Med Surg Adaptive Quizzing and RationaleThe nurse is planning care for a patient with a new diagnosis of hypercalcemia resulting from treatment
for hypocalcemia. Which change to the plan of care should the nurse anticipate?
- weight bearing exercises
A patient with hypercalcemia as a result of ...
med surg adaptive quizzing and rationale the nurse is planning care for a patient with a new diagnosis of hypercalcemia resulting from treatment for hypocalcemia which change to the plan of care sho
Written for
South University
Med Surg
All documents for this subject (5)
Seller
Follow
10SALES
Reviews received
Content preview
NCLEX Practice Questions: Liver, Biliary and Pancreatic Disorders
1. For a client in hepatic coma, which outcome would be the most appropriate?
A. The client is oriented to time, place, and person.
B. The client exhibits no ecchymotic areas.
C. The client increases oral intake to 2,000 calories/day.
D. The client exhibits increased serum albumin level.
1. Answer: A. The client is oriented to time, place, and person.
Hepatic coma is the most advanced stage of hepatic encephalopathy. As hepatic coma resolves,
improvement in the client's level of consciousness occurs. The client should be able to express
orientation to time, place, and person. Ecchymotic areas are related to decreased synthesis of clotting
factors. Although oral intake may be related to level of consciousness, it is more closely related to
anorexia. The serum albumin level reflects hepatic synthetic ability, not level of consciousness.
2. Jordin is a client with jaundice who is experiencing pruritus. Which nursing intervention would be
included in the care plan for the client?
A. Administering vitamin K subcutaneously
B. Applying pressure when giving I.M. injections
C. Decreasing the client's dietary protein intake
D. Keeping the client's fingernails short and smooth
2. Answer: D. Keeping the client's fingernails short and smooth
The client with pruritus experiences itching, which may lead to skin breakdown and possibly infection
from scratching. Keeping his fingernails short and smooth helps prevent skin breakdown and infection
from scratching. Applying pressure when giving I.M. injections and administering vitamin K
subcutaneously are important if the client develops bleeding problems. Decreasing the client's dietary
intake is appropriate if the client's ammonia levels are increased.
3. Marie, a 51-year-old woman, is diagnosed with cholecystitis. Which diet, when selected by the client,
indicates that the nurse's teaching has been successful?
A. 4-6 small meals of low-carbohydrate foods daily
B. High-fat, high-carbohydrate meals
C. Low-fat, high-carbohydrate meals
, D. High-fat, low protein meals
3. Answer: C. Low-fat, high-carbohydrate meals
For the client with cholecystitis, fat intake should be reduced. The calories from fat should be
substituted with carbohydrates. Reducing carbohydrate intake would be contraindicated. Any diet high
in fat may lead to another attack of cholecystitis.
4. The hospital administrator had undergone percutaneous transhepatic cholangiography. which
assessment finding indicates complication after the operation?
A. Fever and chills
B. Hypertension
C. Bradycardia
D. Nausea and diarrhea
4. Answer: A. Fever and chills
Septicemia is a common complication after a percutaneous transhepatic cholangiography. Evidence of
fever and chills, possibly indicative of septicemia, is important. Hypotension, not hypertension, is
associated with septicemia. Tachycardia, not bradycardia, is most likely to occur. Nausea and diarrhea
may occur but are not classic signs of sepsis.
5. When planning home care for a client with hepatitis A, which preventive measure should be
emphasized to protect the client's family?
A. Keeping the client in complete isolation
B. Using good sanitation with dishes and shared bathrooms
C. Avoiding contact with blood-soiled clothing or dressing
D. Forbidding the sharing of needles or syringes
5. Answer: B. Using good sanitation with dishes and shared bathrooms
Hepatitis A is transmitted through the fecal oral route or from contaminated water or food. Measures to
protect the family include good handwashing, personal hygiene and sanitation, and use of standard
precautions. Complete isolation is not required. Avoiding contact with blood-soiled clothing or dressings
or avoiding the sharing of needles or syringes are precautions needed to prevent transmission of
hepatitis B.
6. For Jayvin who is taking antacids, which instruction would be included in the teaching plan?
A. "Take the antacids with 8 oz of water."
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller 10SALES. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.00. You're not tied to anything after your purchase.
