NSG121- FINAL EXAM (UNIT 5 cont. from org.) correctly solved

NSG121- FINAL EXAM (UNIT 5 cont. from org.)When should the nurse instruct the patient to monitor the blood sugar if dawn phenomenon is suspected? A. 1 AM B. 3 AM C. 5 AM D. Upon arising - correct answer B. 3 AM (The blood sugar should be checked between 2 AM and 4 AM. This is the time when the patient's blood sugar will be at its lowest.) A patient with cirrhosis and esophageal varices has a new prescription for propranolol (Inderal). Which assessment finding is the best indicator that the medication has been effective? a. The apical pulse rate is 68 beats/minute. b. Stools test negative for occult blood. c. The patient denies complaints of chest pain. d. Blood pressure is less than 140/90 mm Hg. - correct answer b. Stools test negative for occult blood. Which data obtained by the nurse during the assessment of a patient with cirrhosis will be of most concern? a. The patient's hands flap back and forth when the arms are extended. b. The patient has ascites and a 2-kg weight gain from the previous day. c. The patient's skin has multiple spider-shaped blood vessels on the abdomen. d. The patient complains of right upper-quadrant pain with abdominal palpation. - correct answer a. The patient's hands flap back and forth when the arms are extended. After a patient has had a transjugular intrahepatic portosystemic shunt (TIPS) placement, which finding indicates that the procedure has been effective? & ascites. a. Lower indirect bilirubin level b. Increase in serum albumin level c. Decrease in episodes of variceal bleeding d. Improvement in alertness and orientation - correct answer c. Decrease in episodes of variceal bleeding A patient with cirrhosis who has scheduled doses of spironolactone (Aldactone) and furosemide (Lasix) has a serum potassium level of 3.2 mEq/L (3.2 mmol/L). Which action should the nurse take? a. Give both drugs as scheduled. b. Administer the spironolactone. c. Administer the furosemide and withhold the spironolactone. d. Withhold both drugs until talking with the health care provider. - correct answer b. Administer the spironolactone.