A client is admitted to the hospital with a diagnosis of acute pancreatitis. The
nurse would plan care knowing that most likely, which problem will occur
with this disorder? correct answer -Alteration in comfort related to
abdominal pain
The nurse is talking to a nursing student about primary versus secondary
peritonitis. The nurse determines that the student understands if the nursing
student states which client is at risk for primary peritonitis? correct answer
-A client with ascites related to cirrhosis
Rationale: Primary peritonitis usually occurs in the client with a disorder
associated with underlying ascites. The client with cirrhosis with ascites is at
risk for primary peritonitis. Secondary peritonitis is more common and occurs
when another condition is the cause. Examples of secondary peritonitis
include ruptured appendix, diverticulitis with rupture, severe cholecystitis,
receiving peritoneal dialysis treatment, or trauma from knife or gunshot
wounds.
The nurse is teaching a client with nonalcoholic fatty liver disease about
measures to manage the condition. The nurse determines the client has a need
for further teaching if the client makes which statement? correct answer
-"I should stop taking my cholesterol medication as it puts stress on my liver."
A primary health care provider asks the licensed practical nurse (LPN) to
reinforce preprocedure instructions to a client who will undergo a barium
swallow (esophagography) in a few days. The LPN would include which
instruction in this discussion? correct answer -Remove all metal and
jewelry before the test.
A licensed practical nurse (LPN) is helping a registered nurse (RN) conduct an
abdominal assessment. The LPN would assist the client into which most
appropriate position? correct answer -Supine with the head raised slightly
and the knees slightly flexed4
The nurse who is assisting in the care of a client within the first 24 hours
following a total gastrectomy for gastric cancer would avoid which
intervention? correct answer -Irrigating the nasogastric (NG) tube3
, The nurse is caring for a client with a diagnosis of acute appendicitis. Which
physical assessment finding consistent with this diagnosis would the nurse
expect to be documented in the client's medical record? correct answer -
Pain at McBurney's point4
A client reports excessive sweating, muscular weakness, diarrhea, and
achiness in the bones. The nurse suspects the client is deficient in which
vitamin? correct answer -Vitamin D3
A client is admitted to an acute care facility with complications of celiac
disease. Which question asked by the nurse initially would be most helpful in
obtaining information for the nursing care plan? correct answer -"What is
your understanding of celiac disease?"4
The nurse is monitoring a client for the early signs and symptoms of dumping
syndrome. Which indicates this occurrence? correct answer -Sweating and
pallor
A client presents to the urgent care center with complaints of abdominal pain.
Suddenly the client vomits bright red blood. The nurse would take which
immediate action? correct answer -Take the client's vital signs.
The nurse is reviewing the primary health care provider's (PHCP'S)
prescriptions written for a client admitted with acute pancreatitis. Which
PHCP prescription would the nurse verify if noted in the client's chart?
correct answer -Supine and flat client positioning
Which infection control method would the nurse determine to be the priority
to include in the plan of care to prevent hepatitis B in a client considered to be
at high risk for exposure? correct answer -Hepatitis B vaccine
The nurse is collecting data about how well a client diagnosed with a
gastrointestinal (GI) disorder is able to absorb food. While doing this, the
nurse recalls that absorption is most concerned with which bodily function?
correct answer -The transfer of digested food molecules from the GI tract
into the bloodstream