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Chapter 21, 23, 24 quiz
Terms in this set (30)
The nurse is preparing educational materials for a patient with a low serum albumin level. Which foods should the nurse instruct as being complete proteins? (Select all that apply).
The nurse suspects a patient recovering from surgery is deficient in vitamin K. What is the finding associated with vitamin K deficiency?
B. Slow Peristalsis
C. Poor wound healing
D. Surgical wound bleeding
The nurse notes that a patient's serum amylase level is elevated. For which health problem should the nurse plan patient care?
C. Gastric reflux
D. Acute pancreatitis
While assessing the oral cavity, the nurse notes that an older patient has obvious caries and difficulty swallowing. When asked about eating, the patient mentions frequent issues with a dry mouth. Which health problem is this patient at most risk for developing?
A. Acute pain
B. Risk for infection
C. Nutritional deficit
D. Altered elimination
The nurse is conducting a physical examination of a patient with ascites. Which sound should the nurse expect to hear when percussing the patient's abdomen?
C. Shifting dullness
D. Alternating amplitude
A patient is upset to learn after a sigmoidoscopy that internal hemorrhoids were found. What should the nurse explain about this health problem? (Select all that apply.)
A. "They are apart of the lymphatic system."
B. "They are part of the arteries of the body."
C. "They are swollen veins in the anal canal."
D. "They are just bits of tissue that occur for no reason."
E. "Internal hemorrhoids may become external."
The nurse is completing an assessment for a patient with an ostomy. Which questions should the nurse include when conducting this assessment? (Select all that apply.)
A. "Has your appetite changed lately?"
B. "Do any particular foods cause flatus?"
C. "What is the consistency of your stools?"
D. "What does the skin around the stoma look like?"
E. "Have you had any bleeding from your hemorrhoids."
B, C, D,
The healthcare provider suspects a patient is experiencing gastrointestinal effects from parasites. For which diagnostic test should the nurse prepare this patient to confirm the diagnosis?
B. Barium enema
C. Stool specimen
D. CT of the abdomen
A patient learns that during a colonoscopy two polyps were removed. Why is the removal of thee structure important?
A. Helps to identify genetic disorders.
B. Prevents the development of cancer.
C. Facilitates further examination of the bowel.
D. Decreases future problems with constipation.
While conducting a health history, the nurse asks a patient if any family members had or have colon cancer. Which other questions help to assess increased risk for colon cancer? (Select all that apply.)
A. "Have you ever been diagnosed with inflammation of the colon?"
B. "Have you ever been diagnosed with breast or ovarian cancer?"
C. "Have you ever been exposed to unpasteurized milk?"
D. "Has anyone in your family been diagnosed with colon cancer?"
E. "Do you have asthma?"
A, B, D
The nurse is assessing a patient with a persistent sore on the tongue. For which oral cancer risk factors should the nurse assess this patient? (Select all that apply.)
A. Tobacco use in any form
B. Drinking Alcohol
C. Consumption of highly spiced foods
D. Thumbsucking or pacifier use as a child
E. Infection with human papilloma virus
A, B, E
The nurse is preparing teaching for a patient with gastroesophageal reflux disease. What should this teaching include? (Select all that apply.)
A. There is no treatment for this disease.
B. Avoid lying down immediately after eating.
C. Elevate the head of the bed on 6- to 8-inch blocks.
D. Peppermint and chocolate candies can help relieve symptoms.
E. Stop taking the prescribed proton-pump inhibitor once symptoms are relieved.
The nurse provides discharge teaching to a patient with acute gastritis. Which patient statement indicates that teaching has been effective? (Select all that apply.)
A. "I will eat only bland foods."
B. "I will have yearly upper endoscopy exams."
C. "I will fully cook all meat, poultry, and egg products."
D. "I will avoid using aspirin or NSAIDs for routine pain relief."
E. "If I begin to vomit again, I will wait 24 hours before I eat or drink anything."
The nurse is identifying interventions appropriate for a patient with a possible perforation from peptic ulcer disease. Interventions to address which patient problem are apriority for this patient?
B. Acute pain
C. Risk for acute bleeding
D. Inability to provide self-care
The nurse is concerned that a patient recovering from a partial gastrectomy for stomach cancer is at risk for nutritional deficiencies. For which nutritional deficiencies should the nurse focus care? (Select all that apply.)
A. Red blood cells
C. Folic acid
D. Vitamin C
E. Vitamin B12
A, B, C, E
The nurse is caring for a patient receiving radiation therapy for esophageal cancer. Which manifestation should the nurse immediately report to the healthcare provider?
A. Weight loss
B. Bright bleeding from the mouth
C. Difficulty swallowing solid foods
D. Crackles in the base of the right lung
A patient is prescribed omeprazole 20 mg twice daily, clarithromycin 500 mg twice daily, and amoxicillin 1 g daily for treatment of peptic ulcer disease caused by H. pylori. What is the most important instruction for the nurse to give the patient about these medications?
A. Take the drugs with a full glass of water.
B. Complete the full course of all medications as prescribed.
C. Consume 8 oz of yogurt or buttermilk daily while taking these drugs.
D. Take the drugs on an empty stomach, 1 hour before breakfast and at least 2 hours after dinner.
A patient receiving chemotherapy is experiencing stomatitis. Which intervention should be a priority for this patient?
A. Refer the patient to a smoking-cessation program.
B. Allow patient to select appealing foods from a menu.
C. Assist patient to cleanse mouth with mouthwash following meals.
D. Provide viscous lidocaine to relieve mouth pain before meals.
The evening following surgery for esophageal cancer, the nurse notes that there has been no drainage from the nasogastric tube for the past 3 hours. What should the nurse do first?
A. Chart the finding.
B. Notify the surgeon.
C. Reposition the nasogastric tube.
D. Gently irrigate the tube with normal saline.
A patient with a history of peptic ulcer disease suddenly begins to complain of severe abdominal pain. Which actions should the nurse take at this time? (Select all that apply.)
A. Notify the physician.
B. Withhold oral food and fluids.
C. Place the patient in Fowler position.
D. Obtain an order for a narcotic analgesic.
E. Administer the prescribed proton-pump inhibitor.
A, B, C
A patient has been experiencing diarrhea for the past week. What should the nurse do first when caring for this patient?
A. Ask the patient to describe the number and character of daily stools.
B. Advise the patient to abstain from all oral intake until the diarrhea subsides.
C. Recommend an over-the-counter antidiarrheal preparation such as Pepto-Bismol.
D. Question the patient about possible exposure to an enterotoxin or protozoal infection.
A patient comes into the emergency department with manifestations of appendicitis. What is the highest priority when caring for this patient?
A. Withhold all food and fluids.
B. Perform preoperative skin preparation.
C. Insert saline lock for intravenous pain medication.
D. Teach postoperative deep breathing, coughing, and leg exercises.
A patient with inflammatory bowel disease is prescribed sulfasalazine (Azulfidine). What should the nurse teach the patient about taking this medication? (Select all that apply.)
A. Take vitamin C while on the drug.
B. Take the drug after a meal.
C. Use a sunscreen while taking the drug.
D. Limit fluid intake to 1500 mL per day or less.
E. Use aspirin rather than NSAIDs for minor pain.
A patient is experiencing frequent large, fatty, foul-smelling stools. What additional information should the nurse obtain from the patient?
A. Known family history of colorectal cancer
B. The relationship of episodes to particular foods
C. History of alternating diarrhea and constipation
D. Possible exposure to enterotoxins in food or water
A patient has heard of several friends being diagnosed with colon cancer and does not want to develop the same health problem. What should the nurse recommend to this patient? (Select all that apply.)
A. Exercise regularly.
B. Maintain a healthy weight.
C. Ingest two servings of red wine every day.
D. Obtain recommended screening after age 50.
E. Consume a diet high in fruits and vegetables.
A, B, D, E
A patient with a bowel obstruction has a nasogastric tube in place for gastric decompression. The nurse will perform which interventions associated with this treatment? (Select all that apply.)
A. Measure abdominal girth every 4 to 8 hours.
B. Provide the patient with generous amounts of oral fluids.
C. Keep an accurate record of intake and output every 2 to 4 hours.
D. Document the amount and color of nasogastric tube drainage every shift.
E. Monitor mental status at each patient encounter.
A, C, D, E
A patient has developed a paralytic ileus following recent abdominal surgery. What is the most important nursing action when caring for this patient?
A. Monitor bowel sounds every hour.
B. Maintain the patient on strict bedrest.
C. Ensure nasogastric tube is functioning.
D. Ensure that the patient is given a clear liquid diet.
The nurse is preparing discharge diet teaching for a patient with diverticulosis. The nurse evaluates that teaching has been effective when the patient lists which foods to include in the diet? (Select all that apply.)
D. Whole-wheat bread
A, B, D
An older patient is experiencing constipation. What should the nurse teach this patient to help with this health problem? (Select all that apply.)
A. Eat a bran cereal for breakfast.
B. Take bisacodyl (Dulcolax) daily.
C. Eat plenty of fresh fruits and vegetables daily.
D. Eat whole-wheat bread instead of white bread.
E. Drink six to eight glasses of nonalcoholic fluid daily.
A, C, D, E
A patient with a severe Clostridium difficile infection is to be treated with fecal microbiota transplant. The nurse evaluates that teaching about this treatment is understood when the patient makes which statements? (Select all that apply.)
A. "My wife is not a good donor because she is over 45 years old."
B. "I can expect the transplanted material to be administered by enema."
C. "I will need to take an antibiotic for several days before the transplant."
D. "I will be hospitalized for at least a month following this transplant."
E. "This is a rare and dangerous treatment and I am at risk for developing HIV as a result."
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