrition
Maintains usual exercise
regimen Adapts to changes in
appearance
Definitely identifies source of exposure to hepatitis virus
3. Select all the potential causes for hepatic inflammation (double check this answer)
Virus
Penicillin
Acetaminophen
Alcohol
Chocolate
4. A patient admitted to the hospital with a diagnosis of cirrhosis has a massive ascites’s and
difficulty breathing. The nurse performers which intervention as a priority measure to assist the
patient with breathing?
Reposition side to side every 2 hours
Auscultate the lung sounds every
4hours Encourage deep breathing
exercises Elevate the head of the bed
60 degrees
5. A home health nurse visits a patient who was recently diagnosed with cirrhosis and provides home
care management instructions to the patient. Which statement by the patient indicates the need for
further instructions?
I will obtain adequate rest
, I should monitor my weight regularly
I should include sufficient carbs in my diet
I will take acetaminophen (Tylenol) if I get a headache
6. The nurse administers lactulose to a patient with cirrhosis the patient complains of diarrhea. The
nurse explains that it is important to take the drug for which effect?
Prevention of constipation
Promotion of fluid loss
Reduction in serum ammonia levels
, Prevention of gastrointestinal bleeding
7. A patient with liver cancer has severe ascites and shortness of breath. The physician plans a
paracentesis. The nurse prepares the patient for the paracentesis with which action?
Have client empty bladder
Position patient flat on right side
Have them lie flat with a small pillow under the small of his back
Sedate the client with versed
8. The patient is admitted to the ED with vomiting of bright red blood. Which info is most important for
the nurse to obtain during assessment?
Vital signs and symptoms of hypovolemia
History of prior bleeding
Medication client is
taking Current medical
problems
21. (WORDED DIFFERENTLY ON TEST): A nurse is educating a patient in anticipation
of a procedure that will require a water-sealed chest drainage system. What should
the nurse tell the patient and the family that this drainage system is used for?
A) Maintaining positive chest-wall pressure
B) Monitoring pleural fluid osmolarity
C) Providing positive intrathoracic pressure
D) Removing excess air and fluid
22. (WORDED DIFFERENTLY ON TEST): A patient is exhibiting signs of a
pneumothorax following tracheostomy. The surgeon inserts a chest tube into the
anterior chest wall. What should the nurse tell the family is the primary purpose of
this chest tube?
A) To remove air from the pleural space
B) To drain copious sputum secretions
C) To monitor bleeding around the lungs
D) To assist with mechanical ventilation
23. While assessing the patient, the nurse observes constant bubbling in the water-seal
chamber of the patients closed chest-drainage system. What should the nurse
conclude?
The system is functioning
normally. The patient has a
pneumothorax.
The system has an air leak.
1. Patient on PEEP (believe) experiencing ARDS (select all that apply)
a. Beta blocker
b. Loop diuretic
c. Bronchodilator
d. Something else corticosterian
Look it up
1. The nurse assists the provider with a liver biopsy at the bedside. Which position does the nurse put
the patient in after the biopsy?
Supine with head elevated on one pillow
Semi-fowlers with two pillows under the
leg
Right side lying with a folded towel under the puncture site
Left side lying with a small pillow under the puncture site
2. A patient is hospitalized for severe anorexia, fatigue, mild jaundice, hepatomegaly, and abnormal liver
function tests. The physician suspects viral hepatitis. In planning care, which patient outcome does
the nurse assign the highest priority?
Maintains adequate nutrition
Maintains usual exercise
regimen Adapts to changes in
appearance
Definitely identifies source of exposure to hepatitis virus
3. Select all the potential causes for hepatic inflammation (double check this answer)
Virus
Penicillin
Acetaminophen
Alcohol
Chocolate
4. A patient admitted to the hospital with a diagnosis of cirrhosis has a massive ascites’s and
difficulty breathing. The nurse performers which intervention as a priority measure to assist the
patient with breathing?
Reposition side to side every 2 hours
Auscultate the lung sounds every
4hours Encourage deep breathing
exercises Elevate the head of the bed
60 degrees
5. A home health nurse visits a patient who was recently diagnosed with cirrhosis and provides home
care management instructions to the patient. Which statement by the patient indicates the need for
further instructions?
I will obtain adequate rest
, I should monitor my weight regularly
I should include sufficient carbs in my diet
I will take acetaminophen (Tylenol) if I get a headache
6. The nurse administers lactulose to a patient with cirrhosis the patient complains of diarrhea. The
nurse explains that it is important to take the drug for which effect?
Prevention of constipation
Promotion of fluid loss
Reduction in serum ammonia levels
, Prevention of gastrointestinal bleeding
7. A patient with liver cancer has severe ascites and shortness of breath. The physician plans a
paracentesis. The nurse prepares the patient for the paracentesis with which action?
Have client empty bladder
Position patient flat on right side
Have them lie flat with a small pillow under the small of his back
Sedate the client with versed
8. The patient is admitted to the ED with vomiting of bright red blood. Which info is most important for
the nurse to obtain during assessment?
Vital signs and symptoms of hypovolemia
History of prior bleeding
Medication client is
taking Current medical
problems
21. (WORDED DIFFERENTLY ON TEST): A nurse is educating a patient in anticipation
of a procedure that will require a water-sealed chest drainage system. What should
the nurse tell the patient and the family that this drainage system is used for?
A) Maintaining positive chest-wall pressure
B) Monitoring pleural fluid osmolarity
C) Providing positive intrathoracic pressure
D) Removing excess air and fluid
22. (WORDED DIFFERENTLY ON TEST): A patient is exhibiting signs of a
pneumothorax following tracheostomy. The surgeon inserts a chest tube into the
anterior chest wall. What should the nurse tell the family is the primary purpose of
this chest tube?
A) To remove air from the pleural space
B) To drain copious sputum secretions
C) To monitor bleeding around the lungs
D) To assist with mechanical ventilation
23. While assessing the patient, the nurse observes constant bubbling in the water-seal
chamber of the patients closed chest-drainage system. What should the nurse
conclude?
The system is functioning
normally. The patient has a
pneumothorax.
The system has an air leak.
