Adult Health 2 EXAM II

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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 t... wo 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 pa [Show More]

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