Exam (elaborations)
NUR 240 Exam 3 Questions & Detailed Answers
- Course
- NUR 240
- Institution
- Southern New Hampshire University
NUR 240 Exam 3 Questions & Detailed Answers
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NUR 240 Exam 3 Questions & Detailed Answersb, c, d - ANS 3. A nurse is assessing a client who has advanced cirrhosis. The nurse
should identify which of the following findings as indicators of hepatic
encephalopathy? (Select all that apply.)
A. Anorexia
B. Change in orientation
C. Asterixis
D. Ascites
E. Fetor hepaticus
a, b, d - ANS 4. A nurse is caring for a client who has cirrhosis. Which of the
following medications can the nurse expect to administer to this client? (Select all
that apply.)
A. Diuretic
B. Beta-blocking agent
C. Opioid analgesic
D. Lactulose
E. Sedative
d - ANS A nurse is admitting a client who has bleeding esophageal varices. The
nurse should anticipate a prescription for which of the following medications?
A. Propranolol
,B. Metoclopramide
C. Ranitidine
D. Vasopressin
d - ANS A nurse is completing the admission assessment of a client who has acute
pancreatitis. Which of the following findings is the priority to report?
A. History of cholelithiasis
B. Elevated serum amylase level
C. Decrease in bowel sounds upon auscultation
D. Hand spasms present when blood pressure is checked
b - ANS A nurse is preparing to administer pancrelipase to a client who has
pancreatitis. Which of the following actions should the nurse take?
A. Instruct the client to chew the medication before swallowing.
B. Offer a glass of water following medication administration.
C. Administer the medication 30 min before meals.
D. Sprinkle the contents on peanut butter.
d - ANS A nurse is completing an admission assessment of a client who has
pancreatitis. Which of the following findings should the nurse expect?
A. Pain in right upper quadrant radiating to right shoulder
B. Report of pain being worse when sitting upright
C. Pain relieved with defecation
, D. Epigastric pain radiating to the left shoulder
c - ANS A nurse is assessing a client who has pancreatitis. Which of the following
actions should the nurse take to assess the presence of Cullen's sign. A. Tap lightly
at the costovertebral margin on the client's back.
B. Palpate the right lower quadrant.
C. Inspect the skin around the umbilicus.
D. Auscultate the area below the scapula.
a, b, c - ANS A nurse is completing nutrition teaching for a client who has
pancreatitis. Which of the following statements by the client indicates an
understanding of the teaching? (Select all that apply.)
A. "I plan to eat small, frequent meals"
B. "I will eat easy-to-digest foods with limited spice."
C. "I will use skim milk when cooking."
D. "I plan to drink regular cola."
E. "I will limit alcohol intake to two drinks per day."
a - ANS A nurse is having difficulty arousing a client following an
esophagogastroduodenoscopy (EGD). Which of the following is the priority action
by the nurse?
A. Assess the client's airway.
B. Allow the client to sleep.
C. Prepare to administer an antidote to the sedative.
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