LeMone/Burke/Bauldoff, Medical-Surgical Nursing 5th Edition Test Bank Chapter 25

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LeMone/Burke/Bauldoff, Medical-Surgical Nursing 5th Edition Test Bank Chapter 25 Question 1 Type: MCSA The nurse should instruct the patient who is at risk for cholelithiasis to make which lifesty... le modification? Question 2 Type: MCSA When assessing a patient who is experiencing hepatocellular failure, which of these findings would best indicate the patient is developing ascites? Question 3 Type: MCSA A patient with hepatitis has a prescription for alpha interferon. Which of these manifestations would indicate that the patient is experiencing an untoward effect of this medication? Question 4 Type: MCMA A nurse is teaching a patient about strategies for reducing the risk of hepatitis B transmission. Which of these statements, if made by the patient, indicate understanding of teaching? Question 5 Type: MCSA A patient who has portal system encephalopathy is receiving Neomycin (neomycin sulfate). Which of these manifestations would indicate to the nurse that the patient’s condition is improving? Question 6 Type: MCSA Which of these outcomes should receive priority in the care plan for a patient who has had a paracentesis to treat ascites? Question 7 Type: MCSA Which of these teaching points would be appropriate for a nurse to include when teaching a patient who has undergone a liver transplant? Question 8 Type: MCSA The patient with pancreatitis asks the nurse, “Why are my stools so frothy and smell so bad?” The nurse’s best response is which of the following? Question 9 Type: MCSA A nurse should instruct a patient who has chronic pancreatitis and a serum amylase level of 180 units/L to follow which of the following dietary plans? Question 10 Type: MCSA A nurse assesses a patient who is reporting epigastric pain. The patient’s serum amylase level is 369 units/L. The nurse’s best action is which of the following? Question 11 Type: MCSA Which of these findings, if identified in a patient who has a Sengstaken-Blakemore tube for esophageal varices, is the priority for follow-up? Question 12 Type: MCMA The nurse is caring for a patient whose diagnostic exams reveal that the patient has liver tissue fibrosis, decreased liver mass, impaired liver function, and impaired blood flow to the liver. The nurse notes new ecchymotic areas on the patient’s arms and legs. Which of the following laboratory findings will the nurse analyze regarding this finding? Select all that apply. Question 13 Type: MCSA A nurse assesses a patient who has liver failure. Which of these patient findings would require immediate follow-up by the nurse? Question 14 Type: MCSA A nurse assesses a patient with cirrhosis who is experiencing hypertension, edema, and shortness of breath. Which of these nursing diagnoses will the nurse establish? Question 15 Type: MCSA A nurse is caring for a patient with a liver abscess who is experiencing nausea and vomiting. Which of these nursing diagnoses should receive priority for this patient? Question 16 Type: MCSA A patient who reports a severe, steady pain in the epigastric area and nausea and vomiting states, “This happens every time I eat barbequed ribs.” The nurse considers the most likely cause of the symptoms to be which of the following? Question 17 Type: MCSA A nurse is caring for a patient with cholilithiasis who has a new laboratory finding of serum amylase of 300 units/L. The patient states, “My primary healthcare provider said I don’t have pancreatitis.” What is the most likely explanation for the laboratory finding? Question 18 Type: MCMA When assessing a patient who has cholilithiasis, which of these patient statements indicates a progression to cholecystitis? Question 19 Type: MCMA The nurse has given a patient instruction about the possible complications of unresolved cholecystitis. Which of these statements, if made by the patient, would indicate that the patient has the correct understanding of the instructions? Question 20 Type: MCSA A nurse is reviewing pathophysiology concepts with a group of nursing students. The nurse knows students understand the teaching that has been performed when they identify that a patient who has abdominal pain and who demonstrates a serum conjugated bilirubin level of 1.2 mg/dL most likely Question 21 Type: MCMA A nurse assesses a patient who is taking chenodiol (Chenix). Which of the following patient statements indicates that immediate follow-up by the nurse is required? Question 22 Type: MCSA A patient scheduled for a laparoscopic cholecystectomy asks the nurse why a surgical consent for a laparotomy must also be completed. The nurse’s best answer is which of the following? Question 23 Type: MCMA A nurse should include which of these teaching points when planning discharge for a patient who has a T-tube following a cholecystectomy? Question 24 Type: MCSA A patient has been given instructions about a laparoscopic cholecystectomy. Which of these statements, if made by the patient, would indicate further teaching is needed? Question 25 Type: MCSA The nurse is teaching a patient with an acute attack of cholecystitis about nutritional interventions. Which of these statements, if made by the patient would indicate that the patient needs further instruction? Question 26 Type: MCMA A patient with cholithiasis had an extracorporeal shock wave lithotripsy. Which of the following statements, if made by the patient would indicate that the patient remembered the procedure accurately? Question 27 Type: MCSA Which of these questions would be most important for a nurse to ask when assessing a patient who is taking the herb goldenseal for cholecystitis? Question 28 Type: MCMA A nurse should instruct a patient who wishes to reduce the incidence of gallstone and cholecystitis to do which of the following? Select all that apply. Question 29 Type: MCMA The nurse is teaching a patient about modifiable risk factors for cholelithiasis. Which of these statements, if made by the patient would indicate the patient has the correct understanding of modifiable risk factors? Question 30 Type: MCSA The home care patient who is scheduled for a laparoscopic cholecystectomy in four days asks a nurse, “How can I best promote comfort?” Which of these responses would be most appropriate for the nurse to make? Question 31 Type: MCSA The patient with acute cholithiasis has an order for an NG tube insertion. The patient asks, “Why do I need to have a tube placed from my nose to my stomach?” The nurse’s best answer is which of the following? Question 32 Type: MCSA The patient with acute cholecystitis has an oral temperature of 101.8° F. The patient tells the nurse, “I must have the flu.” The nurse’s best response is which of the following? Question 33 Type: MCSA The nurse assesses the nutritional status of a patient who has cholelithiasis and a body mass index of 35. Which of the following actions should the nurse take initially? Question 34 Type: MCSA The nurse is caring for a hospitalized patient with an acutely inflamed gallbladder who states, “Suddenly, the pain is just gone. Can I go home?” What is the nurse’s best response? Question 35 Type: MCSA The nurse is caring for a patient who has liver failure and is taking lactulose (Chronulac). Which of these laboratory data would indicate that the medication is having the desired effect? Question 36 Type: MCMA Which of these factors in a patient’s history are likely related to liver failure? Question 37 Type: MCMA The nurse is teaching a patient about the effects of liver failure. The nurse knows the patient understands teaching when the patient identifies which of the following as effects of liver failure? Select all that apply. Question 38 Type: MCSA The nurse is observing a nursing student who is caring for a patient with liver failure and jaundice. The student asks the patient each of the following questions. Which question is helpful in determining if the cause of the jaundice is hemolytic? Question 39 Type: MCSA The nurse is teaching a patient who has portal hypertension. The nurse knows teaching has been effective when the patient states, “Portal hypertension means Question 40 Type: MCSA The patient in the icteric phase of hepatitis asks the nurse, “Why are my stools no longer brown?” The nurse most correctly answers with which of the following? Question 41 Type: MCSA The nurse is caring for a patient who returned from a humanitarian trip to Central American two weeks ago. The patient is jaundiced and is diagnosed with hepatitis A. The patient is the parent of three school-age children. Which statement, if made by the patient, is a priority for follow-up? Question 42 Type: MCSA The nurse is caring for a patient with a new diagnosis of hepatitis that was found when the patient was having a preoperative assessment for a routine colonoscopy. The patient states, “I don’t feel ill, but my healthcare provider tells me I am infectious and can spread this illness to others.” The patient has a distant history of injection drug use. Based on this information, the nurse seeks information regarding the most likely cause of the patient’s hepatitis which is which of the following? Question 43 Type: MCSA The nurse is caring for a patient with hepatitis C who is treating the illness with licorice root. Which of these patient findings requires follow-up regarding this medication? [Show More]

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